Sleep apnea.

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dc.contributor.authorNanaware, Sameer Kumar Ven_US
dc.contributor.authorGothi, Den_US
dc.contributor.authorJoshi, J Men_US
dc.date.accessioned2006-07-01en_US
dc.date.accessioned2009-05-30T14:38:43Z
dc.date.available2006-07-01en_US
dc.date.available2009-05-30T14:38:43Z
dc.date.issued2006-07-01en_US
dc.description.abstractOBJECTIVE: To study clinical presentation of sleep disordered breathing (SDB) in children, their causative factors and response to treatment. METHODS: A retrospective study of clinical data nd results of overnight polysomnography done at baseline and after therapy were reviewed in 56 patients under 18 years of age. RESULTS: Of the 56 patients included in the study 23(41%) cases were positive for SDB. 12 (52.1 %) patients had craniofacial abnormalities, 4 (17.3%) had neuromuscular and skeletal disorders, 2 (8.6%) had adenotonsillar hypertrophy, 1(4.3%) had bilateral vocal cord palsy and 3 (13%) had sleep apnoea associated with multisystemic disorders. Post-operative data showed improvement in all 6 cases of craniofacial abnormalities and both cases of adenotonsillar hypertrophy. Positive airway pressure treatment was useful in cases with obstructive sleep apnea (OSA) due to vocal cord palsy, thoracic scoliosis, systemic disorders and central hypoventilation. CONCLUSION: 41% of suspected cases were detected to have SDB. Craniofacial abnormality was the leading cause of OSA in the present study. Surgical correction improved symptoms apnea-hypopnea index (AHI) and desaturation in cases of craniofacial disorders and adenotonsillar hypertrophy. Vocal cord palsy, thoracic scoliosis, hypoventilation and systemic disorders associated OSA responded to positive airway pressure ventilation.en_US
dc.description.affiliationDepartment of Respiratory Medicine, Topiwala National Medical College, B.Y.L.Nair Charitable Hospital, Mumbai Central, Mumbai, India.en_US
dc.identifier.citationNanaware SK, Gothi D, Joshi JM. Sleep apnea. Indian Journal of Pediatrics. 2006 Jul; 73(7): 597-601en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/82854
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAdolescenten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshContinuous Positive Airway Pressureen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshPolysomnographyen_US
dc.subject.meshPositive-Pressure Respirationen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSleep Apnea Syndromes --diagnosisen_US
dc.titleSleep apnea.en_US
dc.typeJournal Articleen_US
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