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Schnarchen und schlafbezogene Atmungsstörungen bei Kindern — Klinik, Differentialdiagnosen und Indikationen zur Adenotonsillektomie

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Teil I: Referate

Zusammenfassung

Die in den letzten Jahren erfolgte Anerkennung und Erforschung des Schnarchens und der obstruktiven Schlafapnoe (OSA) bei Erwachsenen als eigenständige Erkrankung hat auch das Schnarchen und die im Schlaf auftretenden Atemstillstände der Kinder in den Blickpunkt des Interesses gerückt.

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Literatur

  1. Abreu e Silva FA, MacFadyen UM, Williams, A, Simpson H (1986) Sleep apnoea during upper respiratory infection and metabolic alkalosis in infancy. Arch Dis Child 61: 1056–1062

    Article  PubMed  Google Scholar 

  2. Abreu e Silva FA, Williams A, Simpson H (1986) Sleep apnoea in infants with congenital stridor. Arch Dis Child 61: 1125–1167

    Article  PubMed  Google Scholar 

  3. Ahlqvist Rastad J, Hultcrantz E, Svanholm H (1988) Children with tonsillar obstruction: indications for and efficacy of tonsillectomy. Acta Paediatr Scand 77: 831–835

    Article  PubMed  CAS  Google Scholar 

  4. Ainger JE (1968) Large tonsils and adenoids in small children with cor pulmonale. Br Heart J 30: 356

    Article  PubMed  CAS  Google Scholar 

  5. Amend G (1989) Handbuch der MESAM Schlaf-Apnoe-Diagnostik. Madaus Medizin Elektronik, Freiburg

    Google Scholar 

  6. Anders T (1982) Neurophysiological studies of sleep in infants and children. J Child Psychol Psychiatr 23(1): 75–83

    Article  CAS  Google Scholar 

  7. Ariagno RC, Guilleminault C (1985) Apnea during sleep in the pediatric patient. Clin Chest Med 6: 679–690

    PubMed  CAS  Google Scholar 

  8. Aserinsky E, Kleitman N (1953) Regularly occurring periods of eye motility and concomitant phenomena during sleep. Science 118: 273–274

    Article  PubMed  CAS  Google Scholar 

  9. Barr GS, Osborne J (1988) Weight gain in children following tonsillectomy. J Laryngol Otol 102: 595–597

    PubMed  CAS  Google Scholar 

  10. Bate TWP, Price DA, Hohne CA, McGucken RB (1984) Short stature caused by obstructive apnea during sleep. Arch Dis Child 59: 78–80

    Article  PubMed  CAS  Google Scholar 

  11. Becker H, Amend G, Fett I, Penzel T, Peter JH, v Wichert P (1990) The efficiency of the MESAM System in long term controll of the NCPAP Therapy. In: Peter JH, Penzel T, Podszus T, v Wichert P (eds) Sleep and health risk. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  12. Berman TM, Wedel MK, Bergen BJ, Brown CA (1985) A child with obstructive sleep apnea. Minn Med 68: 773–774

    PubMed  CAS  Google Scholar 

  13. Billiard M, Seignalet J, Besset A, Cadilhac J (1986) HLA-DR2 and narcolepsy. Sleep 9: 49–152

    Google Scholar 

  14. Bourne RA, Maltby CC, Donaldson JD (1988) Obese hypoventilation syndrome of early childhood requiring ventilatory support. Int J Pediatr Otorhinolaryngol 16: 61–68

    Article  PubMed  CAS  Google Scholar 

  15. Bridge EM, Livingston S, Tietze C (1943) Breath holding spells. J Pediatr 23: 539–561

    Article  Google Scholar 

  16. Brodsky L, Siddiqui SY, Stanievich JF (1987) Massive oropharyngeal papillomatosis causing obstructive sleep apnea in a child. Arch Otolaryngol Head Neck Surg 113: 882–884

    Article  PubMed  CAS  Google Scholar 

  17. Brodsky L, Adler E, Stanievich JF (1989) Naso- and oropharyngeal dimensions in children with obstructive sleep apnea. Int J Pediatr Otorhinolaryngol 17: 1–11

    Article  PubMed  CAS  Google Scholar 

  18. Brouillette R, Hanson D, David R, Klemka L (1984) A diagnostic approach to suspected obstructive sleep apnea in children. J Pediatrics 105: 10

    Article  Google Scholar 

  19. Brouillette RT, Thach BT (1979) A neuromuscular mechanism maintaining extrathoracic airway patency. J Appl Physiol 46: 772–779

    PubMed  CAS  Google Scholar 

  20. Brouillette RT, Fernbach SK, Hunt CE (1982) Obstructive sleep apnea in infants and children. J Pediatr 100: 31–40

    Article  PubMed  CAS  Google Scholar 

  21. Bruhn T (1977) Apnea associated with respiratory syncytial virus infection in young infants. J Pediatr 90: 382–386

    Article  PubMed  CAS  Google Scholar 

  22. Buts JP, Barudi C, Moulin D, Claus D, Cornu G, Otte JB (1986) Prevalence and treatment of silent gastro-oesophageal reflux in children with recurrent respiratory disorders. Eur J Pediatr 145: 396–400

    Article  PubMed  CAS  Google Scholar 

  23. Butt W, Robertson C, Phelan P (1985) Snoring in children: is it pathological? Med J Aust 143: 335–336

    PubMed  CAS  Google Scholar 

  24. Capper JWR, Randall C (1984) Post-operative haemorrhage in tonsillectomy and adenoidectomy in children. J Laryngol Otol 98: 363

    Article  PubMed  CAS  Google Scholar 

  25. Carscadon MA, Harvey K, Dement WC, Guilleminault C, Simmons FB, Anders TF (1978) Respiration during sleep in children. West J Med 128: 477–481

    Google Scholar 

  26. Carscadon MA, Dement WC, Mitler MM (1986) Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 9: 519–524

    Google Scholar 

  27. Carter M, Stokes D, Wang W (1988) Severe obstructive sleep apnea in a child with osteopetrosis. Clin Pediatr Phila 27: 108–110

    Article  PubMed  CAS  Google Scholar 

  28. Check WA (1982) Medical news: does drop in T and A’s pose new issue of adenotonsillar hypertrophy? JAMA 247: 1229–1230

