Abstract
A 7-year-old boy incidentally reports frequent snoring when he presents to the family doctor for a minor superficial injury. He is described to be a healthy child, physically active and not obese. He has no past medical history of note except for childhood asthma, allergic rhinitis and eczema. He has been attending preschool since 3 years of age and has just started primary school. He is described to be snoring regularly and on most nights; not loud, but consistent. This child is also described to be restless in bed; moves about a lot in bed, repositioning himself through the night. He sometimes sleeps with his neck hyperextended over the edge of the mattress. He is an average student and is sometimes described by teachers to be fidgety and hyperactive in class. He doesn’t fall asleep in class or in the school-bus. Incidentally, his father also snores regularly. Mom did raise her concerns about the snoring to the paediatrician previously but was told that it is normal to snore and it will spontaneously get better with time.
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Further Reading
Alsubie HS, et al. Obstructive sleep apnea: children are not little adults. Paediatr Respir Rev. 2017;21:72–9.
Brockbank JC. Update on pathophysiology and treatment of childhood obstructive sleep apnea syndrome. Paediatr Respir Rev. 2017;24:21–3.
Brockmann PE, et al. Diagnosis of obstructive sleep apnea in children: a systematic review. Sleep Med Rev. 2013;17(5):331–40.
Brooks LJ. Diagnosis and evaluation of obstructive sleep apnea in children. Ann Acad Med Singapore. 2008;37:701–5.
Brooks DM, et al. Reevaluating norms for childhood obstructive sleep apnea. J Clin Sleep Med. 2019;15(11):1557–8.
Capdevila OS, et al. Pediatric obstructive sleep apnea: complications, management and long-term outcomes. Proc Am Thorac Soc. 2008;5:274–82.
Casale M, et al. Obstructive sleep apnea syndrome: from phenotype to genetic basis. Curr Genomics. 2009;10:119–26.
Chan KCC, et al. Childhood OSA is an independent determinant of blood pressure in adulthood: longitudinal follow-up study. Thorax. 2020;75:422–31.
Chang SJ, et al. Obstructive sleep apnea syndrome in children: epidemiology, pathophysiology, diagnosis and sequelae. Korean J Pediatr. 2010;54(10):863–71.
Chng SY. Sleep disorders in children: the Singapore perspective. Ann Acad Med Singapore. 2008;37:706–9.
Dehlink E, et al. Update on paediatric obstructive sleep apnea. J Thorac Dis. 2016;8(2):224–35.
Friedman BC, et al. Adenotonsillectomy improves neurocognitive function in children with obstructive sleep apnea. Sleep. 2003;26(8):999–1005.
Friedman BC, et al. Anti-inflammatory therapy for obstructive sleep apnea in children. Can Fam Physician. 2011;57:891–3.
Gozal D. Obstructive sleep apnea in children: Implications for the developing central nervous system. Semin Pediatr Neurol. 2008 June;15(2):100–6.
Gozal LK, et al. Montelukast for children with obstructive sleep apnea: results of a double-blind, randomized, placebo-controlled trial. Ann Am Thorac Soc. 2016;13(10):1736–41.
Gozal D, et al. Treatment of obstructive sleep apnea in children: handling the unknown with precision. J Clin Med. 2020;9:888.
Hawkins S, et al. High-flow, heated, humidified air via nasal cannula treats CPAP-intolerant children with obstructive sleep apnea. J Clin Sleep Med. 2017;13(8:981–9.
Isono S, et al. Comparison of static mechanical properties of the passive pharynx between normal children and children with sleep disordered breathing. Am J Respir Crit Care Med. 1998;157(4 pt 1):1204–12.
Jonas C, et al. Comparison of nocturnal pulse oximetry with polysomnography in children with sleep disordered breathing. Sleep Breath. 2020;24:703–7.
Katz ES, et al. Pathophysiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:253–62.
Kobayahi R, et al. Obstructive sleep apnea in Asian primary school children. Sleep Breath. 2014;18(3):483–9.
Li AM, et al. Epidemiology of obstructive sleep apnoea syndrome in Chinese children: a two-phase community study. Thorax. 2010;65:991–7.
Marcus CL, et al. American Academy of Pediatrics. Subcommittee on obstructive sleep apnea syndrome. technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012a;130:e714–55.
Marcus CL, et al. Effects of positive airway pressure therapy on neurobehavioral outcomes in children with obstructive sleep apnea. Am J Respir Crit Care Med. 2012b;185(9):998–1003.
Marcus CL, et al. A randomized trial of adenotonsillectomy for childhood sleep apnea. N Engl J Med. 2013 Jun;368(25):2366–76.
Ng DK, et al. The Asian paediatric pulmonology society (APPS) position statement on childhood obstructive sleep apnea syndrome. Pediatr Respir Crit Care Med. 2017;1:26–38.
Oguh SJ, et al. New treatments for obstructive sleep apnea in children. Paediatr Anaesth. 2000;30(3):232–40.
Reckley LK, et al. The effects of tonsillectomy on obstructive sleep apnea: an overview of systemic reviews. Nat Sci Sleep. 2018;10:105–10.
Reuveni H, et al. Health care services utilization in children with obstructive sleep apnea syndrome. Pediatrics. 2002;110(1):68–72.
Rosen CL. Obstructive sleep apnea syndrome (OSAS) in children: diagnostic challenges. Sleep. 1996;19(10 Suppl):S274–7.
Rubenstein BJ, et al. An update on the management of pediatric obstructive sleep apnea. Curr Treat Option Peds. 2015;1:211–23.
Section on Pediatric Pulmonology. Subcommittee on Obstructive Sleep Apnoea Syndrome. American Academy of Pediatrics Clinical Practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130:576–84.
Verhulst S, et al. Obstructive sleep apnea in children. Breathe. 2011;7(3):241–7.
Wilcox LJ, et al. An updated review of pediatric drug-induced sleep endoscopy. Laryngoscope Investig Otolaryngol. 2017;2:423–31.
Xu Z, et al. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg. 2020;49(11):1–7.
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Goh, D.Y.T. (2022). Obstructive Sleep Apnoea. In: Li, A.M., Chan, K.Cc. (eds) Paediatric Sleep Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-19-5791-8_8
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