Abstract
Childhood snoring is caused the narrowness of the upper airway, mainly due to an adenotonsillar hypertrophy. It may impact the quality of life, neurocognitive development and growth. ENT clinical examination is one of the essential components of therapeutic decision-making, taking account of the severity and duration of obstructive signs, presence of complications and, in some cases, sleep recording data, weighed against operative risk. The new technique of radiosurgical partial tonsillectomy has modified this trade-off by considerably decreasing the surgical risk of bleeding and pain.
Highlights
Childhood snoring is caused the narrowness of the upper airway, mainly due to an adenotonsillar hypertrophy
The main problem in case of childhood snoring is to be sure that the symptom can be related to the potential complications before making a decision concerning the treatment, and notably the tonsillectomy
Some children present major clinical signs but with normal PSG, probably due to upper airway resistance syndrome (UARS), the consequences of which may resemble those of obstructive sleep apnea syndrome (OSAS)
Summary
Childhood snoring is caused the narrowness of the upper airway, mainly due to an adenotonsillar hypertrophy. The main problem in case of childhood snoring is to be sure that the symptom can be related to the potential complications before making a decision concerning the treatment, and notably the tonsillectomy. Snoring is a form of sleep-disordered breathing with consequences ranging from a simple impairment of quality of life (daytime fatigue, nocturnal awakening) to a full obstructive sleep apnea syndrome (OSAS), with its known impact on neurocognitive development (concentration and/or memory disorder), growth and cardiovascular health.
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