    Article  PubMed  CAS  Google Scholar 

  29. Costin G, Kaufman FR, Brasel JA (1989) Growth hormone secretory dynamics in subjects with normal stature. J Pediatr 115: 537–544

    Article  PubMed  CAS  Google Scholar 

  30. Cozzi F, Pierro A (1985) Glossoptosis-apnea syndrome in infancy. Pediatrics 75: 836–843

    PubMed  CAS  Google Scholar 

  31. Croft CB, Brockbank MJ, Wright A, Swanson AR (1990) Obstructive sleep apnoea in children undergoing routine tonsillectomy and adenoidectomy. Clin Otolaryngol 15: 307–314

    Article  PubMed  CAS  Google Scholar 

  32. Crowe SJ, Watkins SS, Rotholz AS (1917) Relation of tonsillar and nasopharyngeal infections to general systemic disorders. Bull John Hopkins Hosp 28: 1–25

    Google Scholar 

  33. Cumminskey J, Williams TC, Krumpe PE (1982) The detection and quantification of sleep apnea by tracheal sound recordings. Am Rev Respir Dis 126: 221–224

    Google Scholar 

  34. Daily WJR, Klaus M, Meyer HB (1969) Apnea in premature infants: Monitoring, incidence, heart rate changes and effect of environmental temperature. Pediatrics 43: 510

    PubMed  CAS  Google Scholar 

  35. Delport SD, Mulder AA (1987) Obstructive sleep apnoea persisting after adenoidectomy [letter]. South Afr Med J 71: 194–195

    CAS  Google Scholar 

  36. Edison BD, Kerth JD (1973) Tonsilloadenoid hypertrophy resulting in cor pulmonare. Arch Otolaryngol 98: 205–207

    Article  PubMed  CAS  Google Scholar 

  37. Eliashar J, Lavie P, Halperin E, Gordon C, Aray G (1980) Sleep apneic episodes as indications for adenotonsillectomy. Arch Otolaryngol 106: 492–496

    Article  Google Scholar 

  38. Ermens F, van Geert G, Kahn A, Blum D (1984) Obstructive sleep apnea syndrome in childhood. Acta Otorhinolaryngol (Belg) 38: 268–277

    CAS  Google Scholar 

  39. Everett AD, Kock WC, Saulsbury FT (1987) Failure to thrive due to obstructive sleep apnea. Clin Pediatr (Phila) 26: 90–92

    Article  CAS  Google Scholar 

  40. Fairbanks DN (1984) Snoring: surgical vs nonsurgical management. Laryngoscope 94: 1188–1192

    Article  PubMed  CAS  Google Scholar 

  41. Felman AH (1979) Upper airway obstruction during sleep in children. AJR 133: 213–216

    PubMed  CAS  Google Scholar 

  42. Fleming PJ, Cade D, Bryan MH, Bryan AC (1980) Congenital central hypoventilation and sleep state. Pediatrics 66: 425–428

    PubMed  CAS  Google Scholar 

  43. Folgering H (1988) Pathophysiology of the control of breathing during sleep in neonates. In: Andler T, Schläfke M (Hrsg) Der plötzliche Kindstod. Humana 1990

    Google Scholar 

  44. Frank Y, Kravath RE, Pollak CP, Weitzman ED (1983) Obstructive sleep apnea and its therapy. Clinical and Polysomnographic manifestations Pediatrics 71: 737–742

    PubMed  CAS  Google Scholar 

  45. Fry J (1957) Are all T’s and A’s necessary? Br Med J 1: 124–129

    Article  PubMed  CAS  Google Scholar 

  46. Fujita S, Onway W, Zorick F, Roth TH (1981) Surgical correction of anatomical abnormalities in obstructive sleep apnea: UPPP. Otolaryngol Head Neck Surg 89: 923–934

    PubMed  CAS  Google Scholar 

  47. Gabriel M, Albani M, Schulte FJ (1976) Apneic spells and sleep states in preterm infants. Pediatrics 57: 142

    PubMed  CAS  Google Scholar 

  48. Gastaut H, Tassinari CA, Duron B (1966) Polygraphic study of episodic diurnal and nocturnal (hypnic and respiratory) manifestations of the Pickwickian syndrome. Brain Res 2: 167–186

    Article  Google Scholar 

  49. Gastpar H (1984) Die Indikation zur Tonsillektomie im Kindesalter aus heutiger Sicht. Laryngol Rhinol Otol 63: 203–205

    Article  CAS  Google Scholar 

  50. Gauk E, Kidd L, Prichard JS (1963) Mechanisms of seizures associated with breathholding spells. N Engl J Med 268: 1436–1441

    Article  PubMed  CAS  Google Scholar 

  51. Girling DJ (1972) Changes in heart rateblood pressure and pulse pressure during apneic attacks in newborn babies. Arch Dis Child 47: 405–410

    Article  PubMed  CAS  Google Scholar 

  52. Gordon N (1988) Nasal obstruction in childhood: the obstructive sleep apnoea syndrome. Dev Med Child Neurol 30: 261–265

    Article  PubMed  CAS  Google Scholar 

  53. Grundfast KM, Wittich DJ (1982) Adenotonsillar hypertrophy and upper airway obstruction in the evolutionary perspective. Laryngoscope 92: 650–656

    Article  PubMed  CAS  Google Scholar 

  54. Guilleminault C, Eldridge FC, Simmons FB, Dement WC (1976) Sleep apnea in eight children. Pediatrics 58: 23–30

    PubMed  CAS  Google Scholar 

  55. Guilleminault C, Korobkin R, Winkle R (1981) A review of 50 children with obstructive sleep apnea syndrome. Lung 159: 275–287

    Article  PubMed  CAS  Google Scholar 

  56. Guilleminault C, Stoohs R (1990) Obstructive sleep apnea syndrome in children. Pediatrician 17: 46–51

    PubMed  CAS  Google Scholar 

  57. Guilleminault C, Tilkian A, Dement WC (1976) The sleep apnea syndromes. Ann Rev Med 27: 465–484

    Article  PubMed  CAS  Google Scholar 

  58. Guilleminault C, Souquet M, Ariagno R (1984) Five causes of nearmiss sudden infant death syndrome and development of OSAS. Pediatrics 73: 71

