Common presentation: snoring
We are concerned about snoring in
children when it indicates that the child has obstructive sleep apnoea (OSA),
i.e. snoring in association with periods of ineffective breathing lasting
longer than 2 breaths (e.g. breath-ing at a rate of 20/min, this would be 6s).
This is as opposed to central apneas, which are a pause >20s in an otherwise
well child. The most com-mon cause of OSA is adenotonsillar hypertrophy. The
other causes are as follows.
·Midface:
e.g. hypoplasia in achondroplasia.
·Choanal
atresia.
·Tongue:
e.g. macroglossia in Beckwith
syndrome, trisomy 21.
·Lower
jaw: e.g. retro- and
micrognathia.
·Syndromes:
e.g. Pierre–Robin sequence,
Treacher–Collins, Goldenhar, Apert.
·Adenotonsillar hypertrophy.
·Allergic rhinosinusitis.
·Nasal polyposis.
·
Gastro-oesophageal
reflux.
·Encephalocele.
·Nasal gliomas.
·Cerebral palsy.
·Seizures.
·Hydrocephalus.
·Obesity
When snoring is associated with
OSA, the underlying cause needs to be treated.
Related Topics
Privacy Policy, Terms and Conditions, DMCA Policy and Compliant
Copyright © 2018-2023 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.