scholarly journals Correlation of Salivary Alpha Amylase Level and Adenotonsillar Hypertrophy with Sleep Disordered Breathing in Pediatric Subjects

2014 ◽  
Vol 10 (05) ◽  
pp. 559-566 ◽  
Author(s):  
Chan-Soon Park ◽  
Christian Guilleminault ◽  
Hong-Jin Park ◽  
Jin-Hee Cho ◽  
Heung-Ku Lee ◽  
...  
Keyword(s):  
Sleep Disordered Breathing ◽  
Alpha Amylase ◽  
Amylase Level ◽  
Salivary Alpha Amylase ◽  
Adenotonsillar Hypertrophy ◽  
Disordered Breathing

scholarly journals CORRELATION BETWEEN WONG-BAKER FACES PAIN SCALE AND SALIVARY ALPHA-AMYLASE LEVEL IN CHILDREN AGED 6–11 YEARS

2018 ◽  
Vol 9 ◽  
pp. 133
Author(s):  
Hastin Dian Anggraeni ◽  
Margaretha Suharsini ◽  
Ike Siti Indiarti ◽  
Faraghea Yumasdhika
Keyword(s):  
Pain Intensity ◽  
Local Anesthetic ◽  
Extraction Procedure ◽  
Pain Scale ◽  
Alpha Amylase ◽  
Primary Tooth ◽  
Amylase Level ◽  
Salivary Alpha Amylase ◽  
Local Anesthetic Injection ◽  
Spearman’S Correlation

Objective: Several studies have tried to objectively assess pain measurements. The Wong-Baker Faces Pain Scale (WBFPS) is an instrument that is commonly used to assess pain intensity in children. This study aimed to analyze the correlation between the WBFPS and salivary alpha-amylase (SAA) level during a tooth extraction procedure with a local anesthetic injection in children aged 6–11 years.Methods: Twenty-five children aged 6–11 years who were to undergo the extraction of a primary tooth at the Dental and Oral Educational Hospital, Faculty of Dentistry Universitas Indonesia, were enrolled in this study. From all children, saliva was collected using a disposable saliva strip shortly after local anesthetic injection, and the SAA activity was then determined using a portable Nipro Cocoro Meter device. The WBFPS was measured at the same time. The correlation between the WBFPS and the SAA level was analyzed using Spearman’s correlation test. The statistically significant level was set at p≤0.05.Results: There was a significant correlation between the WBFPS and SAA level (p=0.002, r=0.581).Conclusion: Our data suggest that the SAA level might be a good index for objective pain intensity assessment.

scholarly journals Adenotonsillar Hypertrophy in Pre-School Children with Sickle Cell Disease and Diagnostic Accuracy of the Sleep Disturbance Scale for Children

2017 ◽  
Vol 22 (01) ◽  
pp. 055-059
Author(s):  
Carlos Góis ◽  
Jeferson D'Ávila ◽  
Rosana Cipolotti ◽  
Amanda Lira ◽  
Ana Silva
Keyword(s):  
Sickle Cell Disease ◽  
Sleep Disturbance ◽  
Sickle Cell ◽  
School Children ◽  
Sleep Disordered Breathing ◽  
Statistical Significance ◽  
Control Group ◽  
Cell Disease ◽  
Adenotonsillar Hypertrophy ◽  
Disordered Breathing

Introduction Adenotonsillar hypertrophy is more common in children with sickle cell disease, and can lead to sleep-disordered breathing. Objectives To determine the frequency of adenotonsillar hypertrophy in pre-school children with sickle cell disease and assess the diagnostic accuracy of the sleep-disordered breathing subscale in the Sleep Disturbance Scale for Children. Method Observational study with a group of 48 children with sickle cell disease and a control group of 35 children without the disease. The children underwent oropharingoscopy and video nasal endoscopy. The parents and/or guardians answered the questions of the subscale. Results Adenotonsillar hypertrophy was observed in 25% of the children in the study group, and in 20% of the children in the control group, with no statistical difference between the groups. The subscale score ranged from 3 to 11 in both groups. There was a statistical significance in the study group. The average was 4.79 (standard deviation [SD] ± 2.50), with 4.19 (SD ± 1.72) among the children without adenotonsillar hypertrophy, and 6.5 (SD ± 3.40) among the children with adenotonsillar hypertrophy. There was also a statistical significance in the control group. The average was 5.23 (SD ± 2.81), with 4.44 (SD ± 2.2) among the children without adenotonsillar hypertrophy, and 7.87 (SD ± 2.89) among the children with adenotonsillar hypertrophy. Conclusion Adenotonsillar hypertrophy was not associated with sickle cell disease in pre-school children. The subscale of sleep-disordered breathing in the Sleep Disturbance Scale for Children was a useful tool for the diagnostic suspicion of adenotonsillar hypertrophy in children in this age group.

scholarly journals Effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: a hospital based prospective cohort study in Dar es Salaam, Tanzania

2019 ◽  
Vol 6 (1) ◽  
pp. 155
Author(s):  
Zephania S. Abraham ◽  
Aveline A. Kahinga ◽  
Kassim B. Mapondella ◽  
Enica R. Massawe ◽  
Emmanuel Ole Lengine ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Nocturnal Enuresis ◽  
Sleep Disordered Breathing ◽  
Dar Es Salaam ◽  
Adenotonsillar Hypertrophy ◽  
History Of ◽  
Disordered Breathing

<p class="abstract"><strong>Background:</strong> Adenotonsillar hypertrophy remains to be the commonest causes of sleep disordered breathing in paediatric patients and has been implicated as a cause of primary and secondary enuresis. The aim of this study was to determine the effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing.</p><p class="abstract"><strong>Methods:</strong> A hospital based prospective cohort study was conducted at Ekenywa Specialised Hospital in Dar es Salaam, from May 2018 to February 2019. Two hundred children aged 3 to 15 years with obstructive adenotonsillar hypertrophy who were admitted ready to undergo adenotonsillectomy were evaluated. Upon such evaluation, the primary outcome was the number of bedwetting incidents (nocturnal enuresis) post-operatively compared with pre-operative incidents. Patients were kept under follow-up for 3 months. Data were collected using structured questionnaires regarding number of bedwetting incidents, type of enuresis (primary or secondary) and family history of enuresis. Data was analyzed using SPSS version 21 and p-values &lt;0.05 were considered to be statistically significant.  </p><p class="abstract"><strong>Results:</strong> Of 200 children admitted for adenotonsillectomy, 80 (40%) had a positive history of preoperative enuresis, including 35 (43.8%) girls and 45 (56.2%) boys.  All parents for the children consented to participate in the study. Three months after adenotonsillectomy, enuresis had resolved completely in 50 (62.5%) children and had shown relative improvement in 25 (31.3%) children. Enuresis had not improved in the remaining 5 (6.3%) children (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> Findings from this study indicates that adenotonsillectomy can improve nocturnal enuresis and day-time incontinence in the majority of children with adenotonsillar hypertrophy.</p><p> </p>

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