کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3176167 1200249 2013 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Teenage sleep-disordered breathing: Recurrence of syndrome
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Teenage sleep-disordered breathing: Recurrence of syndrome
چکیده انگلیسی

ObjectivesThe study aims to better understand the reappearance of sleep apnoea in adolescents considered cured of obstructive sleep apnoea (OSA) following adenotonsillectomy and orthodontic treatment.Study designThe study employs a retrospective analysis of 29 adolescents (nine girls and 20 boys) with OSA previously treated with adenotonsillectomy and orthodontia at a mean age of 7.5 years. During follow-up at 11 and 14 years of age, patients were clinically evaluated, filled the Pediatric Sleep Questionnaire (PSQ) and had systematic cephalometric X-rays performed by orthodontists. Polysomnographic (PSG) data were compared at the time of OSA diagnosis, following surgical and orthodontic treatment and during pubertal follow-up evaluation.ResultsFollowing the diagnosis of OSA and treatment with adenotonsillectomy and rapid maxillary expansion (Apnea–Hypopnea Index (AHI) 0.4 ± 0.4), children were re-evaluated at a mean age of 11 years. During follow-up at 14 years, all children had normal body mass indices (BMIs). Teenagers were subdivided into two groups based on complaints: Nine asymptomatic subjects (seven girls and two boys) and 20 subjects with decline in school performance, presence of fatigue, indicators of sleep-phase delays and, less frequently, specific symptoms of daytime sleepiness and snoring. Presence of mouth breathing, abnormal AHI and RDI and significant reduction of posterior airway space (PAS) was demonstrated during repeat polysomnography and cephalometry. Compared to cephalometry obtained at a mean of 11 years of age, there was a significant reduction of PAS of 2.3 ± 0.4 mm at a mean age of 14 years.ConclusionPreviously suggested recurrence of OSA during teenage years has again been demonstrated in this small group of subjects. Prospective investigations are needed to establish frequency of risk, especially in non-orthodontically treated children.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Sleep Medicine - Volume 14, Issue 1, January 2013, Pages 37–44
نویسندگان
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