    PubMed  CAS  Google Scholar 

  59. Guilleminault C, Challamel MJ (1981) Congenital central hypoventilation syndrome (CCHS): Independent syndrome or generalized impairment of the autonomic nervous system. In: Korobkin R, Guilleminault C (eds) Progress in perinatal neurology, vol 1. Williams & Wilkins, Baltimore, pp 197–214

    Google Scholar 

  60. Guilleminault C, Partinen M, Quera-Salva M (1988) Determinants of daytime sleepiness in obstructive sleep apnea. Chest 94: 32–37

    Article  PubMed  CAS  Google Scholar 

  61. Guilleminault C, Eldridge CF, Dement WC (1973) Insomnia with sleep apnea: a new syndrome. Science 181: 856–858

    Article  PubMed  CAS  Google Scholar 

  62. Guilleminault C, Nino-Murcia G, Heldt G (1986) Alternative treatment to tracheostomy in obstructive sleep apnea: nasal CPAP in children. Pediatrics 78: 797–802

    PubMed  CAS  Google Scholar 

  63. Guilleminault C, Winkle R, Korobkin R (1982) Children and nocturnal snoring: Evaluation of the effects of sleep related respiratory resistive load and daytime functioning. Eur J Pediatr 139: 165–171

    Article  PubMed  CAS  Google Scholar 

  64. Guilleminault C, Connoly S, Winkle R, Melvin R (1984) Cyclic variation of the heart rate in sleep apnea syndrome: mechanisms and usefullness of 24 h electrocardiography as ascreening technique. Lancet 1: 126–131

    Article  PubMed  CAS  Google Scholar 

  65. Guilleminault C, Peraita R, Souquet M, Dement WC (1975) Apneas during sleep in infants. Science 190: 677–679

    Article  PubMed  CAS  Google Scholar 

  66. Guilleminault C, Heldt G, Powell N (1986) Small upper airway: a familial risk for apnea in near-miss SIDS and their parents. Lancet 8: 402–407

    Article  Google Scholar 

  67. Gulliford MC, Price CE, Rona RJ, Chinn S (1990) Sleep habits and height at ages 5 to 11. Arch Dis Child 65: 119–122

    Article  PubMed  CAS  Google Scholar 

  68. Haddad GG, Mazza NM, Detendine R, Blanc WA, Driscoll JM, Epstein MF (1978) Congenital failure of automatic ventilation gastrointestinal motility and heart rate. Medicine 57: 517–526

    Article  PubMed  CAS  Google Scholar 

  69. Harvold EP, Chierici G, Vargervik K (1972) Experiments on the interaction between orofacial function and morphology. ENT J 66: 201–208

    Google Scholar 

  70. Henderson-Smart DJ (1983) Clinical apnea and brainstem neural function in preterm infants. N Engl Med 308: 353–357

    Article  CAS  Google Scholar 

  71. Hibbert J, Stell P (1978) Adenoidectomy: An evaluation of indications. Arch Dis Child 53: 910–911

    Article  PubMed  CAS  Google Scholar 

  72. Hibbert J, Stell PM (1979) A radiologic study of the adenoid in normal children. Br J Radiol 54: 117–121

    Google Scholar 

  73. Hodges S, Wailoo MP (1987) Tonsillar enlargement and failure to thrive. Br Med J 295: 541–542

    Article  CAS  Google Scholar 

  74. Hoppenbrouwers T, Hodgman JE, Harper RM, Hofmann E, Sterman MB, McGinty DJ (1977) Polygraphic studies of normal infants during the first six months of life: III Incidence of apnea and periodic breathing. Pediatrics 60: 418–425

    PubMed  CAS  Google Scholar 

  75. Hultcrantz E, Svanholm H, Ahlqvist Rastad J (1988) Sleep apnea in children without hypertrophy of the tonsils. Clin Pediatr Phila 27: 350–352

    Article  PubMed  CAS  Google Scholar 

  76. Jeans WD, Fernando DCJ, Maw AR, Leighton BC (1981) A longitudinal study of growth of the nasopharynx and its contents in normal children. Br J Radiol 54: 117–121

    Article  PubMed  CAS  Google Scholar 

  77. Jovanovic UJ (1971) Normal sleep in man. Hippokrates, Stuttgart

    Google Scholar 

  78. Kahn A, Sottiaux M, Appelboom-Fondu J, Blum D, Rebuffat E, Levitt J (1989) Long term development of children monitored as infants for an apparent life threatening event during sleep: a 10-year follow upstudy. Pediatrics 83: 668–673

    PubMed  CAS  Google Scholar 

  79. Kahn A, Rebuffat E, Sottiaux M, Blum D (1988) Infant with an apparent life threatening event and possible risk for sudden infant death syndrome. In: Andler T, Schlaefke M (eds) Plötzlicher Kindstod. Humana 1990

    Google Scholar 

  80. Klein JC (1986) Nasal respiratory function and craniofacial growth. Arch Otolaryngol Head Neck Surg 112: 843–849

    Article  PubMed  CAS  Google Scholar 

  81. Knöbber D, Rose KG (1985) Das Schlaf-Apnoe-Syndrom bei Kindern: Eine Indikation zur Tonsillektomie. HNO 33: 87–89

    PubMed  Google Scholar 

  82. Konno A, Togawa K, Hoshima T (1980) The effect of nasal obstruction in infancy and early childhood upon ventilation. Laryngoscope 90: 699

    PubMed  CAS  Google Scholar 

  83. Konno A, Tadahiko H, Togawa K (1980) Influence of upper airway obstruction by enlarged tonsils and adenoids upon recurrent infection of the lower airway in child-hood. Laryngoscope 90: 1709–1716

    PubMed  CAS  Google Scholar 

  84. Korvenrata H, Kelo P, Välimäki J (1982) Intraesophageal pressure monitoring and the severity of respiratory distress syndrome. Eur J Pediatr 138: 297–300

    Article  Google Scholar 

  85. Kotagal S, Hartse KM, Walsh JK (1990) Characteristics of narcolepsy in preteenaged children. Pediatrics 85: 205–209

    PubMed  CAS  Google Scholar 

  86. Kravath RE, Pollack CP, Borowiecki B (1977) Hypoventilation during sleep in children who have lymphoid airway obstruction treated by nasopharyngeal tube and T and A. Pediatrics 59: 865

    PubMed  CAS  Google Scholar 

  87. Krieger AJ, Detwiler KS, Trooskin SZ (1976) Respiratory function in infants with Arnold Chiari malformation. Laryngoscope 86: 718

