الفهرس | Only 14 pages are availabe for public view |
Abstract sleep disordered breathing in children ranges in severity from snoring caused by partial obstruction of the airway to obstructive sleep apnea which is caused by episodes of complete airway obstruction. Clinical risk factors associated with SDB include nightly snoring, witnessed apneas, male gender, age less than ٥ years, adenotonsillar hypertrophy, chronic nasal obstruction, family history of snoring, exposure to cigarette smoking and obesity. The most objective test for the diagnosis and quantification of SDB is polysomnography (sleep study). SDB is most commonly seen in children between ٣ and ٦ years of age. It is also more common in children suffering from obesity, craniofacial, genetic or neuromuscular disorders. Adenotonsillectomy remains the main stay of treatment for pediatric OSA, whether diagnosed by clinical suspicion alone or by PSG in the more complex cases. The aim of this work was to determine the prevalence of SDB among children in Menoufiya University Outpatient Clinic. This study was conducted on ٥٠٥ Egyptian children; ٢٦٧ males (٥٢٫٨٪) and ٢٣٨ females (٤٧٫٢٪). Their age ranged from ٤ to ١٢ years. All cases were subjected to SDB questionnaire and positive cases were subjected to:A) SDB questionnaire. B) Brief history, including age, sex, name & residence. C) Clinical examination which included weight, height and inspection of the pharynx to detect tonsil enlargement. D) Lateral view neck x-ray. Results of our study: - The most prevalent symptom of SDB was snoring loud during sleep. - Prevalence of SDB among children included in our study was ٨٫٥٪. - The mean age for positive groups for SDB was ٤ to ٦ years. - The symptom of snoring loud during sleep was the most prevalent symptom among positive group with percentage of ١٠٠٪ but not present among negative group with percentage of ٠٪. - The symptom of stop breathing during sleep was equally not present in either positive or negative groups with percentage ٠٪ in both groups. - The SDB symptoms are more prevalent between males more than females with percentage of ٥٨٫١٪ between males more than females with percentage of ٥٨٪ between males and ٤١٫٩٪ between females. - The mean weight in positive group is ١٧٫٩ kg and the mean weight in negative group is ٢٥٫٦ kg. - The main observed sign in examining the positive group was tonsil enlargement with percentage of ١٠٠٪. - The main finding in lateral view neck X-ray in positive group was adenotonsillar enlargement with percentage of ٩٣٪. |