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Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Poluektov M.G.

Sechenov First Moscow State Medical University (Sechenov University)

Ivoilov A.Yu.

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology of the Moscow Department of Healthcare, Russian Federation;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health;
«Children’s City Clinical Hospital H. N. Speransky» Moscow Department of Healthcare

Tardov M.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Turovsky A.B.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Arkhangelskaya I.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Gavrilenko M.A.

Sechenov First Moscow State Medical University

Diagnosis and correction of the obstructive sleep apnea syndrome in children with tonsillar ring pathological conditions

Authors:

Kryukov A.I., Poluektov M.G., Ivoilov A.Yu., Tardov M.V., Turovsky A.B., Arkhangelskaya I.I., Gavrilenko M.A.

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Journal: Russian Bulletin of Otorhinolaryngology. 2022;87(1): 4‑8

DOI: 10.17116/otorino2022870114

Views: 1307

Downloaded: 114

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To cite this article:

Kryukov AI, Poluektov MG, Ivoilov AYu, Tardov MV, Turovsky AB, Arkhangelskaya II, Gavrilenko MA. Diagnosis and correction of the obstructive sleep apnea syndrome in children with tonsillar ring pathological conditions. Russian Bulletin of Otorhinolaryngology. 2022;87(1):4‑8. (In Russ.)
https://doi.org/10.17116/otorino2022870114

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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OBJECTIVE

To summarize the results of a study of the clinical and polygrapic features of sleep in children with pathologic conditions of the tonsillar ring and obstructive sleep apnea. Tonsillar hypertrophy is the most common cause of obstructive sleep apnea in children. Using the data of overnight polysomnographic study and/or nocturnal pulse oximetry, groups of patients were distinguished depending on the presence and severity of their sleep breathing disorders. The effectiveness of adenotomy, adenotonsillotomy and/or adenotonsillectomy in children is demonstrated, depending on the severity of obstructive sleep apnea syndrome. Evaluation of breathing in sleeping children by polygraphic methods is necessary for early detection of obstructive sleep apnea syndrome and monitoring the effectiveness of surgical treatment.

Keywords:

obstructive sleep apnea syndrome
children
polygraphy
adenoids
tonsil hypertrophy

Authors:

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Poluektov M.G.

Sechenov First Moscow State Medical University (Sechenov University)

Ivoilov A.Yu.

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology of the Moscow Department of Healthcare, Russian Federation;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health;
«Children’s City Clinical Hospital H. N. Speransky» Moscow Department of Healthcare

Tardov M.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Turovsky A.B.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Arkhangelskaya I.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Gavrilenko M.A.

Sechenov First Moscow State Medical University

Received:

01.09.2018

Accepted:

09.04.2019

List of references:

  1. Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J, Schechter MS, Sheldon SH, Spruyt K, Ward SD, Lehmann C, Shiffman RN. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3):576-584.  https://doi.org/10.1542/peds 2012-1671
  2. Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician. 2014 Mar 01;89(5):368-377. 
  3. International Classification of Disorders. 3rd ed. Darien IL: American Academy of Sleep Medicine; 2014.
  4. Hong SC, Min HJ, Kim KS. Refractory sleep apnea caused by tubal tonsillar hypertrophy. Int J Pediatr Otorhinolaryngol. 2017;95:84-86. 
  5. Gozal D, Kheirandish-Gozal L. New approaches to the diagnosis of sleep-disordered breathing in children. Sleep Med. 2010;11(7): 708-713. 
  6. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109(4): 704-712. 
  7. Shen L, Lin Z, Xu Y, Yang Z. Discussion on the treatmeant methods of pediatric obstructive sleep apnea hypopnea syndrome. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014;49(7):574-581. 
  8. Rusetsky YuYu, Latysheva EN, Polunina TA, Altunin VV, Malyavina US. Torus tubarius hypertrophy as a cause of obstructive sleep apnea in children. Pediatria. 2016;95(5):82-85. (In Russ.)
  9. Latysheva EN, Rusetsky YuYu, Malyavina US, Khramov PA. Possibilities of Medicamental Treatment for Obstructive Sleep Apnoea in Children. Pediatric Pharmacology. 2016;13(4):373-376. (In Russ.) https://doi.org/10.15690/pf.v13i4.1610
  10. Kalashnikova TP, Anisimov GV, Tervo SO, Skurikhin AV. The clinical and polysomnographic characteristics of obstructive sleep apnea syndrome in the children. Vestnik otorinolaringologii. 2014(4):42-45. (In Russ.)
  11. El-Kersh K, Cavallazzi R, Senthilvel E. Outcomes of adenotonsillectomy in severe pediatric obstructive sleep apnea. Ear Nose Throat J. 2017 Dec;96(12):E6-E9. 
  12. Garetz SL. Behavior, cognition and quality of life after adenotonsillectomy for pediatric sleep disordered breathing. Otolaryngol Head Neck Surg. 2008;138(1):19-26. 
  13. Torretta S, Rosazza C, Pace ME, Iofrida E, Marchisio P. Impact of adenotonsillectomy on pediatric quality of life: review of the literature. Ital J Pediatr. 2017 Nov 25;43(1):107.  https://doi.org/10.1186/s13052-017-0424-2

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