Obstructive Sleep Apnea and Its Therapy: Clinical and Polysomnographic Manifestations
1 From the Departments of Pediatrics and Neurology, Montefiore Hospital and Medical Center, Albert Einstein College of Medicine, Bronx, New York
Obstructive sleep apnea syndrome was studied in 32 children, aged 2 to 14 years, in the sleep-wake disorders center at Montefiore Hospital and Medical Center during the years 1977 to 1980. All children under-went all-night polysomnograms; 17 of these children had surgery to relieve airway obstruction and seven had a repeat polysomnographic study 4 to 6 weeks following the surgery. There was a significant improvement in the number of obstructive apneas and in other apnea indices following surgery. There was no significant effect on the durations and the proportions of the various sleep stages, on sleep efficiency, or on the number of awakenings.
Key Words: polysomnography • sleep apnea • hypertrophy of tonsils and adenoids • tonsillectomy • adenoidectomy
Submitted on May 17, 1982
Accepted on August 12, 1982
This article has been cited by other articles:
 |
|
 |
|
  C. H. J. Won, K. K. Li, and C. Guilleminault Surgical Treatment of Obstructive Sleep Apnea: Upper Airway and Maxillomandibular Surgery Proceedings of the ATS, February 15, 2008; 5(2): 193 - 199. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. N. Roemmich, J. E. Barkley, L. D'Andrea, M. Nikova, A. D. Rogol, M. A. Carskadon, and P. M. Suratt Increases in Overweight After Adenotonsillectomy in Overweight Children With Obstructive Sleep-Disordered Breathing Are Associated With Decreases in Motor Activity and Hyperactivity Pediatrics, February 1, 2006; 117(2): e200 - e208. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. D. Goldbart, J. L. Goldman, M. C. Veling, and D. Gozal Leukotriene Modifier Therapy for Mild Sleep-disordered Breathing in Children Am. J. Respir. Crit. Care Med., August 1, 2005; 172(3): 364 - 370. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Melendres, J. M. Lutz, E. D. Rubin, and C. L. Marcus Daytime Sleepiness and Hyperactivity in Children With Suspected Sleep-Disordered Breathing Pediatrics, September 1, 2004; 114(3): 768 - 775. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. A. Goldstein, V. Pugazhendhi, S. M. Rao, J. Weedon, T. F. Campbell, A. C. Goldman, J. C. Post, and M. Rao Clinical Assessment of Pediatric Obstructive Sleep Apnea Pediatrics, July 1, 2004; 114(1): 33 - 43. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Gottlieb, R. M. Vezina, C. Chase, S. M. Lesko, T. C. Heeren, D. E. Weese-Mayer, S. H. Auerbach, and M. J. Corwin Symptoms of Sleep-Disordered Breathing in 5-Year-Old Children Are Associated With Sleepiness and Problem Behaviors Pediatrics, October 1, 2003; 112(4): 870 - 877. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Tal, A. Bar, A. Leiberman, and A. Tarasiuk Sleep Characteristics Following Adenotonsillectomy in Children With Obstructive Sleep Apnea Syndrome Chest, September 1, 2003; 124(3): 948 - 953. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Goodwin, S. I. Babar, K. L. Kaemingk, G. M. Rosen, W. J. Morgan, D. L. Sherrill, and S. F. Quan Symptoms Related to Sleep-Disordered Breathing in White and Hispanic Children: The Tucson Children's Assessment of Sleep Apnea Study Chest, July 1, 2003; 124(1): 196 - 203. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. A. Fuentes-Pradera, G. Botebol, A. Sanchez-Armengol, C. Carmona, A. Garcia-Fernandez, J. Castillo-Gomez, and F. Capote-Gil Effect of Snoring and Obstructive Respiratory Events on Sleep Architecture in Adolescents Arch Pediatr Adolesc Med, July 1, 2003; 157(7): 649 - 654. