Managing obstructive sleep apnoea in children: the role of craniofacial morphology
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/124111 |
Resumo: | Obstructive sleep apnoea syndrome is a type of sleep-disordered breathing that affects 1 to 5% of all children. Pharyngeal and palatine tonsil hypertrophy is the main predisposing factor. Various abnormalities are predisposing factors for obstructive sleep apnoea, such as decreased mandibular and maxillary lengths, skeletal retrusion, increased lower facial height and, consequently, increased total anterior facial height, a larger cranio-cervical angle, small posterior airway space and an inferiorly positioned hyoid bone. The diagnosis is based on the clinical history, a physical examination and tests confirming the presence and severity of upper airway obstruction. The gold standard test for diagnosis is overnight polysomnography. Attention must be paid to identify the craniofacial characteristics. When necessary, children should be referred to orthodontists and/or sleep medicine specialists for adequate treatment in addition to undergoing an adenotonsillectomy. |
id |
USP-19_e108e98d55e9ee28a94a33372892c872 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/124111 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology Obstructive sleep apnoea syndrome is a type of sleep-disordered breathing that affects 1 to 5% of all children. Pharyngeal and palatine tonsil hypertrophy is the main predisposing factor. Various abnormalities are predisposing factors for obstructive sleep apnoea, such as decreased mandibular and maxillary lengths, skeletal retrusion, increased lower facial height and, consequently, increased total anterior facial height, a larger cranio-cervical angle, small posterior airway space and an inferiorly positioned hyoid bone. The diagnosis is based on the clinical history, a physical examination and tests confirming the presence and severity of upper airway obstruction. The gold standard test for diagnosis is overnight polysomnography. Attention must be paid to identify the craniofacial characteristics. When necessary, children should be referred to orthodontists and/or sleep medicine specialists for adequate treatment in addition to undergoing an adenotonsillectomy. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2016-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/12411110.6061/clinics/2016(11)08Clinics; Vol. 71 No. 11 (2016); 664-666Clinics; v. 71 n. 11 (2016); 664-666Clinics; Vol. 71 Núm. 11 (2016); 664-6661980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/124111/120267Copyright (c) 2016 Clinicsinfo:eu-repo/semantics/openAccessBozzini, Maria Fernanda RabeloDi Francesco, Renata Cantisani2016-12-13T19:15:39Zoai:revistas.usp.br:article/124111Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2016-12-13T19:15:39Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
title |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
spellingShingle |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology Bozzini, Maria Fernanda Rabelo |
title_short |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
title_full |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
title_fullStr |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
title_full_unstemmed |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
title_sort |
Managing obstructive sleep apnoea in children: the role of craniofacial morphology |
author |
Bozzini, Maria Fernanda Rabelo |
author_facet |
Bozzini, Maria Fernanda Rabelo Di Francesco, Renata Cantisani |
author_role |
author |
author2 |
Di Francesco, Renata Cantisani |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Bozzini, Maria Fernanda Rabelo Di Francesco, Renata Cantisani |
description |
Obstructive sleep apnoea syndrome is a type of sleep-disordered breathing that affects 1 to 5% of all children. Pharyngeal and palatine tonsil hypertrophy is the main predisposing factor. Various abnormalities are predisposing factors for obstructive sleep apnoea, such as decreased mandibular and maxillary lengths, skeletal retrusion, increased lower facial height and, consequently, increased total anterior facial height, a larger cranio-cervical angle, small posterior airway space and an inferiorly positioned hyoid bone. The diagnosis is based on the clinical history, a physical examination and tests confirming the presence and severity of upper airway obstruction. The gold standard test for diagnosis is overnight polysomnography. Attention must be paid to identify the craniofacial characteristics. When necessary, children should be referred to orthodontists and/or sleep medicine specialists for adequate treatment in addition to undergoing an adenotonsillectomy. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/124111 10.6061/clinics/2016(11)08 |
url |
https://www.revistas.usp.br/clinics/article/view/124111 |
identifier_str_mv |
10.6061/clinics/2016(11)08 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/124111/120267 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 71 No. 11 (2016); 664-666 Clinics; v. 71 n. 11 (2016); 664-666 Clinics; Vol. 71 Núm. 11 (2016); 664-666 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222762723180544 |