dr Ankit Parakh
Pediatric Pulmonologist
Centre for Child Health, BLK Super Speciality Hospital
About Author

Obstructive Sleep Apnea Syndrome(OSAS) is a disorder of breathing during sleep characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction (obstructive apnea). This disrupts normal ventilation during sleep & normal sleep pattern. Prevalence of OSAS is 1% to 5%. Its is different from a habitual snoring, which also has a prevalence of 3% to 12%.

 

On a clinical history and examination alone, it is difficult to confirm or rule out a diagnosis of OSA in children. Signs and symptoms not only have a poor sensitivity & specificity but they poorly predict disease severity. If a child or adolescent snores on a regular basis and has any of the complaints or findings should undergo sleep study or Polysomnography

 

History

Physical Examination

Frequent snoring (≥3 nights / week)

Underweight or overweight

Labored breathing during sleep

Tonsillar hypertrophy

Gasps or snorting noises /observed episodes of apnea

Adenoidal facies

Sleep enuresis (especially secondary enuresis)

Micrognathia /Retrognathia

Sleeping in a seated position or with the neck hyperextended

High-arched palate

Cyanosis

Failure to thrive

Headaches on awakening

Hypertension

Daytime sleepiness

Underweight

Attention-deficit/ hyperactivity disorder

Overweight



Posted On: 23/10/2019

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