    Article  PubMed  CAS  Google Scholar 

  88. Krumpe PE, Cumminskey JM (1980) Use of laryngeal sound recordings to monitor apnea. Am Rev Respir Dis 122: 797–801

    PubMed  CAS  Google Scholar 

  89. Kryger MH (1983) Sleep apnea: from the needles of Dionysius to continuous positive airway pressure. Arch Int Med 143: 2301–2303

    Article  CAS  Google Scholar 

  90. Küsel M (1991) Die Erfassung von Schnarchen und schlafbezogenen Atemregulationsstörungen bei Kindern mit einem neuen Rekorder (MESAM). Inaugural-Dissertation, Marburg

    Google Scholar 

  91. Kuhlo W, Doll E, Franck MC (1969) Erfolgreiche Behandlung eines Pichwick-Syndroms durch eine Dauertrachealkanüle. Dtsch Med Wochenschr 94: 1286–1290

    Article  PubMed  CAS  Google Scholar 

  92. Kusek E (1991) Über den Einfluß der Adeno-Tonsillektomie auf schlafbezogene Atmungsstörungen bei Kindern. Inaugural-Dissertation, Marburg

    Google Scholar 

  93. Laurikainen E, Erkinjuntti M, Alihanka J, Rikalainen H, Suonpaa (1987) Radiological parameters of the bony nasopharynx and the adenotonsillar size compared with sleep apnea episodes in children. Int J Pediatr Otorhinolaryngol 12: 303–310

    Article  PubMed  CAS  Google Scholar 

  94. Lauritzen C, Lilja J, Jarlstedt J (1986) Airway obstruction and sleep apnea in children with craniofacial anomalies. Plast Reconstr Surg 77: 1–6

    Article  PubMed  CAS  Google Scholar 

  95. Lavie P (1984) Nothing new under the moon: historical accounts of sleep apnea syndrome. Arch Intern Med 144: 2025–2028

    Article  PubMed  CAS  Google Scholar 

  96. Leiberman A, Tal A, Brama I, Sofer S (1988) Obstructive sleep apnea in young infants. Int J Pediatr Otorhinolaryngol 16: 39–44

    Article  PubMed  CAS  Google Scholar 

  97. Levitt P, Cohn MA (1988) Sleep apnea and the Chiari I malformation: case report. Neurosurgery 23: 508–510

    Article  PubMed  CAS  Google Scholar 

  98. Levy AM, Tabakin BS, Hanson JS, Narkiewicz RM (1967) Hypertrophied adenoids causing pulmonary hypertension and severe congestive heart failure. N Engl J Med 277: 506

    Article  PubMed  CAS  Google Scholar 

  99. Lind MG, Lundell BP (1982) Tonsillar hyperplasia in children. Arch Otolaryngol 108: 650–654

    Article  PubMed  CAS  Google Scholar 

  100. Linder-Aronson S (1975) Effect of adenoidectomy on the dentition and facial skeleton over a period of five years. In: Cook JT (ed) Transactions of the Third International Orthodontic Congress, pp 85–100

    Google Scholar 

  101. Linder-Aronson S (1970) Adenoids: their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. Acta Otolaryngol [Suppl] 265: 1–132

    CAS  Google Scholar 

  102. Longobardo GS (1982) Sleep apnea considered as a controll system instability. Respir Physiol 50: 311–333

    Article  PubMed  CAS  Google Scholar 

  103. Luke MJ (1966) Chronic nasopharyngeal obstruction as a cause of cardiomegaly and cor pulmonale. Pediatrics 37: 762–768

    PubMed  CAS  Google Scholar 

  104. MacFadyen UM, Borthwick G, Simpson H, McKay M, Neilson J (1988) Monitoring for central apnoea in infancy — limitations of single channel recordings. Arch Dis Child 63: 282–287

    Article  PubMed  CAS  Google Scholar 

  105. MacKenzie M (1880) A manual of diseases of the throat and nose including the pharynx larynx trachea oesophagus nasal cavities and neck, pp 63 (vol 2) and 497 (vol 1). Churchill, London (Zit. in Swift [207])

    Google Scholar 

  106. Mackay M, Silva FAE, MacFadyen UM, Williams A, Simpson H (1984) Home monitoring for central apnea. Arch Dis Child 59: 136–142

    Article  PubMed  CAS  Google Scholar 

  107. Maddern BR, Reed HT, Ohene Frempong K, Beckerman RC (1989) Obstructive sleep apnea syndrome in sickle cell disease. Ann Otol Rhinol Laryngol 98: 174–178

    PubMed  CAS  Google Scholar 

  108. Mahowald MW, Rosen GM (1990) Parasomnias in children. Pediatrician 17: 21–31

    PubMed  CAS  Google Scholar 

  109. Mallory GB Jr, Fiser DH, Jackson R (1989) Sleep-associated breathing disorders in morbidly obese children and adolescents. J Pediatr 115: 892–897

    Article  PubMed  Google Scholar 

  110. Malone BN, Whitley CB, Duvall AJ, Belani K, Sibley RK, Ramsay NKT et al. (1988) Resolution of obstructive sleep apnea in Hurler syndrome afterbone marrow transplantation. Int J Pediatr Otorhinolaryngol 15: 23–31

    Article  PubMed  CAS  Google Scholar 

  111. Mandel EM, Reynolds CF (1981) Sleep disorders associated with upper airway obstruction in children. Pediatr Clin North Am 28: 897–903

    PubMed  CAS  Google Scholar 

  112. Mangat D, Orr W, Smith R (1977) Sleep apnea, hypersomnolence and upper airway obstruction secondary to adenotonsillar enlargement. Arch Otolaryngol 103: 383–386

    Article  PubMed  CAS  Google Scholar 

  113. Mark JD, Brooks JG (1984) Sleep associated airway problems in children. Pediatr Clin North Am 13: 907–917

    Google Scholar 

  114. Marsh RR, Potsic WP, Pasquariello PS (1989) Reliability of sleep sonography in detecting upper airway obstruction in children. Int J Pediatr Otorhinolaryngol 18: 1–8

    Article  PubMed  CAS  Google Scholar 

  115. Marsh RR, Potsic WP et al (1983) Recorder for assessment of upper airway disorders. Otolaryngol Head Neck Surg 91: 584–585

