Articles tagged with "sleep-disordered breathing"

Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?

Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis

Mild OSA Linked to Nasal Obstruction

What impact does nasal obstruction have on obstructive sleep apnea (OSA) as measured by polysomnography (PSG)? Background: While nasal obstruction is often identified and treated in patients with OSA, its role in the pathogenesis or exacerbation of sleep-disordered breathing (SDB) has not been clearly shown. Several previous studies have used nasal packing or complete nasal obstruction […]

A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate

Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.