Assessment of Predicting Factors for Pediatric Sleep Disordered Breathing (소아 수면호흡장애의 예측 인자 평가)

Soyeon Moon (문소연); LEE DAE-WOO (이대우); KIM JAE GON (김재곤); Yang Yeon Mi (양연미)

doi:10.5933/JKAPD.2020.47.4.377

Assessment of Predicting Factors for Pediatric Sleep Disordered Breathing

Journal of the Korean academy of pediatric dentistry
Abbr : J Korean Acad Pediatr Dent
2020, 47(4), pp.377-388
DOI : 10.5933/JKAPD.2020.47.4.377
Publisher : The Korean Academy Of Pediatric Dentistry
Research Area : Medicine and Pharmacy > Dentistry
Received : April 9, 2020
Accepted : May 19, 2020
Published : November 30, 2020

Soyeon Moon ¹, LEE DAE-WOO ², KIM JAE GON ², Yang Yeon Mi ²

¹전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소
²전북대학교

Accredited

ABSTRACT

The aim of this study was to evaluate the association between various predicting tools and Apnea-Hypopnea Index (AHI) to identify children with sleep disordered breathing (SDB). From 5 to 10 years old who came for orthodontic counseling, 61 children, whom had lateral cephalograms, pediatric sleep questionnaire (PSQ) records, and portable sleep monitoring results, were included in this study. A total of 17 measurements (11 distances and 6 angles) were made on lateral cephalograms. The measurements of lateral cephalograms, PSQ scales and portable sleep monitoring results were statistically analyzed. 49 of 61 (80%) patients showed AHI > 1, which suspected to have SDB and their mean AHI was 2.75. In this study, adenoid size (A/N ratio), position of the hyoid bone from mandibular plane, gonial angle, and PSQ scale were related to a higher risk of pediatric SDB. Also, oxygen desaturation index (ODI) and snoring time from sleep monitoring results were statistically significant in children with SDB using Mann-Whitney test (p ＜ 0.05). In conclusion, evaluation of hyoid bone position, adenoidal hypertrophy, gonial angle in lateral cephalogram, and PSQ scale was important to screen out potential SDB, especially in children with frequent snoring.

KEYWORDS

Sleep disordered breathing, Adenoidal hypertrophy, Hyoid bone, Lateral cephalogram, Pediatric sleep questionnaires

Citation status

* References for papers published after 2023 are currently being built.

[journal] Marcus CL / 2001 / Sleep-disordered breathing in children / Am J Respir Crit Care Med 164 : 16~30

[journal] Kaditis AG / 2016 / Obstructive sleep disordered breathing in 2-to 18-year-old children : diagnosis and management / Eur Respir J 47 : 69~94

[journal] Berry RB / 2015 / AASM scoring manual version 2.2 updates: new chapters for scoring infant sleep staging and home sleep apnea testing / J Clin Sleep Med 11 : 1253~1254

[journal] 이승훈 / 2013 / Obstructive Sleep Apnea Syndrome in Children / Hanyang Medical Reviews / 한양대학교 의과대학 33(4) : 246~252

[journal] Tan HL / 2015 / Pediatric Home Sleep Apnea Testing Slowly Getting There! / Chest 148 : 1382~1395

[journal] Certal V / 2015 / Model for Prediction of Pediatric OSA : Proposal for a Clinical Decision Rule / Laryngoscope 125 : 2823~2827

[journal] Chervin RD / 2000 / Pediatric sleep questionnaire(PSQ) : validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems / Sleep Med 1 : 21~32

[journal] 강은경 / 2019 / Pediatric sleep questionnaires for screening of obstructive sleep apnea syndrome / Allergy Asthma & Respiratory Disease / 대한 소아알레르기 호흡기학회 7(3) : 122~128

[journal] Fujioka M / 1979 / Radiographic evaluation of adnoidal size in children : adenoidal-nasopharyngeal ratio / AJR Am J Roentgenol 133 : 401~404

[journal] 황상희 / 2011 / Gender-wise analysis of the cephalometric factors affecting obstructive sleep apnea / 대한치과교정학회지 / 대한치과교정학회 41(3) : 164~173

[journal] 김도영 / 2019 / Diagnosis and Effect of Maxillary Expansion in Pediatric Sleep-Disordered Breathing / 대한소아치과학회지 / 대한소아치과학회 46(4) : 369~381

[journal] Macari AT / 2016 / Correlation Between the Position of the Hyoid Bone on Lateral Cephalographs and Formant Frequencies / J Voice 30 : 757~

[journal] Gipson K / 2019 / Sleep-Disordered Breathing in Children / Pediatr Rev 40 : 3~13

