Relationship between adenoid size and severity of obstructive sleep apnea in preschool children

被引：45
|
作者：
Tagaya, Mitsuhiko [1 ,2 ]
Nakata, Seiichi [2 ,3 ]
Yasuma, Fumihiko [4 ]
Miyazaki, Soichiro [5 ]
Sasaki, Fumihiko [6 ]
Morinaga, Mami [2 ,7 ]
Suzuki, Keisuke [2 ]
Otake, Hironao [2 ]
Nakashima, Tsutomu [2 ]
机构：
[1] Tosei Gen Hosp, Dept Otorhinolaryngol, Seto, Aichi 4898642, Japan
[2] Nagoya Univ, Grad Sch Med, Dept Otorhinolaryngol, Nagoya, Aichi 4648601, Japan
[3] Fujita Hlth Univ, Sch Med, Dept Otorhinolaryngol, Hosp 2, Nagoya, Aichi, Japan
[4] Suzuka Hosp, Natl Hosp Org, Dept Internal Med, Suzuka, Mie, Japan
[5] Shiga Univ Med Sci, Dept Sleep Med, Otsu, Shiga 52021, Japan
[6] Takaoka Clin, Dept Internal Med, Nagoya, Aichi, Japan
[7] Nagoya Med Ctr, Natl Hosp Org, Dept Otorhinolaryngol, Nagoya, Aichi, Japan
来源：
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2012年 / 76卷 / 12期
关键词：
Adenoid; Tonsil; Upper airway morphology; Apnea index; Obstructive sleep apnea; Preschool children; UPPER AIRWAY STRUCTURE; ADENOTONSILLAR HYPERTROPHY; NATURAL-HISTORY; TONSIL SIZE; OLD;
D O I：
10.1016/j.ijporl.2012.09.010
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objective: To investigate the contributions of adenoid and tonsil sizes to obstructive sleep apnea syndrome (OSAS) in normal-weight children in two age categories: preschool and schoolchildren. Methods: Fifty-eight normal-weight (body mass index z-score < 2) symptomatic children with OSAS (apnea-hypopnea index >= 2) were evaluated. The patients were divided into two age categories: preschool (age < 6; n = 33) and schoolchildren (age >= 6; n = 25). Polysomnographic findings and adenoid and tonsil sizes were compared. The relative contributions of body mass index and adenoid and tonsil sizes were also investigated with a regression analysis. Results: Adenoid grade and apnea index correlated significantly in preschool children (r = 0.45, p < 0.01). On regression analysis, adenoid grade was a significant predictor of the apnea index in preschool children. The influence of adenoid hypertrophy decreased from preschool to schoolchildren. Tonsil size had little influence on the apnea index in either group. Conclusion: Adenoid hypertrophy was a major contributor to OSAS in normal-weight preschool children. The upper airway morphology of younger children with OSAS differed from that of older children with OSAS. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：1827 / 1830
页数：4
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