Drug-induced sleep endoscopy findings in surgically-naïve obese vs non-obese children.

Abstract:

OBJECTIVE:To determine if drug-induced sleep endoscopy (DISE) findings are different in obese versus non-obese pediatric patients with obstructive sleep apnea (OSA) or sleep-disordered breathing (SDB). METHODS:Prospective, observational cohort study from June 2017 to June 2018 at a tertiary academic pediatric medical center that included surgically-naïve children ages 2-12 with diagnoses of OSA or sleep-disordered breathing. Subjects with a known diagnosis of craniofacial syndromes, genetic disorders, prior adenoidectomy or tonsillectomy, or chronic tonsillitis as the indication for surgery were excluded. Two groups were assessed for patterns of obstruction based on DISE videos at each anatomic airway level using a previously published DISE scoring system. The groups included obese subjects (BMI ≥ 95th percentile) and non-obese controls (BMI <85th percentile). Each video was graded by two blinded, fellowship-trained Pediatric Otolaryngologists. RESULTS:Fifty-one patients were included, 26 non-obese and 25 obese. Based on anatomic airway level, there was no statistically significant difference in airway obstruction at the velum (p = 0.134), adenoid (p = 0.592), lateral pharyngeal walls (p = 0.867), tongue base (p = 0.977), or supraglottis (p = 0.428) between obese and non-obese children. CONCLUSION:Our prospective study did not associate severity of obstruction with obesity status based on anatomic airway levels. Further studies are needed to elucidate the etiology of the high rate of persistent obstructive sleep apnea in obese children.

authors

Lookabaugh S,McKenna M,Karelsky S,Davis M,Didas A,Allen P,Faria J

doi

10.1016/j.ijporl.2020.110289

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

110289

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(20)30432-8

journal_volume

138

pub_type

杂志文章
  • Pediatric tracheostomy decannulation: When can decannulation be performed safely outside of the intensive care setting? A 10 year review from a single tertiary otolaryngology service.

    abstract:OBJECTIVES:Pediatric tracheostomy is performed in a variety of complex, comorbid patients. Tracheostomy involves a significant burden of care for families and a risk of life-threatening complications. There is little research regarding the ideal location and protocol for safe tracheostomy decannulation. This study aims...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2020.109986

    authors: Canning J,Mills N,Mahadevan M

    更新日期:2020-06-01 00:00:00

  • Staging and surgical approaches in large juvenile angiofibroma--study of 95 cases.

    abstract:INTRODUCTION:Surgery has been the treatment of choice for juvenile nasopharyngeal angiofibroma (JNA) and selection of proper surgical approach depends primarily upon the extensions of the tumor. Minimal external deformity/surgical scar without affecting growth pattern of facial skeleton of patient along with extensions...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2006.05.004

    authors: Tyagi I,Syal R,Goyal A

    更新日期:2006-09-01 00:00:00

  • Airway response to sirolimus therapy for the treatment of complex pediatric lymphatic malformations.

    abstract::Head and neck lymphatic malformations can create airway management challenges requiring tracheotomy. Sirolimus, an inhibitor of mammalian target of rapamycin (mTOR), may inhibit growth of lymphatic malformations. We describe two patients born with large lymphatic malformations with improved airway symptoms following s...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2015.10.031

    authors: Alemi AS,Rosbe KW,Chan DK,Meyer AK

    更新日期:2015-12-01 00:00:00

  • Lingual tonsils hypertrophy; a cause of obstructive sleep apnea in children after adenotonsillectomy: operative problems and management.

    abstract:OBJECTIVE:Although adenotonsillar hypertrophy has been reported to be the commonest cause of pediatric obstructive sleep apnea (OSA), enlargement of the lingual tonsils is increasingly being recognized as a cause, even after adenotonsillectomy. The aim of our study was to elucidate the lingual tonsils hypertrophy as a ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2011.06.003

    authors: Abdel-Aziz M,Ibrahim N,Ahmed A,El-Hamamsy M,Abdel-Khalik MI,El-Hoshy H

    更新日期:2011-09-01 00:00:00

  • Management of paediatric periorbital cellulitis: Our experience of 243 children managed according to a standardised protocol 2012-2015.

    abstract:INTRODUCTION:Paediatric periorbital cellulitis is a common condition. Accurate assessment can be challenging and appropriate use of CT imaging is essential. We audited admissions to our unit over a four year period, with reference to CT scanning and adherence to our protocol. METHODS:Retrospective audit of paediatric ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.06.025

    authors: Crosbie RA,Nairn J,Kubba H

    更新日期:2016-08-01 00:00:00

  • Pediatric sinogenic epidural and subdural empyema: The role of endoscopic sinus surgery.

