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  • Title: [Clinical analysis of 68 patients with obstructive sleep-disordered breathing in children].
    Author: Huang Q, Wu H, Chen X, Xiang M, Cao R, Meng G.
    Journal: Lin Chuang Er Bi Yan Hou Ke Za Zhi; 2005 Nov; 19(21):971-3, 975. PubMed ID: 16494038.
    Abstract:
    OBJECTIVE: To explore the clinical features and the diagnosis and the treatment of pediatric obstructive sleep-disordered breathing. METHOD: Sixty- disordered breathing. METHOD: Sixty eight cases with obstructive sleep-disordered breathing were reviewed including clinical features and cephalometric analysis and endoscopic examination, 46 of all them were study of polysomnography. RESULT: Forty-six cases were examined with polysomnography in preoperative. AHI 0.1 approximately 24.0 times/hour. Follow-up 3 months to 1.5 year, 68 patients were performed with adenotonsillectomy, upper airway obstruction caused by adenotonsillar hypertrophy were enlarged remarkably. Fifty-six cases main symptoms (snoring, mouth breathing and apnea) disappeared completely, nine cases were relief, 3 cases were reappear. Eleven cases (16 ears) of secretory otitis media after insert plastic tube into tympanum and 9 cases chronic sinusitis were relief. CONCLUSION: Upper airway obstruction caused by adenotonsillar hypertrophy were major reasons to lead to pediatric obstructive sleep-disordered breathing. The diagnosis and treatment must be combined clinical features with all kinds of examinations (cephalometric, endoscopic, polysomnography). Tonsillectomy and/or adenoidectomy with soft-tissue shavers were safe and effective in treatment of OSAHS children.
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