Clinical Opinion: Preoperative Sleep Studies
Arch Otolaryngol Head Neck Surg. 1999;125:357.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Are there children who need tonsillectomies for reasons other than recurrent or chronic tonsillitis? I'd say the answer is "yes." Upper airway obstruction secondary to tonsillar hypertrophy can cause problematic symptoms and can be completely relieved with tonsillar excision. Is formal sleep study required before undertaking tonsillectomy for the child with obstruction but with no history of infectious pharyngitis? Dr Anna Messner answers that question with a review of the available data and concludes "no," PSG is neither necessary nor possible before tonsillectomy in all of these children. I agree with her. The fact that there is no current consensus on a PSG definition of pediatric sleep apnea underscores the difficulty in relying on sleep studies over a clinical evaluation in choosing therapy. As PSG criteria have been revised over the years, the threshold for making a laboratory diagnosis has been lowered. Many children tested in the past who did . . . [Full Text of this Article]
RELATED ARTICLES
Evaluation of Obstructive Sleep Apnea by Polysomnography Prior to Pediatric Adenotonsillectomy
Anna H. Messner
Arch Otolaryngol Head Neck Surg. 1999;125(3):353-356.
EXTRACT
| FULL TEXT
The Diagnosis of OSAS and UARS in Children: Trying to Relieve the Frustration
Jack A. Coleman, Jr
Arch Otolaryngol Head Neck Surg. 1999;125(3):356-357.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Evaluation of Obstructive Sleep Apnea by Polysomnography Prior to Pediatric Adenotonsillectomy
Pelayo et al.
Arch Otolaryngol Head Neck Surg 1999;125:1282-1283.
FULL TEXT
|
