TABLE 2

Symptoms and Signs of OSAS

History
 Frequent snoring (≥3 nights/wk)
 Labored breathing during sleep
 Gasps/snorting noises/observed episodes of apnea
 Sleep enuresis (especially secondary enuresis)a
 Sleeping in a seated position or with the neck hyperextended
 Cyanosis
 Headaches on awakening
 Daytime sleepiness
 Attention-deficit/hyperactivity disorder
 Learning problems
Physical examination
 Underweight or overweight
 Tonsillar hypertrophy
 Adenoidal facies
 Micrognathia/retrognathia
 High-arched palate
 Failure to thrive
 Hypertension
  • a Enuresis after at least 6 mo of continence.