Guidelines of the French Society of Otorhinolaryngology. Role of the ENT specialist in the diagnosis of obstructive sleep apnea-hypopnea syndrome (OSAHS) in children. Part 2: Diagnostic investigations apart from sleep studies - 13/06/19

Doi : 10.1016/j.anorl.2019.05.016

J.-C. Leclere ^a,^⁎ , R. Marianowski ^a, P.J. Monteyrol ^b, M. Akkari ^c, F. Chalumeau ^d, P. Fayoux ^e, N. Leboulanger ^f, P. Franco ^g,^h, V. Couloigner ^f, M. Mondain ^c
^a Service d’ORL et de chirurgie cervico-faciale, hôpital Morvan, université de Bretagne Occidentale, CHRU Brest, 29200 Brest, France
^b ORL, polyclinique du Tondu, 33000 Bordeaux, France
^c Service d’ORL, hôpital Gui de Chauliac, université de Montpellier, CHU Montpellier, 34295 Montpellier, France
^d ORL, 67, boulevard Pasteur, 94260 Fresnes, France
^e Service d’ORL, hôpital Jeanne de Flandres, université Lille 2, CHRU Lille, 59120 Loos, France
^f Service d’ORL pédiatrique, hôpital Necker–Enfants-Malades, université Paris Descartes, AP–HP, 75015 Paris, France
^g Inserm U1028, CNRS UMR 5292, université Lyon 1, 69677 Bron, France
^h Unité de sommeil pédiatrique, HFME, hospices Civils de Lyon, 69003 Lyon, France

^⁎Corresponding author.

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Abstract

Objectives

To present the 2017 Clinical Practice Guidelines of the French Society of Otorhinolaryngology concerning the role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome. This manuscript specifically focuses on diagnostic investigations apart from sleep studies.

Methods

A multidisciplinary work-group drew up a first version of the guidelines, graded according to level of evidence following the GRADE grading system. The final version was obtained by including the suggestions and comments from the editorial group.

Results

At the end of the process, guidelines were established and graded regarding diagnostic investigations apart from sleep studies, in particular respiratory functional tests, biological markers, and morphologic assessment under induced sleep (drug-induced sleep endoscopy (DISE) and cine-MRI).

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Keywords : Obstructive sleep apnea-hypopnea syndrome, Child, Adolescent, Respiratory functional tests, Biological markers, Drug-induced sleep endoscopy (DISE), Cine-MRI