Breaking News
February 21, 2018 - Postnatal depression impacts mother-child relationships for longer time frame
February 21, 2018 - Study describes new protection mechanisms to fight neurodegeneration in Parkinson’s and Alzheimer’s
February 21, 2018 - Tiny ‘brains on chips’ reveal mechanisms underlying brain’s wrinkling process
February 21, 2018 - Bedfont Scientific makes FDA 510(k) submission for clearance of ToxCO monitor
February 21, 2018 - ‘Grey’s Anatomy’ Traumas Lack Realism
February 21, 2018 - Sleep quality improves with help of incontinence drug
February 21, 2018 - Scientists uncover genetic cause behind typhoid’s antibiotic resistance
February 21, 2018 - Study reveals a significant link between heavy alcohol use and dementia
February 21, 2018 - French scientists develop new wearable laser that eradicates skin conditions
February 21, 2018 - People with major depressive disorder have reduced arginine levels, study shows
February 21, 2018 - National Health Spending at $3.5 Trillion in 2017, CMS Says
February 21, 2018 - Substantial inequalities in cesarean births persist in many countries
February 21, 2018 - Early childhood immune signature predicts risk of developing asthma later on
February 21, 2018 - Stanford researchers explore how gut bacteria respond to common changes in habitat
February 21, 2018 - Household Products May Pollute the Air as Much as Your Car Does: Study
February 21, 2018 - Combo Bests Targeted Agent in mRCC
February 21, 2018 - Researchers discover brain pathway that dissociates opioid addiction from analgesia
February 21, 2018 - Scientists uncover how newly discovered gene helps grow blood vessels
February 21, 2018 - Brain’s quality control process holds clues to obesity’s roots
February 21, 2018 - Researchers to study whether menstrual cups can help prevent vaginal infections
February 21, 2018 - MS patients who feel stigmatized more likely to suffer from depression
February 21, 2018 - Vitamin D supplementation during pregnancy could protect against childhood obesity
February 21, 2018 - Lower-Quality Medical Tx Might Have Skewed Key PCI vs CABG Trials
February 21, 2018 - Love and fear are visible across the brain instead of being restricted to any brain region
February 21, 2018 - Researchers discover potential new antimalarial treatment targets
February 21, 2018 - Adults with congenital heart disease have increased risk for dementia, study finds
February 21, 2018 - Clinical trial studying type 1 diabetes reaches full enrollment
February 21, 2018 - Father’s stress affects the brain development of offspring, mice study shows
February 21, 2018 - ESRD Death Declines in Vasculitis Patients
February 21, 2018 - Taking ibuprofen for long periods found to alter human testicular physiology
February 21, 2018 - Google AI device could predict a person’s risk of a heart attack
February 20, 2018 - FDA Approves Domestic Source for Tc-99m Isotopes
February 20, 2018 - Sanofi rejects refund demand faces Philippine suit over dengue vaccine (Update)
February 20, 2018 - Researchers discover that activation of specific enzyme may help suppress tumor metastasis
February 20, 2018 - Blood or marrow transplantation survivors have higher risk of cognitive impairment
February 20, 2018 - Booze Beats Pot at Being Unhealthy: Oregon Poll
February 20, 2018 - Morning Break: ’20 Years Late’; Drugs in the Dirt; Catching Flu in the Dorm
February 20, 2018 - Another piece to the puzzle in naked mole rats’ long, cancer-free life
February 20, 2018 - Scientists identify four viruses that can produce insulin-like hormones
February 20, 2018 - New e-Health solution developed to prevent cardiovascular disease, dementia in senior citizens
February 20, 2018 - New genetic risk score could help guide screening decisions for prostate cancer
February 20, 2018 - Study finds higher risk of stroke among blacks with atrial fibrillation than whites
February 20, 2018 - Physical activity could be used as strategy for diabetes prevention
February 20, 2018 - Researchers develop sensing method for early detection of cancer and diabetes
February 20, 2018 - New wearable electronics could be game-changer for stroke rehabilitation
February 20, 2018 - Immune history influences person’s response to flu vaccine
February 20, 2018 - Research findings could help develop new drugs to prevent, treat dry eye disease
February 20, 2018 - Serenity Now! Learn to Have Patience with Patients
February 20, 2018 - Computer simulation addresses the problem of blood clotting
February 20, 2018 - Women with type 1 diabetes not protected against coronary artery disease
February 20, 2018 - Persistent bloating can be a sign of ovarian cancer, warns charity
February 20, 2018 - Trump administration proposes rule to loosen curbs on short-term health plans
February 20, 2018 - Key protein involved in epigenetic regulation of gene expression guides skin cell renewal
February 20, 2018 - Heart attack symptoms often missed in women
February 20, 2018 - Diagnosis of celiac disease takes 3.5 years for patients who do not report GI symptoms
February 20, 2018 - Study reveals functional dynamics of ion channels
February 20, 2018 - Study explores link between mortality risk and combustible tobacco use
February 20, 2018 - ‘She Trusted Me, and I’d Turned Her Away’
February 20, 2018 - AbbVie and Voyager Therapeutics collaborate to develop new treatments for tauopathies
February 20, 2018 - Fast food makes the immune system more aggressive in the long term
February 20, 2018 - Therapeutic target for glaucoma could have treatment ramifications for Alzheimer’s and Parkinson’s
February 20, 2018 - Overcoming Negative Reviews | Medpage Today
February 20, 2018 - MyD88—villain of allergies and asthma
February 20, 2018 - Food scientists develop rapid screening technique to detect pesticide residue in vegetables
February 20, 2018 - Lab-grown cerebellar cells may help explain how ASD develops at molecular level
February 20, 2018 - Scientists explore connection between bad sleep habits and stiff blood vessels
February 20, 2018 - New Treatment Apalutamide (Erleada) Approved for Prostate Cancer That Resists Hormone Therapy
February 20, 2018 - Do You Really Need My Signature on That?
February 20, 2018 - HIV-1 genetic diversity is higher in vaginal tract than in blood during early infection
February 20, 2018 - Diabetes does not increase work-loss years due to early retirement
February 20, 2018 - Researchers aim to find out how PTSD affects decisions of police
February 20, 2018 - UH Cleveland Medical Center explores novel treatments for uterine fibroids
February 20, 2018 - Flu Vax Efficacy 25% Against Predominant H3N2 Strain So Far
February 20, 2018 - HIV screening most optimal at 25 years of age if no risk factors
February 20, 2018 - Loyola Medicine primary care physician offers advice to minimize risk of flu
February 20, 2018 - Safe sleep recommendations for parents that may help reduce child’s risk of SUID
February 20, 2018 - Why Do So Few Docs Have Buprenorphine Waivers?
February 20, 2018 - Low levels of alcohol good for the brain
February 20, 2018 - Experimental treatment improves invisible symptoms of a man with spinal cord injury
February 20, 2018 - Myriad’s EndoPredict offers better prediction of breast cancer recurrence, analysis shows
Adolescence sleep apnoea is commonplace however exhausting to diagnose

