Sleep apnea

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Sleep apnea

  1. 2. Diagnosis of Obstructive Sleep Apnea in Children <ul><li>Symptoms </li></ul><ul><li>Cessation of breathing </li></ul><ul><li>Cor pulmonale </li></ul><ul><li>Cyanosis </li></ul><ul><li>Enuresis </li></ul><ul><li>Excessive daytime somnolence </li></ul><ul><li>Gasping for air </li></ul><ul><li>Irritability </li></ul><ul><li>Nighttime awakening </li></ul><ul><li>Poor academic performance </li></ul><ul><li>Pulmonary hypertension </li></ul><ul><li>Snoring </li></ul><ul><li>Unusual daytime behavior </li></ul><ul><li>Physical examination </li></ul><ul><li>Adenotonsillar hypertrophy </li></ul><ul><li>Craniofacial abnormalities </li></ul><ul><li>Growth disturbances </li></ul><ul><li>Failure to thrive </li></ul><ul><li>Obesity </li></ul><ul><li>Laryngeal pathology </li></ul><ul><li>Lingual tonsils </li></ul>
  2. 4. Standardized tonsillar hypertrophy grading scale.  (0)  Tonsils are entirely within the tonsillar fossa.  (1+) Tonsils occupy less than 25 percent of the lateral dimension of the oropharynx as measured between the anterior tonsillar pillars.  (2+)  Tonsils occupy less than 50 percent of the lateral dimension of the oropharynx. (3+)  Tonsils occupy less than 75 percent of the lateral dimension of the oropharynx.  (4+)  Tonsils occupy 75 percent or more of the lateral dimension of the oropharynx.

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