[journal] Luzzi V / 2019 / A Review of Pediatric Obstructive Sleep Apnea and the Role of the Dentist / Eur Rev Med Pharmacol Sci 23(1 Suppl) : 9~14

[journal] Uliel S / 2004 / Normal polysomnographic respiratory values in children and adolescents / Chest 125 : 872~878

[journal] Collop NA / 2007 / Clinical Guidelines for the Use of Unattended Portable Monitors in the Diagnosis of Obstructive Sleep Apnea in Adult Patients Portable Monitoring Task Force of the American Academy of Sleep Medicine / J Clin Sleep Med 3 : 737~747

[journal] Marcus CL / 2012 / Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome / Pediatrics 130 : 576~584

[journal] Alonso-Álvarez ML / 2015 / Reliability of home respiratory polygraphy for the diagnosis of sleep apnea in children / Chest 147 : 1020~1028

[journal] Rohra AK Jr / 2018 / Sleep disordered breathing in children seeking orthodontic care / Am J Orthod Dentofacial Orthop 154 : 65~71

[journal] Patil SP / 2007 / Adult obstructive sleep apnea : pathophysiology and diagnosis / Chest 132 : 325~337

[journal] Ryu HH / 2015 / The usefulness of cephalometric measurement as a diagnostic tool for obstructive sleep apnea syndrome : a retrospective study / Oral Surg Oral Med Oral Pathol Oral Radiol 119 : 20~31

[journal] Flores-Mir C / 2013 / Craniofacial morphological characteristics in children with obstructive sleep apnea Syndrome / J Am Dent Assoc 144 : 269~277

[journal] Katyal V / 2013 / Craniofacial and upper airway morphology in pediatric sleep-disordered breathing: Systematic review and meta-analysis / Am J Orthod Dentofacial Orthop 143 : 20~30.e3

[journal] Chi L / 2011 / Identification of craniofacial risk factors for obstructive sleep apnoea using three dimensional MRI / Eur Respir J 38 : 348~358

[journal] Lowe AA / 1997 / Cephalometric and demographic characteristics of obstructive sleep apnea : an evaluation with partial least squares analysis / Angle Orthod 67 : 143~153

[journal] 김도영 / 2019 / Relationship between Upper Airway and Sleep-Disordered Breathing in Children with Mouth Breathing / 대한소아치과학회지 / 대한소아치과학회 46(1) : 38~47

[journal] Tangugsorn V / 2000 / Obstructive sleep apnoea : multiple comparisons of cephalometric variables of obese and non-obese patients / J Craniomaxillofac Surg 28 : 204~212

[journal] Paoli JR / 2001 / Craniofacial differences according to the body mass index of patients with obstructive sleep apnoea syndrome : cephalometric study in 85 patients / Br J Oral Maxillofac Surg 39 : 40~45

[journal] Yashmin S / 2018 / Role of hyoid bone in obstructive sleep apnea / Int J Curr Res 10 : 68063~68066

[journal] Ikävalko T / 2018 / Predictors of sleep disordered breathing in children: the PANIC study / Eur J Orthod 40 : 268~272

[journal] Papaioannou G / 2013 / Age-dependent changes in the size of adenotonsillar tissue in childhood:implications for sleep-disordered breathing / J Pediatr 162 : 269~274.e4

[journal] Brunetti L / 2001 / Prevalence of obstructive sleep apnea syndrome in a cohort of 1, 207 children of southern Italy / Chest 120 : 1930~1935

[journal] Kang KT / 2013 / Associations between Adenotonsillar Hypertrophy, Age, and Obesity in Children with Obstructive Sleep Apnea / PLoS One 8 : e78666~

[journal] Nolan J / 2011 / Systematic Review of Pediatric Tonsil Size and Polysomnogram-Measured Obstructive Sleep Apnea Severity / Otolaryngol Head Neck Surg 144 : 844~850

KJCKorea
Journal Central

Journal of the Korean academy of pediatric dentistry 2023 KCI Impact Factor : 0.48

Assessment of Predicting Factors for Pediatric Sleep Disordered Breathing

ABSTRACT

KEYWORDS

Citation status

* References for papers published after 2023 are currently being built.

Journal of the Korean academy of pediatric dentistry 2023 KCI Impact Factor : 0.48

Assessment of Predicting Factors for Pediatric Sleep Disordered Breathing

ABSTRACT

KEYWORDS

Statistics

Tools

Issue List

Citation status

KCI Citation Counts (1)

REFERENCES (34) * References for papers published after 2023 are currently being built.

Search PDF

Citation

* References for papers published after 2023 are currently being built.