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Pediatric Obstructive Sleep Apnea (OSA)

Airway obstruction during sleep adversely affects growth and neurodevelopment.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Pediatric Obstructive Sleep Apnea (OSA)?

Pediatric OSA is a sleep-related breathing disorder affecting 1-5% of children, characterized by upper-airway obstruction during sleep. The most common causes are tonsillar-adenoid hypertrophy (60-80%), obesity, craniofacial anomalies, and neuromuscular disease.

Snoring is the principal symptom, but not all children with OSA snore. Witnessed apnea, sweating during sleep, paused breathing, daytime behavior problems (ADHD-like), and enuresis can accompany.

Diagnosis is by polysomnography (gold standard). Apnea-hypopnea index (AHI) ≥1 event/hour is pathological in children. Treatment includes adenotonsillectomy (first-line), CPAP, oral appliances, and weight management.

Symptoms

Loud snoring and labored breathing
Pauses in breathing during sleep
Excessive sweating and restlessness
Mouth breathing and drooling
Daytime sleepiness or hyperactivity
Growth failure and bedwetting

Risk Factors

Tonsillar and adenoid hypertrophy
Obesity
Craniofacial anomalies (Pierre Robin, Down)
Neuromuscular disease
Allergic rhinitis
Family history of OSA

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a child has loud snoring
  • Observed apnea during sleep
  • Daytime hyperactivity and behavior problems
  • Growth failure
  • Persistent enuresis

Treatment Methods

01
Diagnosis with polysomnography
02
Adenotonsillectomy (first-line)
03
CPAP in suitable cases
04
Intranasal steroids and antileukotriene
05
Weight management in obese children
06
Orthodontic or surgical craniofacial therapy

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.