Sleep-disordered breathing in the otorhinolaryngological practice

F. Ameli, S. Mignosi, F. Brocchetti, F. Gallo, F.M. Passali, V. Damiani, A. Asmanov, G. Ciprandi

Article ID: 5535
Vol 35, Issue 1S2, 2021
DOI: https://doi.org/10.23812/21-1supp2-6
Received: 11 March 2021; Accepted: 11 March 2021; Available online: 11 March 2021; Issue release: 11 March 2021

Abstract

Sleep-disordered breathing (SDB) is a common disorder in childhood. Snoring and obstructive sleep apnea represents a demanding challenge for both paediatricians and otolaryngologists. This real-life study investigated the association of demographic and clinical factors on snoring and sleep apnea in children consecutively visited. In this study, 1,002 children (550 males, mean age 5.77 + 1.84 years), complaining upper airway symptoms, were prospectively enrolled during 2015-2017. Medical history, clinical examination, and fiberoptic nasopharyngoscopy were performed in all children. Tonsil hypertrophy significantly predicted sleep apnea (OR 95.08) and snoring (OR 5.44). Asthma comorbidity significantly predicted snoring (OR 2.26). Breastfeeding could be a protective factor for sleep apnea (OR =0.37). SDB is a frequent disorder observable in otorhinolaryngological practice. Tonsil hypertrophy and asthma could be considered predicting factors for both snoring and sleep apnea, whereas breastfeeding was a protective factor for SDB.


Keywords

sleep-disordered-breathing;children;sleep apnea;snoring;tonsil;asthma;breastfeeding


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