Pediatrik Tıkayıcı Uyku Apnesi Sendromu - Güncel Yaklaşımlar

Yıl 2005, Cilt: 3 Sayı: 1, 7 - 17, 01.06.2005

Levent Erişen

Öz

Tıkayıcı uyku apnesi sendromu Obstructive Sleep Apne Syndrome-OSAS ve buna bağlı semptomlar çocukluk döneminde sık karşılaşılan bir tablodur ve tedavi edilmeden kalırsa ciddi komplikasyonlara neden olabilir. Konu ile ilgili tüm gelişmelere rağmen hala tanı ve tedavisi konusunda tam bir fikir birliği yoktur.

Kaynakça

• Samuelson TE. Obstructive sleep apnea. Department of Otolaryngo- logy, University of Texas Medical Branch. Grand Rounds, 1989. Ava- ilable from; URL: gopher://gopherhost.utmb.edu/00/UTMB/GOP- HERS/oto/slpap%09%09%2B
• Kassir R. Laser assisted uvulopalatoplasty. Department of Otolaryngo- logy, University of Texas Medical Branch. Grand Rounds, 1994.
• Kuppersmith RB. Pediatric obstructive sleep apnea. Department of Oto- laryngology, University of Texas Medical Branch. Grand Rounds, 1996. Available from; URL: http://www.bcm.tmc.edu/oto/grand/121996.html
• Eriflen L. Obstrüktif Uyku Apnesi Sendromu. In: Kulak Burun Boğaz Has- talıkları ve Bafl-Boyun Cerrahisi (ed. Çelik O). Turgut Yayıncılık, İstanbul 2002;964-84.
• Simmons FB, Hill MV. Hypersomnia caused by upper airway obstructi- ons: a new syndrome in otolaryngology. Ann Otol Rhinol Laryngol 1974;83:670-3.
• American Academy of Pediatrics, Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. Clinical practi- ce guideline: diagnosis and management of childhood obstructive sle- ep apnea syndrome. Pediatrics 2002;109:704-12.
• Li AM, Chan DFY, Fok TF, Wing YK. Childhood obstructive sleep apnoea: an update. Hong Kong Med J 2004,10:406-13.
• Schechter MS, Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Technical report: diagnosis and management childhood obstructive sleep apnea syndrome. Pediatrics 2002;109:69.
• Pachigolla R. Tonsil and adenoid problems. Department of Otolaryngo- logy, University of Texas Medical Branch. Grand Rounds, 1996. Ava- ilable from; URL: http://www.utmb.edu/oto/Grnds.dir/tnaprobs.htm
• Rosenfeld RM, Green RP. Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol 1990;99:187-91.
• Berkowitz RG, Zalzal GH. Tonsillectomy in children under 3 years of age. Arch Otolaryngol Head Neck Surg 1990;116:685-6.
• Eriflen L, Basut O, Coflkun H, Tezel İ, Hızalan İ, Onart S. Adenotonsillek- tomi olgularımız ve endikasyonların değerlendirilmesi. Kulak Burun Bo- ğaz Klinikleri 1999;1:85-8.
• Eriflen L, Tezel İ, Hızalan İ, Onart S, Arat M, Basut O. Uyku apnesi send romu. KBB İhtisas Dergisi 1993;3:63-82.
• American Thoracic Society. Standarts and indications for cardiopulmo- nary sleep studies in children. Am J Respir Crit Care Med 1996;153:866- 78.
• Woodson BT, Ledereich PS, Strollo P. Obstructive Sleep Apnea Syndro- me: Diagnosis and Treatment. Alexandria: American Academy of Oto- laryngology-Head and Neck Surgery Foundation, Inc, 1996:14-56.
• Eriflen L. Çocukluk dönemi uyku apnesi sendromu. Çocuk Sağlığı ve Hastalıkları Dergisi 2000;43:96-105.
• Eriflen L. Çocuklarda Obstrüktif Uyku Apnesi Sendromu. Obstrüktif Uyku Apnesi Sendromu ve Horlama (eds. Ömür M, Elez F, Özturan D, Derman S). Nobel Tıp Kitapevleri Ltd. fiti., İstanbul 2004;73-96.
• Maddern BR. Obstructive sleep apnea in children. Instructional Course. Annual Meeting of American Academy of Otolaryngology-Head and Neck Surgery. San Antonio, Texas, September, 1998.
• Shepard JW, Gefter WB, Guilleminault C, et al. Evaluation of the upper airway in patients with obstructive sleep apnea. Sleep 1991;14:361-71.
• Brouillette RT, Fernbach SK, Hunt CE. Obstructive sleep apnea in in- fants and children. J Pediatr 1982;100:31-40.
• Singer LP, Saenger P. Complications of pediatric obstructive sleep ap- nea. Otol Clin N Am 1990;23:665-75.
• Li AM, Wong E, Kew J, Hui S, Fok TF. Use of tonsil size in the evaluati- on of obstructive sleep apnoea. Arch Dis Child 2002,87:156-9.
• Gozal D. Sleep-disordered breathing and school performance in child- ren. Pediatrics 1998;102 (Pt 1):616-20.
• Williams EF, Woo P, Miller R, Kellman RM. The effects of adenotonsil- lectomy on growth in young children. Otolaryngol Head Neck Surg 1991;104:509-16.
• Soultan Z, Wadowski S, Rao M, Kravath RE. Effect of treating obstruc- tive sleep apne by tonsillectomy and/or adenoidectomy on obesity in children. Arch Pediatr Adolesc Med 1999,153:33-7.
