Clinical Manifestations Clinically significant OSA usually hse the triad of snoring, evidence of breathing difficulties during sleep, and respiratory pause or apnea. Sleep history should be asked at each well child visit. Suspicion when underlying conditions are present History of restless sleep, increased respiratory efforts, gasping, and choking, and unusual sleep position. Normal while the child is awake. Tape or video child sleeping Polysomnography is the gold standard.
Monitors sleep, eye movement, respiratory effort, and brain activity.
Differential Diagnosis Upper airway obstruction GER asthma Nocturnal seizures. Treatment Tonsil and adenoidectomy. May lead to cure but reoccurrence do happen especially if other risk factors like neuromuscular or craniofacial abnormalities exist. Must monitor carefully after surgery especially in younger patients and repeat sleep study. Medical Clinics of North America.