    PubMed  CAS  Google Scholar 

  116. Marzocchi M, Brouillette RT, Weese Mayer DE, Morrow AS, Conway LP (1990) Comparison of transthoracic impedance/heart rate monitoring and pulse oximetry for patients using diaphragm pacemakers. Pediatr Pulmonol 8: 29–32

    Article  PubMed  CAS  Google Scholar 

  117. Mathew OP, Roberts JL, Thach BT (1982) Pharyngeal obstruction in preterm infants during mixed and obstructive apnea. J Pediatr 100: 964–968

    Article  PubMed  CAS  Google Scholar 

  118. Maulsby R, Kellaway P (1964) Transient hypoxic crises in children. In: Kellaway P, Petersen I (eds) Neurological and Electro-encephalographic correlative studies in children. Grune and Stratton, New York

    Google Scholar 

  119. Mauer KW, Staats BA, Olsen KD (1983) Upper airway obstruction and disordered nocturnal breathing in children. Mayo Clin Proc 58: 349–353

    PubMed  CAS  Google Scholar 

  120. Mawson SR, Adlington P, Evans MA (1967) A controlled study evaluation of adenotonsillectomy in children. J Laryngol Otol 81: 777–790

    PubMed  CAS  Google Scholar 

  121. Mayer-Brix J, Becker H, Peter JH (1989) Nasale Überdruckbeatmung bei obstruktivem Schlaf-Apnoe-Syndrom. Laryngol Rhinol Otol (Stuttg) 68: 295–298

    Article  CAS  Google Scholar 

  122. Mayer-Brix J, Müller-Marschhausen U, Becker H, Peter JH (1989) Wie häufig sind pathologische HNO-Befunde bei Patienten mit obstruktivem Schlaf-Apnoe-Syndrom? HNO 37: 511–516

    PubMed  CAS  Google Scholar 

  123. Mayer-Brix J, Glanz H, Schulze W, Meier-Ewert K (1988) HNO-ärztliche Befunde bei obstruktivem Schlaf-Apnoe-Syndrom. HNO 36: 133–139

    PubMed  CAS  Google Scholar 

  124. Mayer-Brix J, Küsel M, Kusek E, Schwarzenberger-Kesper F, Penzel T (1990) Die Erfassung von schlafbezogenen Atemregulationsstörungen bei Kindern mittels eines neuen ambulant einsetzbaren Rekorders. Arch Otorhinolaryngology

    Google Scholar 

  125. McCartney FJ, Panday J, Scott O (1969) Cor pulmonale as a result of chronic nasopharyngeal obstruction due to hypertrophied tonsils and adenoids. Arch Dis Child 44: 585–592

    Article  Google Scholar 

  126. McCormick MS, Wilkinson RA, Freeland AP, Pickering D (1981) Electrocardiographic signs of children who snore. Br Med J 201: 1579–1581

    Google Scholar 

  127. Meier-Ewert K (1989) Tagesschläfrigkeit. VCH, Mannheim

    Google Scholar 

  128. Mellins RB, Balfour HH, Turino GM, Winters RW (1970) Failure of automatic control of ventilation (Ondines Course). Report of an infant and review of the literature. Medicine 49: 487–504

    Article  PubMed  CAS  Google Scholar 

  129. Menashe V (1984) Hypoventilation and cor pulmonale due to chronic upper airway obstruction. J Pediatr 67: 198–203

    Google Scholar 

  130. Miyazaki S, Yoshiaki I, Yamakawa K, Okawa M, Togawa K (1989) Respiratory disturbance during sleep due to adeno-tonsillar hypertrophy. Am J Otolaryngol 10: 143–149

    Article  PubMed  CAS  Google Scholar 

  131. Montagu A (1974) Touching: the human significance of the skin. Columbia University Press, New York London, pp 17

    Google Scholar 

  132. Morikawa S, Safar P, de Carlo T (1961) Influence of the headjaw position upon airway patency. Anesthesiology 22: 265–270

    Article  PubMed  CAS  Google Scholar 

  133. Mucklow ES (1989) Obstructive sleep apnoea causing severe pulmonary hypertension reversed by emergency tonsillectomy. Br J Clin Pract 43: 260–263

    PubMed  CAS  Google Scholar 

  134. Muttitt SC, Finer NN, Tierney AJ, Rossmann J (1988) Neonatal apnea: diagnosis by nurse versus computer. Pediatrics 82: 713–720

    PubMed  CAS  Google Scholar 

  135. Noonan J (1965) Reversible cor pulmonale due to hypertrophied tonsils and adenoids: studies in two cases. Circulation 32 [Suppl 2]: 164

    Google Scholar 

  136. Onal E, Lopata M (1982) Periodic breathing and the pathogenesis of occlusive sleep apneas. Am Rev Respir Dis 126: 676–680

    PubMed  CAS  Google Scholar 

  137. Onal E, Leech JA, Lopata M (1985) Relationship between pulmonary function and sleep induced respiratory abnormalities. Chest 87: 437–441

    Article  PubMed  CAS  Google Scholar 

  138. Orr WC, Levine NS, Buchanan RT (1987) Effect of cleft palate repair and pharyngeal flap surgery on upper airway obstruction during sleep. Plast Reconstr Surg 80: 226–232

    Article  PubMed  CAS  Google Scholar 

  139. Orr WC, Males JC, Imes NK (1981) Myxedema and obstructive sleep apnea. Am J Med 70: 1061

    Article  PubMed  CAS  Google Scholar 

  140. Ovesen J, Osiim C, Clemmesen P, Wildschiodtz G, Kischinovsky G (1985) Snoring and obstructive sleep apnea in children before and after adenotonsillectomy. In: Mayers EN (ed) New dimensions of otolaryngology. Head Neck Surg 2: 1068–1069

    Google Scholar 

  141. Parker DC, Sassin JF, Mace JW, Gotlin RW, Rossman LG (1969) Human growth hormone release during sleep: electroencephalic correlation. J Clin Endocrinol 29: 871

    Article  CAS  Google Scholar 

  142. Parmelee AH, Stern E, Harris MA (1972) Maturation of respiration in premature and newborn infants during the first three days of life. Neuropediatrics 3: 294

