Looking for a cutoff value for the decongestant test in children suffering with turbinate hypertrophy.

Objective: The main causes for objectively confirmed chronic impaired nasal breathing in children are adenoid and turbinate hypertrophy. Turbinate hypertrophy may be addressed by turbinate surgery. However, specialized guidelines include no specific indications for pediatric patients.

Surgical versus non-surgical treatment in the Obstructive Sleep Apnea-Hypopnea Syndrome.

Introduction: The treatment of choice for pediatric OSAHS is surgical. However, its etiopathogenesis is multifactorial and surgery does not always solve it. Therefore, other modalities of treatment are used.

Drug-induced sleep endoscopy.

This document introduces drug-induced sleep endoscopy to the specialist treating sleep breathing disorders and is intended as a guide for those willing to perform the procedure so that it can be reproducible.

Drug-induced sleep endoscopy in children.

This document is intended as a guide for Spanish ENT specialists who want to perform drug-induced sleep endoscopy. Indications, sedation method and important findings are discussed to unify criteria and methodology.

Normative data on angular vestibulo-ocular responses in the yaw axis measured using the video head impulse test.

Objective: To analyze vestibulo-ocular responses using the video head impulse test in the yaw axis.

Study Design: Prospective.

Setting: Tertiary and university hospital.

[Long-term persistence of obstructive sleep apnoea-hypopnoea syndrome in children treated with adenotonsillectomy. Analysis of prognostic factors].

Introduction: Treatment of obstructive sleep apnoea-hypopnoea syndrome in children with adenotonsillectomy is effective but has a moderate rate of persistent disease.

Objectives: To analyse the rate of persistence of sleep apnoea-hypopnoea syndrome in a group of adenotonsillectomy-treated paediatric patients and to assess the possible prognostic factors.

Methods: Prospective study of 80 patients aged between 2 and 13 years who had obstructive sleep apnoea-hypopnoea syndrome, treated with adenotonsillectomy.

[Current techniques in tonsil surgery].

In recent years, consolidation of tonsillar hypertrophy as the principal surgical procedure has led to the emergence of new techniques. Most aim to reduce volume (tonsillectomy or tonsil reduction). These techniques have considerably decreased intra- and postoperative hemorrhages and pain intensity.

[Therapeutic approach and medical treatment].

Changes that produce sleep breathing disorders in children and their possible negative consequences on children's future health and social life provide clear justification for a good therapeutic approach. To achieve an optimal treatment strategy, the causes of the disorder must be identified and an initial interdisciplinary evaluation must be carried out. New contributions on the relationship between these conditions and inflammation of the upper respiratory tract have opened up new therapeutic alternatives.

[Symptoms of sleep-disordered breathing in children].

Adults with obstructive sleep apnea-hypopnea syndrome typically have a history of obesity, snoring, and prominent daytime somnolence. However, children with this condition are more likely to have normal body weight, adenoid and tonsillar hypertrophy, and inattentiveness during school classes. The symptoms of children with sleep apnea-hypopnea syndrome can be divided into those of sleep-disordered breathing -such as snoring-, symptoms of sleep quality -such as enuresis-, and symptoms of behavior or learning disorders -such as hyperactivity.

[Dentofacial development abnormalities in paediatric sleep-related breathing disorders].

Introduction: The recent interest in sleep-related breathing disorders has re-opened the old debate as to whether there is a causal relationship between upper respiratory obstruction and abnormalities in dentofacial development.

Objective: To establish the impact of dentofacial development on sleep-related breathing disorders in children.

Method: This is a prospective study in which the dentofacial studies of 30 children, diagnosed with a sleep-related breathing disorder using polysomnography, were compared with a control group of 30 healthy children.

[Mandibular advancement devices for the treatment of adult sleep respiratory disorders].

Introduction: Mandibular advancement devices are being shown to be increasingly useful in the treatment of adult respiratory sleep disorders. A prospective study was started in April 2008 to apply 40 devices free of charge, with the aim of assessing their usefulness in our patients.

Material And Methods: The device was applied to 40 patients with an apnoea-hypopnoea index of less than 40.

[Neurocognitive and behavioural abnormalities in paediatric sleep-related breathing disorders].

Introduction: Behavioural and neurocognitive abnormalities in children may be a consequence of sleep-related breathing disorders. The effectiveness of assessments based on questioning parents is dubious and objective assessment tools are therefore required.

Aim: To ascertain the impact of these abnormalities in children with sleep-related breathing disorders and compare the reliability of questioning parents in relation to validated psychological tests.

[Clinical efficacy and polysomnography of adenotonsillectomy in the treatment of sleep-related respiratory disorders in children].

Introduction: If sleep-related breathing disorders in children are not treated quickly, they may be harmful to the child's future development. The best diagnostic test is polysomnography, since clinical assessments alone are not enough. Adenotonsillectomy is the most effective and widespread treatment for such disorders.

[Diagnosis of proximal gastro-oesophageal reflux in patients with rhonchopathy and sleep apnoea].

Introduction: The close relationship between gastro-oesophageal reflux disease and sleep-related breathing disorders allows the consideration of treatment with proton pump inhibitors as a feasible alternative for patients with snoring or mild to moderate sleep apnoea syndrome. Nevertheless, the presence of gastro-oesophageal reflux in the proximal oesophagus must be identified objectively with a double channel oesophageal pH-metry.

Objective: To identify clinical data allowing the selection of patients most likely to have proximal oesophageal reflux, and, therefore, candidates for oesophageal pH-metry.