1 / 9

Obstructive sleep apnea in the young child

Obstructive sleep apnea in the young child. Dr. Martin Maldonado. Obstructive apnea . There are several possible causal factors The apnea often goes unnoticed Associated with behavioral problems during the day in the young child. Epidemiology. Differential diagnosis with “primary snoring”

maura
Download Presentation

Obstructive sleep apnea in the young child

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Obstructive sleep apnea in the young child Dr. Martin Maldonado

  2. Obstructive apnea • There are several possible causal factors • The apnea often goes unnoticed • Associated with behavioral problems during the day in the young child

  3. Epidemiology • Differential diagnosis with “primary snoring” • 10% of children have primary snoring during preschool and school age • Several studies have found around 3% of children with obstructive sleep apnea

  4. Causes of obstructive apnea • Multiple causes, some are medical conditions, others unknown • MEDICAL CAUSES • Facial malformations, or in the airway passages( eg. Down, Cruzon, Artrogriposis, Hunter, Hurler, Pierre- Robin, Marfan, Treacher Collins,etc)

  5. Other causes of sleep apnea • Alergic rhinitis • Hypertrophy of tonsils and adenoids • Chronic irritation(smoke in the house, high smog content) • Obesity • Micrognatia • Multiple less frequent causes

  6. Effects of obstructive apnea • Physiological effects: • Periodic interruption of sleep • Worse quality of sleep, interrupting phases III and IV • Periods of apnea with oxygen desaturation • Less rest during the night

  7. Clinical Manifestations • Intense snoring during the night, but may also occur in the day • Somnolence during the day • Hyperactivity during the day • Diminished ability to concentrate • More irritable and aggressive during the day

  8. Diagnosis • Observatin. Restless sleep, frequent changes in position. • Sleep in unusual positions • Snoring and apneas • Polysomnographic study and actigraphy • Measure oxygen saturation

  9. Treatment • Resolve the original cause • Surgery if indicated • Removal of tonsils and adenoids if necesssary • Positive Pressure in the airways (CPAP machine)

More Related