    Article  CAS  Google Scholar 

  143. Peabody JL, Gregory GA, Willis MM, Philip AGS, Lucey JF (1979) Failure of conventional monitoring to detect apnea resulting in hypoxemia. Birth Defects 15: 275–284

    Google Scholar 

  144. Peiper A (1963) Cerebral function in infancy and childhood. New York Consultants Bureau 1963

    Google Scholar 

  145. Penzel T, Amend G, Peter JH, Podszus T, von Wichert P, Zahorka M (1988) Objective monitoring of therapeutical success in heavysnorers: a new technique. In: Chouard CH (ed) Chronic ronchopathy. Libbey, pp 273–278

    Google Scholar 

  146. Penzel T, Amend G, Meinzer K, Peter JH, von Wichert P (1990) Technical note: MESAM: A heart rate and snoring recorder for detection of obstructive sleep apnea. Sleep: 175–182

    Google Scholar 

  147. Peter JH, Penzel T, Podszus T, v Wichert P (eds) (1990) Sleep and health risk. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  148. Peter JH, Becker E, Fuchs E, Meinzer K, v Wichert P (1982) Ambulante Langzeitregistrierung von arterieller Sauerstoffspannung und Herzrhythmusstörungen bei Patienten mit Schlaf-Apnoe-Syndrom. Verh Deutsche Ges Inn Med 88, Bergmann, München

    Google Scholar 

  149. Peter JH (1987) Die Erfassung der Schlaf-Apnoe in der Inneren Medizin. Thieme, Stuttgart New York

    Google Scholar 

  150. Peter JH (1990) Atmung und Schlaf: Schlafbezogene Atmungsstörungen. In: Berger M, Röther E (Hrsg) Erkrankungen des Schlafs. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  151. Peter JH, Penzel T, Podszus T, Raschke F, Schneider H, Stoohs R, v Wichert P (1988) Pathogenese der schlafbezogenen Atmungsstörungen. Verh Dt Ges Inn Med 94: 331–341

    CAS  Google Scholar 

  152. Peter JH (1991) Störungen der Atmungsregulation. In: Hornbostel, Kaufmann, Siegenthaler (Hrsg) Handbuch der Inneren Medizin. Thieme, Stuttgart

    Google Scholar 

  153. Peter JH (1990) Sleep apnea and cardiovascular diseases. In: Guilleminault, Partinen (eds) Obstructive sleep apnea syndromes: clinical research and treatment. Raven Press, New York

    Google Scholar 

  154. Phillips DE, Rogers JH (1988) Down’s syndrome with lingual tonsil hypertrophy producing sleep apnoea. J Laryngol Otol 102: 1054–1055

    PubMed  CAS  Google Scholar 

  155. Pilcher JJ, Schulz H (1987) The interaction between EEG and transient muscle activity during sleep in humans. Hum Neurobiol 6: 45–49

    PubMed  CAS  Google Scholar 

  156. Potsic WP (1989) Sleep apnea in children. Otolaryngol Clin North Am 22: 537–544

    PubMed  CAS  Google Scholar 

  157. Potsic WP, Pasquariello PS, Baranak CC, Marsh RR, Miller LM (1986) Relief of upper airway obstruction by adenotonsillectomy. Otolaryngol Head Neck Surg 94: 476–480

    PubMed  CAS  Google Scholar 

  158. Potsic WP (1987) Comparison of polysomnography and sonography for assessing regularity of respiration during sleep in adenotonsillar hypertrophy. Laryngoscope 97: 1430–1437

    Article  PubMed  CAS  Google Scholar 

  159. Pratt LW, Gallagher RA (1979) Tonsillectomy and adenoidectomy: incidence and mortality. Otolaryngol Head Neck Surg 87: 159–166

    PubMed  CAS  Google Scholar 

  160. Praud JP, D’Allest AM, Nedelcoux H, Curzi Dascalova L, Guilleminault C (1989) Sleep-related abdominal muscle behavior during partial or complete obstructed breathing in prepubertal children. Pediatr Res 26: 347–350

    Article  PubMed  CAS  Google Scholar 

  161. Proctor B (1982) Discussion to Grundfast. Laryngoscope 92: 655

    Google Scholar 

  162. Quera Salva MA, Guilleminault C (1987) Post-traumatic central sleep apnea in a child. J Pediatr 110: 906–909

    Article  PubMed  CAS  Google Scholar 

  163. Rajagopal KR, Albrecht PH, Tellis C (1984) Control of breathing in obstructive sleep apnea. Chest 85: 174–180

    Article  PubMed  CAS  Google Scholar 

  164. Rasmussen N (1987) Complications of tonsillectomy and adenoidectomy. Otolaryngol Clin North Am 20: 383–390

    PubMed  CAS  Google Scholar 

  165. Rechtschaffen A, Kales A (1968) A manual of standardized terminology: Techniques and scoring system for sleep stages in human subjects. University of California, Los Angeles

    Google Scholar 

  166. Reed R, Roberts JL, Thach BT (1985) Factors influencing regional patency and configuration of the upper airway in human infants. J Appl Physiol 58: 635–644

    PubMed  CAS  Google Scholar 

  167. Reilly JS (1988) Tonsillar and adenoid airway obstruction: modes of treatment in children. Int Anesthesiol Clin 26: 54–57

    Article  PubMed  CAS  Google Scholar 

  168. Remmers JE, de Groot WJ, Sauerland EK, Anch AM (1978) Pathogenesis of upper airway closure during sleep. J Appl Physiol Resp Environ Exc Physiol 44: 931–938

    CAS  Google Scholar 

  169. Reynolds CF, Stool S, Holzer B (1980) Polysomnographic findings in children with adenotonsillar hypertrophy. Trans Penna Acad Ophthalmol Otolaryngol 33: 183–187

    Google Scholar 

  170. Richardson MA, Seid AB, Cotton RT, Benton C, Kramer M (1980) Evaluation of tonsils and adenoids in sleep apnea syndrome. Laryngoscope 90: 1106–1110

    Article  PubMed  CAS  Google Scholar 

  171. Riley R, Guilleminault C, Herran J (1983) Cephalometric analyses and flow volume loops in obstructive sleep apneic patients. Sleep 6: 303–311

    PubMed  CAS  Google Scholar 

  172. Roberts JL, Reed WR, Mathew OP, Thach BT (1986) Control of respiratory activity of the genioglossus muscle in micrognathic infants. J Appl Physiol 61: 1523–1533

