411 INCREASING EVIDENCE SUGGESTS THAT SNORING IS PART OF THE SPECTRUM OF SLEEP-DISORDERED BREATHING (SDB), FROM SIMPLE SNORING ON ONE end to obstructive sleep apnea/hypopnea syndrome on the other.1,2 Snoring associated with sleep apnea is cyclical, with snoring noises and/or snorts alternating with quiet periods. It often has a disturbing character and may be associated with breathing pauses. S...

These practice parameters are an update of the previously published recommendations regarding the use of autotitrating positive airway pressure (APAP) devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome. Continuous positive airway pressure (CPAP) at an effective setting verified by attended polysomnography is a standard treatment for obstructive sle...

OBJECTIVES To determine if temperature-controlled radiofrequency (TCRF) tonsil reduction and adenoidectomy (TCRF&A) and conventional tonsillectomy and adenoidectomy (T&A) are statistically similar in outcome and to compare morbidity between TCRF&A and conventional T&A. DESIGN Randomized control trial. SETTING Tertiary care children's hospital. PARTICIPANTS The study population comprised 2...

Simple snoring is a very common problem that presents a number of different challenges. The initial difficulty is in confirming the presence of snoring, next one must exclude any other nocturnal respiratory pathology and finally a decision as to an appropriate treatment must be made. There are many different ways of achieving these objectives, but no one-way has a clear advantage in terms of bo...

BACKGROUND Neurobehavioural symptoms of inattention and hyperactivity are common in children with sleep-disordered breathing (SDB). Prevalence rates of habitual snoring and attention deficit hyperactivity disorder (ADHD) are very similar and both have a substantial negative effect on children's behavioural health. OBJECTIVE We examined the differences for subjective attentional and hyperactiv...

OBJECTIVE Our aim was to examine the predictors of cardiovascular disorders in children affected by obstructive sleep apnea syndrome (OSAS) based on the results of polysomnography and continuous monitoring of blood glycose. METHODS Before the examination, parents filled in questionnaires concerning their children sleep quality. The procedure was followed by the study of the sleep by means of ...

In a recent issue of CHEST (June 2002) Valipour and coworkers1 reported that symptomatic gastroesophageal reflux (GER) is common in subjects with a breathing sleep disorder, but that there was no difference between those with obstructive sleep apnea (OSA) and subjects who snore. We agree with the authors that GER is common in subjects with a breathing sleep disorder. However, we do not agree wi...

In a recent issue of CHEST (June 2002) Valipour and coworkers1 reported that symptomatic gastroesophageal reflux (GER) is common in subjects with a breathing sleep disorder, but that there was no difference between those with obstructive sleep apnea (OSA) and subjects who snore. We agree with the authors that GER is common in subjects with a breathing sleep disorder. However, we do not agree wi...

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STUDY OBJECTIVES The Tucson Children's Assessment of Sleep Apnea (TuCASA) study is designed to investigate the prevalence and correlates of objectively measured sleep-disordered breathing (SDB) in preadolescent children. This article describes the parental report of sleep symptoms associated with SDB in Hispanic and white children. DESIGN A 13-question sleep habits screening questionnaire des...