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Most people with OSA snore loudly and frequently, with periods of silence when airflow is reduced or blocked. They then make choking, snorting or gasping sounds when their airway reopens. The result is a fragmented quality of sleep that often produces an excessive level of daytime sleepiness. After many years with this disorder, elevated blood pressure and heart enlargement may occur, leading to heart attack, stroke, and early death.

Sleep disordered breathing: surgical outcomes in prepubertal children.

Other consequences are bedroom disharmony, excessive daytime sleepiness, weight gain, poor performance at work, failing personal relationships, and increased risk for accidents, including motor vehicle accidents. Obstructive sleep apnea must first be diagnosed at a sleep center or lab during an overnight sleep study, or "polysomnogram.

This airflow keeps the airway open, preventing pauses in breathing and restoring normal oxygen levels. An oral appliance is an effective treatment option for people with mild to moderate OSA who are unable to successfully comply with CPAP therapy. Oral appliances look much like sports mouth guards, and they help maintain an open and unobstructed airway by repositioning or stabilizing the lower jaw, tongue, soft palate or uvula.

Some are designed specifically for snoring, and others are intended to treat both snoring and sleep apnea. They should always be fitted by dentists who are trained in sleep medicine.

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ENT specialists treat sleep-disordered breathing, nasal and airway obstruction, snoring and sleep apnea, and more. The information on ENThealth. Think you need to consult an ENT specialist? Find a Doctor Near You. Find out more about the community of physician experts who can help you to Be ENT Smart and how the information was developed. Learn More About Us. Skip to main navigation Skip to main content Skip to footer.

Symptom Checker. Find an ENT. Type and Press Enter to Search Close. Pediatric Sleep-disordered Breathing. Potential symptoms and consequences of untreated pediatric SDB may include: Snoring —The most obvious symptom of SDB is loud snoring that is present on most nights. The snoring can be interrupted by complete blockage of breathing, with gasping and snorting noises associated with waking up from sleep.

Loud snoring can also become a significant social problem if a child shares a room with siblings, or at sleepovers and summer camp.

Irritability —A child with SDB may become irritable, sleepy during the day, or have difficulty concentrating in school. He or she may also display busy or hyperactive behavior.


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Bedwetting —SDB can cause increased urine production at night, which may lead to bedwetting also called enuresis. Learning difficulties —Children with SDB may become moody and disruptive, or not pay attention, both at home and at school. SDB can also be a contributing factor to attention deficit disorders in some children. First, it is a case series with a small sample size nine patients. However, as noted earlier, most of the studies in the literature were case series and retrospective studies with few randomized clinical trials [16,].

Surgery for Sleep Disordered Breathing | Karl Hörmann | Springer

At our bariatric and metabolic center, RYGB is the most common procedure performed. Third, unfortunately, we could not obtain the whole PSG parameters pre and post-op e. Our study concurs with the body of literature that bariatric surgery specifically RYGB and LSG results in a significant reduction if not normalization in AHI at least for a short-term post-operation period the first two years.

More randomized clinical trials need to be conducted to confirm these results and explain OSA relapse that is seen in some cases in the long term, especially, if not related to weight re-gain. Human subjects: Consent was obtained by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue.

Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Pediatric Sleep-disordered Breathing

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Understanding Sleep Disordered Breathing

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