    PubMed  CAS  Google Scholar 

  173. Robin P (1934) Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child 48: 541

    Google Scholar 

  174. Rosenfeld RM, Green RP (1990) Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol 99: 187–191

    PubMed  CAS  Google Scholar 

  175. Roth B (1980) Narcolepsy and hypersomnia. Karger, Basel

    Google Scholar 

  176. Rowe LD, Hansen TN, Nielson D, Tooley WH (1980) Continuous measurement of skin surface oxygen and carbon dioxide tensions in obstructive sleep apnoea syndrome. Laryngoscope 90: 1797–1803

    Article  PubMed  CAS  Google Scholar 

  177. Roydhouse N (1970) A controlled study of adenotonsillectomy. Arch Otolaryngol 92: 611–616

    Article  PubMed  CAS  Google Scholar 

  178. Ruff ME, Oakes WJ, Fisher SR, Spock A (1987) Sleep apnea and vocal cord paralysis secondary to type I Chiari malformation. Pediatrics 80: 231–234

    PubMed  CAS  Google Scholar 

  179. Sadeh A, Lavie P, Sher A, Tirosh E, Epstein R (1990) Actigraphic home monitoring of sleep disturbed and normal infants. Sleep Lab Faculty of Medicine

    Google Scholar 

  180. Sauerland EK, Harper RM (1976) The human tongue during sleep: Electromyographic activity of the genioglossus muscle. Exp Neurol 51: 160

    Article  PubMed  CAS  Google Scholar 

  181. Schaefer D, Schaefer T, Schlaefke M (1990) Unrelalibility of apnea monitoring in infants with sleep dependent hypoventilation syndrome. In: Peter JH, v Wichert P (eds) Sleep and health risk. Springer, Berlin Heidelberg New York Tokyo (im Druck)

    Google Scholar 

  182. Schaefer J (1988) Ein einfaches Verfahren zur quantitativen und zeitcodierten Erfassung von Schnarchgeräuschen bei Apnoikern und Schnarchern. Laryngol Rhinol Otol 67: 449–452

    Article  Google Scholar 

  183. Schätzle W (1960) Die Hypothesen zur Funktion der Tonsilla palatina, eine Bilanz der Tonsillenphysiologie. HNO 8: 289–296

    Google Scholar 

  184. Schiffmann R, Faber J, Eidelmann AI (1985) Obstructive hypertrophic adenoids and tonsils as cause of infantile failure to thrive: reversed by tonsillectomy and adenoidectomy. Int J Pediatr Otorhinolaryngol 9: 183–187

    Article  PubMed  CAS  Google Scholar 

  185. Schlien M (1991) Statistische Auswertung von 601 Adeno-Tonsillektomien: Indikationen, Befunde, Verläufe. Inaugural-Dissertation, Marburg

    Google Scholar 

  186. Schmitz D (1991) Über den Effekt der Adenotonsillektomie auf rezidivierende Infekte, Schnarchen, Schlaf und die Entwicklung von Körpergewicht und -größe. Inaugural-Dissertation, Marburg

    Google Scholar 

  187. Schwarzenberger-Kesper F (1990) Erste Erfahrungen in der Erfassung von SBAS bei Kleinkindern mit dem MESAM System. Marburg

    Google Scholar 

  188. Setliff RC, Puyan FA, Ward PH (1968) Pulmonary hypertension secondary to chronic upper airway obstruction. Laryngoscope 78: 845–856

    Article  Google Scholar 

  189. Shapiro T, Strome J, Grocker AC (1985) Airway obstruction and sleep apnea syndrome in Hurler and Hunter syndromes. Ann Otol Rhinol Laryngol 94: 458–461

    PubMed  CAS  Google Scholar 

  190. Shaw NJ, Bowler I, Dear P (1987) Tonsillar enlargement and failure to thrive. Br Med J 295: 1065

    Article  CAS  Google Scholar 

  191. Sher AE, Shprintzen RJ, Thorpy MJ (1986) Endoscopic observations of obstructive sleep apnea in children with anomalous upper airways: predictive and therapeutic value. Int J Pediatr Otorhinolaryngol 11: 135–146

    Article  PubMed  CAS  Google Scholar 

  192. Silverman M (1988) Airway obstruction and sleep disruption in Down’s syndrome. Br Med J Clin Res 296: 1618–1619

    Article  CAS  Google Scholar 

  193. Simmons FB, Guilleminault C, Dement WC, Tilkian AG, Hill M (1976) Surgical management of airway obstructions during sleep. Laryngoscope 87: 326–337

    Article  Google Scholar 

  194. Soerensen H, Solow B, Greve E (1980) Assessment of the nasopharyngeal airway. Acta Otolaryngol 89: 227–232

    Article  Google Scholar 

  195. Someren van VH, Stothers JH, Kyme MC, Morrison GAJ (1989) Identifying hypoxemia in children admitted for adenotonsillectomy. Br Med J 298: 1076

    Article  Google Scholar 

  196. Southall DP, Croft CB, Stebbens VA, Ibrahim H, Gurney A, Buchdahl R, Warner JO (1989) Detection of sleep associated dysfunctional pharyngeal obstruction in infants. Eur J Pediatr 148: 353–359

    Article  PubMed  CAS  Google Scholar 

  197. Southall DP, Stebbens VA, Mirzar R, Lang MH, Croft CB, Shinebourne EA (1987) Upper airway obstructions with hypoxemia and sleep disruption in Down’s syndrome. Dev Med Child Neurol 29: 734–742

    Article  PubMed  CAS  Google Scholar 

  198. Spaur RE (1982) The cardiopulmonary syndrome: Cor pulmonale secondary to chronic upper airway obstruction from hypertrophied tonsils and adenoids: a review. ENT J 62: 562–570

    Google Scholar 

  199. Spector S, Bautista AG (1956) Respiratory obstruction caused by acute tonsillitis and acute adenoiditis. NY State J Med 56: 2118–2119

    CAS  Google Scholar 

  200. Steinschneider A (1975) Nasopharyngitis and prolonged sleep apnea. Pediatrics 56: 967–971

    PubMed  CAS  Google Scholar 

  201. Steinschneider A, Rabuzzi D (1976) Apnea and airway obstruction during feeding and sleep. Laryngoscope 86: 1359–1366

