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Joseph Leach, MD; Jerold Olson, MD; John Hermann, PhD; Scott Manning, MD

Arch Otolaryngol Head Neck Surg. 1992;118(7):741-744.

Abstract
• A retrospective study was conducted to determine which types of children might have polysomnographic findings that are most compatible with obstructive sleep apnea (OSA). The charts of 93 patients who were aged 18 months to 12 years were examined. All 93 patients had symptoms that were initially suggestive of OSA, and they underwent polysomnography. The types of presenting symptoms and associated illnesses were noted. Physical findings, including height, weight, and tonsil size, were examined. Of 93 patients with symptoms that were suggestive of OSA, 34 met sleep study criteria for OSA. In 44 patients, OSA was not demonstrated, and 15 patients had other results. On the basis of age, sex, and symptoms, no significant differences could be found between the group with OSA and the group with normal polysomnographic findings. Cor pulmonale, tonsil hypertrophy, and failure to thrive were associated with OSA. Surprisingly, obesity was not significantly associated with OSA.

(Arch Otolaryngol Head Neck Surg. 1992;118:741-744)

Author Affiliations
From the Department of Otolaryngology, University of Texas Southwestern Medical School, Dallas (Drs Leach, Olson, and Manning), and the Sleep Disorders Center, Children's Medical Center, Dallas, Tex (Dr Hermann).

Footnotes
Accepted for publication October 14, 1991.

Presented at the Annual Meeting of the American Society of Pediatric Otolaryngology, Waikoloa, Hawaii, May 11, 1991.

Reprint requests to Department of Otolaryngology, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Leach).

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