    abstract:AIM:To analyze the indications and outcomes of open neurosurgical approaches (ONA) and endoscopic transnasal approaches (ETA) in the surgical management of pediatric sinogenic subdural and epidural empyema. MATERIAL AND METHODS:Retrospective single-center study design within a tertiary care referral center setting. Ch...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2015.08.007

    authors: Garin A,Thierry B,Leboulanger N,Blauwblomme T,Grevent D,Blanot S,Garabedian N,Couloigner V

    更新日期:2015-10-01 00:00:00

  • Down Syndrome as an indicator for pediatric otolaryngologic procedures.

    abstract:OBJECTIVE:Down Syndrome (DS) is the most common chromosome abnormality in humans. Due to the phenotype associated with DS, there are many disease states that require otolaryngologic procedures. Our goal is to use national data to study otolaryngologic procedures, their association with DS, and the degree of difference ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2018.07.007

    authors: Patel TA,Nguyen SA,White DR

    更新日期:2018-09-01 00:00:00

  • Slide tracheoplasty: Predictors of outcomes and literature review.

    abstract:OBJECTIVE:Determine preoperative comorbidities and intraoperative parameters associated with adverse postoperative outcomes. METHODS:Retrospective case series at a single tertiary care children's hospital from 2010 through 2017. RESULTS:Twenty-six patients with median age of 6 months and median weight of 7.1 kg under...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2019.109814

    authors: Wertz A,Fuller SM,Mascio C,Sobol SE,Jacobs IN,Javia L

    更新日期:2020-03-01 00:00:00

  • Reliability of pediatric reach test in children with hearing impairment.

    abstract:OBJECTIVE:The objective of this study was to evaluate the reliability of pediatric reach test in children with hearing impairment. METHODS:A total of 65 hearing impaired children completed the standing section of PRT. Two raters evaluated all the included children in standing section of PRT on two separate occasions. ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2012.02.068

    authors: Rajendran V,Roy FG,Jeevanantham D

    更新日期:2012-06-01 00:00:00

  • Hearing loss in Pfeiffer's syndrome.

    abstract::A 14-year-old boy with conduction hearing loss, acrocephaly, minimum syndactyly, broad thumbs and big toes is classified as being affected with a form of acrocephalosyndactyly, termed Pfeiffer's syndrome (McK+10160) [12]. It is the first case of this syndrome presented in the otorhinolaryngological literature. During ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(81)90059-8

    authors: Cremers CW

    更新日期:1981-12-01 00:00:00

  • Pediatric otolaryngology: a psychosocial perspective.

    abstract::Physical illness in children is affected by a variety of factors unique to pediatrics. They include a child's developmental level, family environment and the presence of premorbid behavior patterns. Therefore, pediatric care requires special considerations pertaining to the patient-physician relationship and the poten...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(94)01113-c

    authors: Chan KH,Martini R,Bradley WF,Stool SE

    更新日期:1995-05-01 00:00:00

  • Recurrent croup and persistent laryngomalacia: Clinical resolution after supraglottoplasty.

    abstract:OBJECTIVES:To determine if children with recurrent croup (RC) and persistent laryngomalacia (LM) clinically improve after supraglottoplasty (SGP). MATERIAL AND METHODS:Retrospective chart review cohort at tertiary care children's hospital consisting of patients diagnosed with LM and RC that underwent SGP from July 201...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.02.035

    authors: Munson PD

    更新日期:2016-05-01 00:00:00

  • ENG findings of shunt-treated hydrocephalus in children.

    abstract::Thirty-eight hydrocephalic children (mean age 11.5 years; range 5.1-17.9) were examined on average 7.9 years after initial shunting. The etiology of the hydrocephalus was divided into 5 groups: perinatal intraventricular hemorrhage 14, congenital obstructive hydrocephalus 14, central nervous system infections 4, intra...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(92)90077-3

    authors: Löppönen H,Sorri M,Serlo W,von Wendt L

    更新日期:1992-01-01 00:00:00

  • An unusual case of rhabdomyosarcoma presenting as orbital apex syndrome.

    abstract:PRECIS:A 12-year-old female presented with symptoms and signs of orbital apex syndrome (OAS), secondary to stage IV alveolar rhabdomyosarcoma (RMS) originating in the sphenoid and ethmoid sinuses. OBJECTIVE:To present a case of alveolar rhabdomyosarcoma, unusual in its presentation as orbital apex syndrome and also it...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijporl.2004.07.018

    authors: Machleder DJ,Banik R,Rosenberg RB,Parikh SR

    更新日期:2005-02-01 00:00:00

  • Chondroid hamartoma presenting as a neonatal nasal mass.

