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

Soyeon Moon (문소연); Daewoo Lee (이대우); KIM JAE GON (김재곤); Yeonmi Yang (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, Daewoo Lee ², KIM JAE GON ², Yeonmi Yang 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

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