• Hoffman D. Tonsillectomy and adenoidectomy for obstructive sleep ap- nea. Int Online J Otol Head Neck Surg (patient health) 1999; Available from; URL: http://www.orl-hns.org/pat-health.dir/tonsil.html
• Brouillette RT, Hanson D, David R, et al. A diagnostic approach to sus- pected obstructive sleep apnea in children. J Pediatr 1984;105:10–4.
• Brouillette RT, Morielli A, Leimanis A, Waters KA, Luciano R, Ducharme FM. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics 2000;105:405–12.
• Lamm C, Mandeli J, Kattan M. Evaluation of home audiotapes as an abbreviated test for obstructive sleep apnea syndrome (OSAS) in child- ren. Pediatr Pulmonol 1999;27:267–72.
• Goldstein NA, Sculerati N, Walsleben JA, Bhatia N, Friedman DM, Ra- poport DM. Clinical diagnosis of pediatric obstructive sleep apnea va- lidated by polysomnography. Otolaryngol Head Neck Surg 1994;111:611–7.
• Sivan Y, Kornecki A, Schonfeld T. Screening obstructive sleep apnoea syndrome by home videotape recording in children. Eur Respir J 1996;9:2127–31.
• Riley WR, Powell NB. Maxillofacial surgery and obstructive sleep ap- nea syndrome. Otol Clin N Am 1990;23:809-26.
• Ryan CF, Dickson RI, Lowe AA, Blokmanis A, Fleetham JA. Upper air- way measurements predict response to uvulopalatopharyngoplasty in obstructive sleep apnea. Laryngoscope 1990;100:248-53.
• Brietzke SE, Katz ES, Roberson DW. Can history and physical examina- tion reliably diagnose pediatric obstructive sleep apnea/ hypopnea syndrome? A systemic review ofthe literature. Otolaryngol Head Neck Surgery 2004;131:827-32.
• Goldstein NA, Pugazhendi V, Rao SM, Weedon J, Campbell TF, Gold- man AC, Post JC, Rao M. Clinical assessment of pediatric obstructive sleep apnea. Pediatrics 2004;114:33-43.
• Valera FCP, Avelino MAG, Pettermann MB, Fujita R, Pignatari SS, Mo- reira GA, Pradella-Hallinan ML, Tufik S, Weckx LL. OSAS in children: correlation between endoscopic and polysomnographic findings. Oto- laryngol Head Neck Surg 2005;132:268-72.
• Roloff DW, Aldrich MS. Sleep disorders and airway obstruction in new- borns and infants. Otol Clin N Am 1990;23:639-49.
• Messner AH. Evaluation of obstructive sleep apnea by polysomnog- raphy prior to pediatric adenotonsillectomy. Arch Otolaryngol Head Neck Surg 1999;125:353-6.
• Wang RC, Elkins TP, Keech D, Wauquier A, Hubbard D. Accuracy of cli- nical evaluation in pediatric obstructive sleep apnea. Otolaryngol He- ad Neck Surg 1998;118:69-73.
• Utley DS, Shin EJ, Clerk AA, Terris DJ. A cost-effective and rational sur- gical approach to patients with snoring, upper airway resistance syndrome, or obstructive sleep apnea syndrome. Laryngoscope 1997;107:726-34.
• Guilleminault C, Pelayo R, Leger D, Clerk A, Bocian RCZ. Recognition of sleep-disordered breathing in children. Pediatrics 1996;98:871-82.
• Goldstein NA, Sculerati N, Walsleben JA, Bhatia N, Friedman DM, Rapo- port DM. Clinical diagnosis of pediatric obstructive sleep apnea valida- ted by polisomnography. Otolaryngol Head Neck Surg 1997;111:611-7.
• Suen JS, Arnold JE, Brooks LJ. Adenotonsillectomy for treatment of obstructive sleep apnea in children. Arch Otolaryngol Head Neck Surg 1995;12:525-30.
• Leach J, Olson J, Hermann J, Manning S. Polysomnographic and clini- cal findings in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 1992;118:741-4.
• Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995;108:610-8.
• Nieminen P, Tolonen U, Löppönen H, Löppönen T, Luotonen J, Jokinen K. Snoring children: factors predicting sleep apnea. Acta Otolaryngol Suppl (Stockh) 1997;529:190-4.
• Marcus CL, Keens TG, Ward SL. Comparison of nap and overnight poly- somnography in children. Pediatr Pulmonol 1992;13:16–21.
• Zucconi M, Strambi LF, Pestalozza G, Tessitore E, Smirne S. Habitual snoring and obstructive sleep apnea syndrome in children: effects of early tonsil surgery. Int J Pediatr Otorhinolaryngol. 1993;26:235–43.
• Nieminen P, Tolonen U, Lopponen H. Snoring and obstructive sleep ap- nea in children: a 6-month follow-up study. Arch Otolaryngol Head Neck Surg 2000,126:481-6.
• Guilleminault C, Nino-Murcia G, Heldt G, Baldwin R, Hutchinson D. Al- ternative treatment to tracheostomy in obstructive sleep apnea syndrome: nasal continuous positive airway pressure in young child- ren. Pediatrics 1986;78:797-802.