    abstract::We present a case of a 3-month-old female with a right nasal mass. Upon evaluation with computed tomography, magnetic resonance imaging and angiography, a large right intranasal mass extending through the cribiform plate, displacing the dura, was noted. The patient underwent a combined midfacial degloving and bifronta...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/s0165-5876(98)00121-9

    authors: Kim DW,Low W,Billman G,Wickersham J,Kearns D

    更新日期:1999-03-15 00:00:00

  • Problems in pediatric otorhinolaryngic pathology. V. Diseases of the larynx and trachea.

    abstract::The autopsy and surgical pathologic diagnosis of lesions of the laryngotrachea of young persons can be difficult. The clinical and histopathologic features that aid differential diagnosis are discussed. ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(84)80001-4

    authors: Heffner DK

    更新日期:1984-07-01 00:00:00

  • Otitis media and academic achievements.

    abstract:OBJECTIVE:This is a study of whether there are any long-term differences in academic achievements between children with and without observed or treated middle ear disease in a population with a stable long-standing treatment policy. METHODS:A birth cohort of 2156 children was previously studied through a questionnaire...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(00)00431-6

    authors: Augustsson I,Engstand I

    更新日期:2001-01-01 00:00:00

  • Child behavior and quality of life before and after tonsillotomy versus tonsillectomy.

    abstract:OBJECTIVES:Compare two techniques for pediatric tonsil surgery with respect to postoperative pain and morbidity and changes in sleep behavior, health related quality of life (HRQL) and benefits due to surgery. METHODS:67 children (4.5-5.5 years) with tonsillar hypertrophy and obstructive sleep-disordered breathing wit...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijporl.2009.05.015

    authors: Ericsson E,Lundeborg I,Hultcrantz E

    更新日期:2009-09-01 00:00:00

  • Demographic data, referral patterns and interventions used for children and adolescents with tinnitus and hyperacusis in Denmark.

    abstract:OBJECTIVES:To investigate whether children and adolescents with tinnitus and/or hyperacusis are seen in Ear-Nose-Throat (ENT) clinics and to report the clinical data, treatment and referral patterns of these children. To describe the population of children and adolescents with tinnitus and/or hyperacusis found in Educa...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijporl.2016.07.036

    authors: Rosing SN,Kapandais A,Schmidt JH,Baguley DM

    更新日期:2016-10-01 00:00:00

  • Tracheotomy revision in infants: to facilitate extubation and restore phonation.

    abstract::The formation of tracheal 'granuloma' in the tracheostomized infant, as a cause of aphonia and an obstacle to decannulation has long been recognized. Endobronchial or transtomal removal has been recommended; however, a number of these lesions were resected in conjunction with complete tracheostomy revision and found t...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/0165-5876(87)90008-5

    authors: Friedberg J

    更新日期:1987-06-01 00:00:00

  • Risk factors for cerebrospinal fluid leak in pediatric patients undergoing endoscopic endonasal skull base surgery.

    abstract:OBJECTIVES:To determine the risk factors associated with cerebrospinal fluid (CSF) leak following endoscopic endonasal surgery (EES) for pediatric skull base lesions. METHODS:Retrospective chart review of pediatric patients (ages 1 month to 18 years) treated for skull base lesions with EES from 1999 to 2014. Five path...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.12.019

    authors: Stapleton AL,Tyler-Kabara EC,Gardner PA,Snyderman CH,Wang EW

    更新日期:2017-02-01 00:00:00

  • Protein profile of ear auricle cartilage and the important role of ITGB1/PTK2 in microtia.

    abstract:BACKGROUND:Microtia is a congenital malformation of the external ear that involves anything from a small reduction in size to a complete absence. The external ear is composed of elastic cartilage which is also the important skeleton of the outer ear. However no previous study explored the difference between abnormal el...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2020.110235

    authors: Dong W,Jiang H,He L,Pan B,Lin L,Song Y,Yang Q

    更新日期:2020-10-01 00:00:00

  • Use of chloral hydrate as a sedative for auditory brainstem response testing in a pediatric population.

