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Questionnaire and nocturnal oxymetry in children with adenotonsillar hypertrophy

P Contencin1, E Malorgio, S Noce

  • 1Hôpital Necker-Enfants-Malades, AP-HP, université Paris, France. p.contencin@nck.aphp.fr

European Annals of Otorhinolaryngology, Head and Neck Diseases
|September 24, 2010
PubMed

Insights

A negative parental questionnaire can help rule out the need for nocturnal oximetry in children with adenotonsillar hypertrophy (ATH). A positive questionnaire and oximetry suggest further testing may not be necessary.

Area of Science:

  • Pediatric Sleep Medicine
  • Otolaryngology
  • Diagnostic Accuracy

Background:

  • Adenotonsillar hypertrophy (ATH) is a common cause of pediatric sleep-disordered breathing.
  • Accurate diagnosis is crucial for timely intervention and management.
  • Nocturnal oximetry and parental questionnaires are non-invasive tools used in the diagnostic workup.

Purpose of the Study:

  • To evaluate the diagnostic contribution of combining nocturnal oximetry with a parental questionnaire for children diagnosed with ATH.
  • To assess the utility of these tools in guiding further diagnostic decisions, such as polysomnography.

Main Methods:

  • A cohort of 342 children with ATH (age range: 3 months to 14 years) was analyzed.
  • Parental questionnaires on sleep patterns were administered.
  • Nocturnal oximetry recordings were performed and compared with questionnaire data.
  • Correlation analysis was conducted for symptoms including snoring and sleep apnea.

Main Results:

  • Out of 342 children, 209 were permanent snorers, 115 occasional snorers, and 18 non-snorers.
  • Positive oximetry readings varied from 31.6% to 0%, with significant differences between permanent snorers and the other groups (p<0.001).
  • Absence of snoring consistently correlated with negative oximetry findings.

Conclusions:

  • A negative parental questionnaire effectively predicts a non-contributory role for nocturnal oximetry in children with ATH.
  • A positive questionnaire, when corroborated by positive oximetry, may indicate that polysomnography is not essential for diagnosis.
  • These combined tools can help streamline the diagnostic pathway for pediatric ATH.
Abstract

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