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A M Li, E Wong, J Kew, S Hui, and T F Fok Use of tonsil size in the evaluation of obstructive sleep apnoea Arch. Dis. Child., August 1, 2002; 87(2): 156 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Young, P. E. Peppard, and D. J. Gottlieb Epidemiology of Obstructive Sleep Apnea: A Population Health Perspective Am. J. Respir. Crit. Care Med., May 1, 2002; 165(9): 1217 - 1239. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Schechter and Section on Pediatric Pulmonology, Subcommittee on Technical Report: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome Pediatrics, April 1, 2002; 109(4): e69 - e69. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F McNamara and C E Sullivan Paediatric origins of adult lung diseases bullet 3: The genesis of adult sleep apnoea in childhood Thorax, November 1, 2000; 55(11): 964 - 969. [Full Text]
|
|
|
|
|
|
D. Y. T. GOH, P. GALSTER, and C. L. MARCUS Sleep Architecture and Respiratory Disturbances in Children with Obstructive Sleep Apnea Am. J. Respir. Crit. Care Med., August 1, 2000; 162(2): 682 - 686. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. A. Goldstein, J. C. Post, R. M. Rosenfeld, and T. F. Campbell Impact of Tonsillectomy and Adenoidectomy on Child Behavior Arch Otolaryngol Head Neck Surg, April 1, 2000; 126(4): 494 - 498. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. Richards and R. M. Ferdman Prolonged Morbidity Due to Delays in the Diagnosis and Treatment of Obstructive Sleep Apnea in Children Clinical Pediatrics, February 1, 2000; 39(2): 103 - 108. [Abstract] [PDF]
|
|
|
|
 |
|
 C. L. Marcus, G. A. Moreira, O. Bamford, and J. Lutz Response to inspiratory resistive loading during sleep in normal children and children with obstructive apnea J Appl Physiol, October 1, 1999; 87(4): 1448 - 1454. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Cardiorespiratory Sleep Studies in Children . Establishment of Normative Data and Polysomnographic Predictors of Morbidity Am. J. Respir. Crit. Care Med., October 1, 1999; 160(4): 1381 - 1387. [Full Text]
|
|
|
|
|
|
Z. Soultan, S. Wadowski, M. Rao, and R. E. Kravath Effect of Treating Obstructive Sleep Apnea by Tonsillectomy and/or Adenoidectomy on Obesity in Children Arch Pediatr Adolesc Med, January 1, 1999; 153(1): 33 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Owens, L. Opipari, C. Nobile, and A. Spirito Sleep and Daytime Behavior in Children With Obstructive Sleep Apnea and Behavioral Sleep Disorders Pediatrics, November 1, 1998; 102(5): 1178 - 1184. [Abstract] [Full Text]
|
|
|
|
|
|
F. L. Rimell, G. Rosen, and J. Garcia Full Polysomnographic Evaluation of the Infant Airway Arch Otolaryngol Head Neck Surg, July 1, 1998; 124(7): 773 - 776. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Marcus, J. Lutz, J. L. Carroll, and O. Bamford Arousal and ventilatory responses during sleep in children with obstructive sleep apnea J Appl Physiol, June 1, 1998; 84(6): 1926 - 1936. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. MARCUS, M. G. GREENE, and J. L. CARROLL Blood Pressure in Children with Obstructive Sleep Apnea Am. J. Respir. Crit. Care Med., April 1, 1998; 157(4): 1098 - 1103. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Suen, J. E. Arnold, and L. J. Brooks Adenotonsillectomy for Treatment of Obstructive Sleep Apnea in Children Arch Otolaryngol Head Neck Surg, May 1, 1995; 121(5): 525 - 530. [Abstract] [PDF]
|
|
|
|
|
|
J. Leach, J. Olson, J. Hermann, and S. Manning Polysomnographic and Clinical Findings in Children With Obstructive Sleep Apnea Arch Otolaryngol Head Neck Surg, July 1, 1992; 118(7): 741 - 744. [Abstract] [PDF]
|
|
|
|
|
|
A. D. Everett, W. C. Koch, and F. T. Saulsbury Failure to Thrive Due to Obstructive Sleep Apnea Clinical Pediatrics, February 1, 1987; 26(2): 90 - 92. [Abstract] [PDF]
|
|
|
|
|
|
Commentary Clinical Pediatrics, March 1, 1985; 24(3): 154 - 154. [PDF]
|
|