    abstract:OBJECTIVE:Chloral hydrate (CH) is an oral sedative widely used to sedate infants and young children during auditory brainstem response (ABR) testing. The aim of this study was to record effectiveness, complications and safety of CH as a sedative for ABR. METHODS:From January of 2003 until December of 2007, 1903 childr...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2011.02.010

    authors: Avlonitou E,Balatsouras DG,Margaritis E,Giannakopoulos P,Douniadakis D,Tsakanikos M

    更新日期:2011-06-01 00:00:00

  • Young cochlear implant users' auditory development as measured and monitored by the LittlEARS® Auditory Questionnaire: a Turkish experience.

    abstract:OBJECTIVE:This study aims to assess the usefulness of the LittlEARS(®) Auditory Questionnaire (LEAQ) in determining the audiological development of Turkish children who have received a cochlear implant. METHODS:20 children received a cochlear implant before their 3rd birthday. Each child's progress was evaluated with ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2013.05.036

    authors: Kosaner J,Sonuguler S,Olgun L,Amann E

    更新日期:2013-08-01 00:00:00

  • Giant dermoid cyst of the neck can mimic a cystic hygroma: using MRI to differentiate cystic neck lesions.

    abstract:OBJECTIVE:To describe differential features of giant cervical dermoid cysts and other cystic lesions of the head and neck. METHODS:Case report including magnetic resonance imaging, surgical excision, pathologic examination and correlation. RESULTS:We report the case of a 15-year-old boy who presented for evaluation o...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2006.11.020

    authors: Ro EY,Thomas RM,Isaacson GC

    更新日期:2007-04-01 00:00:00

  • The role of a graded profile analysis in determining candidacy and outcome for cochlear implantation in children.

    abstract::Assessment of candidacy for cochlear implantation in children continues to present a challenge to cochlear implant programs. The efficacy of implantation depends on a number of factors and as a result a multidisciplinary approach has been adopted. At the Cochlear Implant Program at The Hospital for Sick Children, Toro...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s0165-5876(99)00112-3

    authors: Daya H,Figueirido JC,Gordon KA,Twitchell K,Gysin C,Papsin BC

    更新日期:1999-08-05 00:00:00

  • Long term results of childhood dysphonia treatment.

    abstract:OBJECTIVE:The aim of this study was to assess the long term results of treatment and rehabilitation of childhood dysphonia. METHODS:This study included a group of adolescents (n=29) aged from 15 to 20 who were treated due to pediatric hyperfunctional dysphonia and soft vocal fold nodules during their pre-mutational pe...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2014.02.002

    authors: Mackiewicz-Nartowicz H,Sinkiewicz A,Bielecka A,Owczarzak H,Mackiewicz-Milewska M,Winiarski P

    更新日期:2014-05-01 00:00:00

  • The assessment of the Newborn Hearing Screening Program in the Region of Murcia from 2004 to 2012.

    abstract:OBJECTIVES:Newborn (NB) auditory deficit has a prevalence of 1-2% in the world. Since the 1990s different screening programs have been put into practice. The Newborn Hearing Screening Program has been in operation since 2002 in our hospital (HCUVA) in Murcia (Spain) and two years later it was introduced into the whole ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2016.07.009

    authors: Cubillana-Herrero JD,Pelegrín-Hernández JP,Soler-Valcarcel A,Mínguez-Merlos N,Cubillana-Martínez MJ,Navarro Barrios Á,Medina-Banegas A,Fernandez Hernandez JA

    更新日期:2016-09-01 00:00:00

  • Effects of allergic rhinitis on the progression and recovery of acute otitis media in a mouse model.

    abstract:OBJECTIVES:The objective of this study was to evaluate the effects of allergic rhinitis (AR) on the development, progression, and recovery of acute otitis media (OM) in an animal model and investigate the secondary effects of bacterial infection. METHODS:BALB/c mice were divided into four groups: AR + OM, AR, OM, and ...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.ijporl.2020.110497

    authors: Cho CG,Kim HB,Kim CK,Kim BH,Lim YS,Park SW,Park JH

    更新日期:2021-01-01 00:00:00

  • Nasalance scores in snoring children with obstructive symptoms.

    abstract:OBJECTIVE:Snoring and the sleep apnea syndrome (OSAS) in children are usually caused by adenotonsillar hypertrophy, which may affect air escape into the nose and nasal resonance. A microcomputer-based system makes it possible to objectively determine whether the oral passage is adequately separated from the nasal passa...

    journal_title:International journal of pediatric otorhinolaryngology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0165-5876(99)00299-2

    authors: Nieminen P,Löppönen H,Väyrynen M,Tervonen A,Tolonen U

    更新日期:2000-01-30 00:00:00