Questionnaire and nocturnal oxymetry in children with adenotonsillar hypertrophy - 17/09/10
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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 numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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