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Approach to the snoring child

Yi Hua Tan1,2, Choon How How3,4, Yoke Hwee Chan2,5

  • 1Respiratory Medicine Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.

Singapore Medical Journal
|June 6, 2020
PubMed

Insights

Habitual snoring in children may signal obstructive sleep apnoea (OSA), impacting health and development. Primary care providers can screen for risk factors and manage mild cases, with polysomnography and surgery for severe obstructive sleep apnoea.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Developmental Pediatrics

Background:

  • Sleep is crucial for child growth and development.
  • Habitual snoring in children can indicate obstructive sleep apnoea (OSA).
  • OSA has potential health, developmental, and cognitive consequences.

Purpose of the Study:

  • To highlight the significance of habitual snoring as a potential indicator of pediatric OSA.
  • To outline key risk factors for OSA in children.
  • To emphasize the role of primary care providers in identifying and managing pediatric OSA.

Main Methods:

  • Review of common risk factors for pediatric OSA: tonsillar/adenoidal hypertrophy, obesity, allergic rhinitis.
  • Discussion of primary care provider screening during routine consultations.
  • Mention of medical treatment trials and polysomnography for diagnosis.

Main Results:

  • Primary care providers are pivotal in identifying children at risk for OSA.
  • Physician awareness aids in diagnosis, management, and referral.
  • Adenotonsillectomy is a primary treatment for OSA linked to hypertrophy, but follow-up is essential.

Conclusions:

  • Habitual snoring warrants evaluation for OSA in children.
  • Early identification and management by primary care providers are crucial.
  • Post-surgical follow-up is necessary to address residual or recurrent OSA.

Keywords:
childobstructivesleep apnoeasnoring

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