Questionnaire and nocturnal oxymetry in children with adenotonsillar hypertrophy - 17/09/10
, E. Malorgio b, S. Noce b, V. Couloigner a, A. Vigo b
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Summary |
Objectives |
Draw up an evaluative approach to the diagnostic contribution of nocturnal oximetry associated with a parental questionnaire in children with adenotonsillar hypertrophy (ATH).
Patients and methods |
Analysis of a parental questionnaire on sleep patterns and oximetry recording made in children with ATH. The results of the oximetry were compared to the data gathered from the questionnaire.
Results |
Of the 342 children (age range, 3 months to 14 years), 209 permanent snorers, 115 occasional snorers, and 18 non-snorers were identified. The proportion of positive oximetry readings varied from 31.6 to 0% and the difference was significant between the first group and the two others (p<0.001). The data were correlated for four symptoms, including snoring and sleep apnea. The absence of snoring always gave a negative oximetry reading.
Conclusions |
In cases of ATH, a negative questionnaire can predict that oximetry will not be useful and if necessary advise for a polysomnography for an exclusion diagnosis. In contrast, a positive questionnaire followed by a positive oximetry argues in favor of the polysomnography not being useful.
Le texte complet de cet article est disponible en PDF.Keywords : Adenoids, Child, Pulse oximetry, Sleep apnea, Snoring, Tonsillar hypertrophy
Plan
 | Study presented in part at the 114th Congress of the Société française d’ORL et de chirurgie de la face et du cou in Paris, 14 October 2007. |
Vol 127 - N° 4
P. 137-142 - septembre 2010 Retour au numéro
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