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Follow-up of primary snoring in children

H I Topol1, L J Brooks

  • 1School of Human Ecology, Cornell University, Ithaca, New York, USA.

The Journal of Pediatrics
|February 15, 2001
PubMed

Insights

Children with primary snoring generally do not progress to obstructive sleep apnea. Reevaluation after three years showed no significant changes, suggesting deferring treatment is safe for these patients.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Otolaryngology

Background:

  • Primary snoring in children is common.
  • Its natural history and progression to obstructive sleep apnea are not fully understood.
  • Long-term polysomnographic data in primary snoring patients are limited.

Purpose of the Study:

  • To reevaluate children diagnosed with primary snoring.
  • To compare their polysomnographic findings over time.
  • To assess the risk of developing obstructive sleep apnea.

Main Methods:

  • Longitudinal study design.
  • Reevaluation of 13 children with primary snoring after 3 years.
  • Comparison with healthy control subjects using polysomnography.

Main Results:

  • No significant changes in snoring or polysomnographic findings in the primary snoring group.
  • No significant differences in sleep-disordered breathing between patients and controls.
  • Only one child, the youngest, developed obstructive sleep apnea.

Conclusions:

  • Children with primary snoring are unlikely to develop polysomnography-confirmed obstructive sleep apnea.
  • Deferring treatment for primary snoring appears to be a safe approach.
  • Further research may clarify specific risk factors for progression.

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