What is Pediatric Sleep Apnea? What is the Main Cause

 

Chronic running nose, mouth breathing, dry Mouth frequent infections especially of the lungs, poor appetite, halitosis, nasal congestion, and ADHD like symptoms mainly aggression, poor concentration, and irritability rather than to act or complain of feeling “sleepy.”

Since OSA results from relative narrowing of upper airway rather than the absolute size of the tonsils and adenoids, tonsillar size Adenotonsillectomy is an effective first-line treatment for pediatric OSA.

Failure to thrive because of pediatric OSA is also corrected with Adenotonsillectomy and shown to increase the height and weight of children

MISDIAGNOSING SLEEP APNEA AS ADHD

Attention deficit hyperactivity disorder, also known as ADHD, is a common condition diagnosed due to symptoms indicating hyperactivity, inattentiveness, and impulsivity. Attention-deficit/hyperactivity disorder is among the neurobehavioral sequelae associated with OSA in nearly 75 percent of children. 

OSAS in children is a similar condition to the form in adults in children.

· If left untreated, OSAS is associated with adverse effects on growth and development, and can cause metabolic, cardiovascular and neurocognitive disease and behavioural changes in children.

· Daytime hyperactivity.

· Cognitive deficits.

· Cardiovascular problems - eg, hypertension, left ventricular hypertrophy, raised pulmonary artery pressure.

· Failure to thrive.

· Association with insulin resistance.

· Some studies have shown that children with OSAS have greater impulsivity when crossing streets which increases their risk of injury.

· School-aged children are at risk of developing future obesity if they have OSAS.