Adolescence sleep apnoea is commonplace however exhausting to diagnose

image_pdfDownload PDFimage_print
Credit score: Karolinska Institutet

The cessation of respiring all through sleep brought about through enlarged tonsils is commonplace in preschool-age youngsters and will purpose severe headaches, however the strategies most often used to diagnose the situation are subjective and unreliable. The discovering is reported in a thesis from Karolinska Institutet through Anna Borgström, who has additionally evaluated other surgical remedies.

Obstructive sleep apnoea impacts five to six in keeping with cent of all youngsters of preschool age, inflicting the repeated cessation of respiring all through sleep. If the situation stays untreated, it may intervene with mind construction and purpose headaches similar to finding out difficulties and behavioural issues with ADHD-like signs. In excessive circumstances it may even result in center failure.

The diagnostic approach lately observed as the most productive for obstructive sleep apnoea in youngsters is polysomnography, however this is a resource-heavy exam that must be performed in a nap laboratory. As a result of this, docs have continuously relied at the aggregate of medical exam and questionnaire (OSA-18) to make their diagnoses. Then again, as Dr Borgström – ear, nostril and throat specialist and researcher at Karolinska Institutet’s Division of Medical Science, Intervention and Era – demonstrates in her thesis, the questionnaire has no diagnostic worth.

Signs are simply neglected

“What we’d like are higher and less expensive diagnostic strategies,” she says. “Because the signs are unspecific and respiring continuously stops overdue at night time, the analysis is more than likely continuously neglected.”

Adolescence obstructive sleep apnoea is typically brought about through enlarged tonsils, wherein case an operation is the traditional solution. Tonsil surgical treatment is without doubt one of the maximum commonplace kinds of surgical treatment carried out on youngsters, with 1000’s of operations once a year in Sweden on my own. Dr Borgström’s thesis displays that the collection of such operations has risen over the last few many years and that ever more youthful youngsters are having them.

Two primary surgical strategies when compared

There are two primary strategies used: tonsillectomy and tonsillotomy, which contain, respectively, the entire and partial removing of the tonsils. Regardless of the loss of randomised research evaluating the 2, the latter approach has begun to dominate. One such learn about is integrated in Dr Borgström’s thesis and has not too long ago been revealed within the esteemed periodical Pediatrics. It displays that the strategies give an identical results for the remedy of obstructive sleep apnoea in preschool youngsters, but in addition that tonsillotomy carries a chance of tonsil regrowth and the resultant want for renewed surgical treatment.

“I need my thesis to turn that obstructive sleep apnoea and enlarged tonsils are commonplace prerequisites that may have severe ramifications,” says Dr Borgström. “What I’m hoping is that my analysis will imply higher remedy for preschool youngsters affected by such issues.”


Discover additional:
Adenotonsillotomy noninferior to adenotonsillectomy in peds OSA

Additional info:
“Pediatric obstructive sleep apnea – analysis of questionnaire and surgical remedy.” openarchive.ki.se/xmlui/care for/10616/45527

Magazine reference:
Pediatrics

Equipped through:
Karolinska Institutet

Tagged with:

About author

Related Articles