Dicembre 2005 - Volume XXIV - numero 10

Medico e Bambino

Aggiornamento monografico

I disturbi respiratori ostruttivi nel sonno


Clinica Pediatrica, Università di Parma


Key words: Sleep-disordered breathing, Obstructive sleep apnea, Snoring, Polysomnography, Clinical scoring, Adenotonsillectomy, Adenoidectomy

Sleep-Disordered Breathing (SDB) includes several clinical and functional syndromes which range from primary snoring to Obstructive Sleep Apnea Syndrome (OSAS). Initially polysomnography (PSG) was considered to be the gold standard for the diagnosis of OSAS. It has been found to be a low sensitivity test for milder functional alterations such as the Upper Airway Resistance Syndrome (UARS). Thereafter, diagnosis based on clinical scoring has become more important. Adenotonsillectomy is the first therapeutical approach of OSAS and in selected cases can be replaced, at least temporarily, by adenoidectomy. In children with genetic syndromes with craniofacial malformations continuous positive airway pressure (CPAP) and even craniofacial surgery may be indicated.

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A. Battistini, R. Marvasi
I disturbi respiratori ostruttivi nel sonno
Medico e Bambino 2005;24(10):645-652 https://www.medicoebambino.com/?id=0510_645.pdf

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