Children and nocturnal snoring: Evaluation of the effects of sleep related respiratory resistive load and daytime functioning
- 211 Downloads
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 wordsSnoring Respiratory resistive load Tonsillectomy Sleep 24 h Holter ECG
Unable to display preview. Download preview PDF.
- 1.Duron B (1973) Postural and ventilatory functions of intercostal muscles. Acta Neurobiol Exp 33:335Google Scholar
- 5.Guilleminault C, Dement WC (eds) (1978) Sleep Apnea Syndromes. A. R. Liss, New YorkGoogle Scholar
- 8.Orem J, Netick A, Dement WC (1977) Increased upper airway resistance to breathing during sleep in the cat. Electroencephalgr Clin Neurophysiol 43:14–22Google Scholar
- 9.Pengelly LD, Rebuck AS, Cambell EMG (1975) Loaded Breathing. Proceedings of an international symposium. C. Livingstone, EdinburghGoogle Scholar
- 10.Sullivan CE (1981) Breathing in sleep. In: Orem J, Barnes CD (eds) Physiology in sleep. Academic Press, New York, p 213Google Scholar
- 11.Tanner JM (1962) Growth in adolescence, 2nd ed. Oxford-Blackwell, OxfordGoogle Scholar
- 12.Tassinari CA, Dalla-Bernadina B, Cirignotta F, Ambrosetto G (1972) Apnoeic periods and the respiratory related arousal patterns during sleep in the Pickwickian Syndrome: a polygraphic study. Bull Physio-Pathology Resp 8:1087–1102Google Scholar
- 14.Wilkinson R (1960) Sleep deprivation: performance tests for partial and selective sleep deprivation. In: Abt L, Riess B (eds) Progress in clinical psychology, vol. 8. Greene and Stratton, New YorkGoogle Scholar