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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

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Published on: December 6, 2016

An update on childhood snoring

Daniel K Ng1, Pok-Yu Chow, Chung-Hong Chan

  • 1Department of Paediatrics, Kwong Wah Hospital, Hong Kong, China. dkkng@ha.org.hk

Acta Paediatrica (Oslo, Norway : 1992)
|August 30, 2006
PubMed

Insights

Habitual snoring in children signals sleep-disordered breathing (SDB), requiring polysomnography (PSG) for diagnosis. Treatment addresses risk factors and may involve surgery, preventing complications like neurocognitive impairment.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine

Background:

  • Habitual snoring affects approximately 10% of children.
  • Snoring in children is a key symptom of sleep-disordered breathing (SDB).
  • SDB encompasses conditions from primary snoring to obstructive sleep apnea syndrome (OSAS).

Purpose of the Study:

  • To outline the diagnostic approach to SDB in children.
  • To identify risk factors and potential complications associated with pediatric SDB.

Main Methods:

  • Diagnosis of SDB in children necessitates overnight polysomnography (PSG).
  • Manual scoring of PSG data is essential for accurate classification in pediatric cases.
  • Identification of risk factors such as allergic rhinitis, obesity, and passive smoking.

Main Results:

  • SDB classification requires PSG, with manual scoring being mandatory for children.
  • Key risk factors identified include allergic rhinitis, passive smoking, obesity, dysmorphic syndromes, and neuromuscular disorders.

Conclusions:

  • Treatment strategies involve general measures (allergy treatment, weight reduction, sleep hygiene) and specific interventions (adenotonsillectomy).
  • Untreated SDB can lead to serious complications, including neurocognitive impairment, hypertension, and failure to thrive.
Abstract

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