Management of Snoring in Children

Author: Anne D. Walling
Date: March 15, 2001

(Hong Kong--The Hong Kong Practitioner, October 2000, p. 495.) Up to 10 percent of children are reported to snore almost every night. Because any narrowing of the upper airway can predispose children to snoring, it can be caused by a wide range of clinical conditions, including adenoid enlargement, hypertrophy of nasal turbinates or retrognathia. Most childhood cases are caused by primary snoring and are not associated with hypoventilation, apnea, sleep disturbance or daytime symptoms. Any associated rhinitis or upper respiratory conditions should be managed and good sleep patterns should be encouraged. More serious cases of snoring may be associated with upper airway resistance syndrome or even obstructive sleep apnea. In these conditions, disturbance of sleep from hypoxia can lead to such daytime symptoms as inattention, hyperactivity, sleepiness and headache. Sleep polysomnography may be necessary for diagnosis, but may be difficult to perform in young children because most do not cooperate.

COPYRIGHT 2001 American Academy of Family PhysiciansCOPYRIGHT 2001 Gale Group

 
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