Original Investigations

European Journal of Pediatrics

, Volume 139, Issue 3, pp 165-171

First online:

Children and nocturnal snoring: Evaluation of the effects of sleep related respiratory resistive load and daytime functioning

  • Ch. GuilleminaultAffiliated withSleep Disorders Clinic--TD-114, Stanford University Medical Center
  • , R. WinkleAffiliated withDivision of Cardiology Stanford University Medical Center
  • , R. KorobkinAffiliated withSleep Disorders Clinic--TD-114, Stanford University Medical Center
  • , B. SimmonsAffiliated withENT Division Stanford University Medical Center

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Abstract

Twenty-five children, age range 2 to 14 years (mean age=7), were referred to the Stanford University Sleep Disorders Clinic for various clinical symptoms, including excessive daytime somnolence, heavy nocturnal snoring, and abnormal daytime behavior. All children (10 girls and 15 boys) were polygraphically monitored during sleep. No sleep apnea syndrome or oxygen desaturation was revealed. However, each child presented significant respiratory resistive load during sleep associated with electrocardiographic R-R interval and endoesophageal pressure swings. The most laborious breathing occurred during REM sleep. Second degree atrioventricular blocks were also noted. Tonsillectomy and/or adenoidectomy was performed in every case and resulted in a complete disappearance or substantial amelioration of the reported symptoms. Objective evaluation by Multiple Sleep Latency Test and Wilkinson Addition Test confirmed the beneficial effect of surgery.

Key words

Snoring Respiratory resistive load Tonsillectomy Sleep 24 h Holter ECG