    Article  PubMed  CAS  Google Scholar 

  202. Stephenson JBP (1978) Reflex anoxic seizures (white breath holding) non epileptic vagal attacks. Arch Dis Child 53: 193–200

    Article  PubMed  CAS  Google Scholar 

  203. Still GF (1923) Attacks of arrested respiration in the newborn. Lancet 1: 431–432

    Article  Google Scholar 

  204. Stokes DC, Phillips JA, Claire OL, Dorst JP, Kopits SE, Trojak JE, Brown DL (1983) Respiratory complications of achondroplasia. J Pediatr 102: 534–541

    Article  PubMed  CAS  Google Scholar 

  205. Stradling JR, Thomas G, Warley AR, Williams P, Freeland A (1990) Effect of adenotonsillectomy on nocturnal hypoxaemia, sleep disturbance and symptoms in snoring children. Lancet 335: 249–253

    Article  PubMed  CAS  Google Scholar 

  206. Sukerman S, Healy GB (1979) Sleep apnea syndrome associated with upper airway obstruction. Laryngoscope 89: 878–885

    Article  PubMed  CAS  Google Scholar 

  207. Swift AC (1988) Upper airway obstruction sleep disturbance and adenotonsillectomy in children. J Laryngol Otol 102: 419–422

    PubMed  CAS  Google Scholar 

  208. Swift PGF, Emery JL (1973) Clinical observations on response to nasal occlusion in infancy. Arch Dis Child 48: 947

    Article  PubMed  CAS  Google Scholar 

  209. Tal A, Leiberman A, Margulis G, Sofer S (1988) Ventricular dysfunction in children with obstructive sleep apnea: radionuclide assessment. Pediatr Pulmonol 4: 139–143

    Article  PubMed  CAS  Google Scholar 

  210. Talbot AR, Robertson R (1973) Cardiac failure with tonsil and adenoid hypertrophy. Arch Otorhinolaryngol 98: 277–281

    CAS  Google Scholar 

  211. Tami TA, Parker GS, Taylor RE (1987) Post tonsillectomy bleeding: an evaluation of risk factors. Laryngoscope 97: 1307–1311

    Article  PubMed  CAS  Google Scholar 

  212. Thach BT, Stark AR (1979) Spontaneous neck flexion and airway obstruction during apneic spells in preterm infants. J Pediatr 94: 275–281

    Article  PubMed  CAS  Google Scholar 

  213. Thach BT (1984) Pediatric aspects of sleep apnea syndrome. ENT J 63: 214–221

    CAS  Google Scholar 

  214. Thach BT (1985) Sleep apnea in infancy and childhood. Med Clin North Am 69: 1289–1315

    PubMed  CAS  Google Scholar 

  215. Tilkian AG, Guilleminault C (1977) Sleep induced apnea syndrome: Prevalence of cardiac arrhythmias and their reversal after tracheostomy. Am J Med 63: 348–357

    Article  PubMed  CAS  Google Scholar 

  216. Tonkin SL, Partridge J, Beach D, Whitney S (1979) The pharyngeal effect of partial nasal obstruction. Pediatrics 63: 261–271

    PubMed  CAS  Google Scholar 

  217. Vargervik K, Chierici G (1984) Experimentally induced neuromuscular changes during and after nasal airway obstruction. Am J Othocl 85: 385–392

    Article  Google Scholar 

  218. Warbuton D, Stark AR, Täusch HW (1977) Apnea monitor failure in infants with upper airway obstruction. Pediatrics 60: 742–744

    Google Scholar 

  219. Weider DJ, Hauri PJ (1985) Nocturnal enuresis in children with upper airway obstruction. Int J Pediatr Otorhinolaryngol 9: 173–182

    Article  PubMed  CAS  Google Scholar 

  220. Weir NF (1972) Clinical interpretation of tonsillar size. J Laryngol Otol 86: 1137–1144

    Article  PubMed  CAS  Google Scholar 

  221. Weissbluth M, Davis AT, Pocher J, Reiff J (1983) Signs of airway obstruction during sleep and behavioral developmental and academic problems. J Dev Behav Pediatr 4: 119

    Article  PubMed  CAS  Google Scholar 

  222. Werthammer J, Krasner J, Di Benedetto J, Stark AR (1983) Apnea monitoring by acoustic detection of airflow. Pediatrics 71: 53–55

    PubMed  CAS  Google Scholar 

  223. Wilkinson AR, McCormick MS, Freeland AP, Pickering D (1981) Electrocardiographic signs of pulmonary hypertension in children who snore. Br Med J 282: 1579–1582

    Article  CAS  Google Scholar 

  224. Wilson SL, Thach BT, Brouillette RT, Abu-Osba YK (1980) Upper airway patency in the human infant: influence of airway pressure and posture. J Appl Physiol 48: 500–504

    PubMed  CAS  Google Scholar 

  225. Yelderman M, New W (1983) Evaluation of pulse oximetry. J Anaesthesiol 59: 349–352

    Article  CAS  Google Scholar 

  226. Yitzchak F, Kravath RE, Pollak CP, Weitzman ED (1983) Obstructive sleep apnea and its therapy: Clinical and Polysomnographic manifestations. Pediatrics 71: 737–742

    Google Scholar 

  227. Zwillich CW, Pickett G, Hanson FN, Weil JV (1981) Disturbed sleep and prolonged apnea during nasal obstruction in normal men. Am Rev Respir Dis 124: 158–160

    PubMed  CAS  Google Scholar 

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  1. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Philipps-Universität, Deutschhausstr. 3, W-3550, Marburg/Lahn, Deutschland

    J. Mayer-Brix, E. Kusek & M. Küsel

  2. Arbeitsgruppe Zeitreihenanalyse, Medizinische Poliklinik, Philipps-Universität, Baldingerstraße, W-3550, Marburg/Lahn, Deutschland

    F. Schwarzenberger-Kesper & T. Penzel

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Mayer-Brix, J., Schwarzenberger-Kesper, F., Kusek, E., Küsel, M., Penzel, T. (1991). Schnarchen und schlafbezogene Atmungsstörungen bei Kindern — Klinik, Differentialdiagnosen und Indikationen zur Adenotonsillektomie. In: Fleischer, K., Kleinsasser, O. (eds) Teil I: Referate. Verhandlungsbericht der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, vol 1991 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84328-0_9

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