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Updated: Jul 2, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
The snoring child
Iris Ambrosio Perez1, Sally L Davidson Ward
1Keck School of Medicine, University of Southern California, Division of Pediatric Pulmonology, Childrens Hospital Los Angeles, 90027-6062, USA.
Insights
Snoring in children can indicate obstructive sleep apnea (OSA), a condition with serious health risks. Early identification and treatment of pediatric OSA are crucial for preventing long-term complications.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Cardiology
Background:
- Snoring is a common sign of obstructive sleep apnea (OSA) in children, a spectrum of sleep-related breathing disorders.
- Primary snoring in children may precede the development of OSA, necessitating ongoing symptom assessment.
- OSA can lead to significant cardiovascular, metabolic, and neurocognitive issues.
Purpose of the Study:
- To review the clinical presentation, diagnosis, and management of obstructive sleep apnea in children.
- To highlight the importance of recognizing OSA symptoms in pediatric primary snoring patients.
- To discuss treatment strategies and associated risks for pediatric OSA.
Main Methods:
- Literature review of pediatric obstructive sleep apnea.
- Discussion of diagnostic standards, including polysomnography.
- Overview of surgical and non-surgical treatment modalities.
Main Results:
- Adenotonsillar hypertrophy is the primary cause of pediatric OSA, with obesity as a growing factor.
- Polysomnography is the gold standard for OSA diagnosis and surgical risk assessment.
- Most pediatric OSA cases are treatable with adenotonsillectomy, but some require intensive care.
Conclusions:
- Early detection and management of pediatric OSA are vital to mitigate health consequences.
- Treatment options include adenotonsillectomy, other surgical interventions, and positive airway pressure (PAP).
- Obesity-related OSA in children often necessitates continuous or bi-level positive airway pressure (CPAP/BPAP).
Abstract:
Snoring is a common manifestation of obstructive sleep apnea and represents one end of the spectrum of sleep-related breathing disorders. Children with primary snoring initially may develop OSAS later, so inquiring about symptoms of OSAS should be part of each visit. Obstructive sleep apnea can result in serious cardiovascular and metabolic consequences and neurocognitive deficits. Adenotonsillar hypertrophy remains the most common cause of OSA although the rising prevalence of obesity is of increasing importance. Polysomnography remains the gold standard in the diagnoses of OSAS and in assessing the risks associated with surgery. Most children with OSAS can be treated with adenotonsillectomy in the ambulatory surgery center. However, there are children at risk for severe OSAS and for postoperative complications, who will need PICU care. In addition to adenotonsillectomy, OSAS can be treated successfully in referral centers with other surgical approaches and by the use of positive airway pressure. Children with obesity-related OSAS often require CPAP or BPAP for control of OSAS.
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