| Pediatric Obstructive Sleep Apnea: Clinical Manifestations and Consequences |
Ji-Sun Kim1
, Ji Ho Choi2
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1Department of Otolaryngology-Head and Neck Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea |
| 소아 폐쇄성수면무호흡증: 임상 증상 및 합병증 |
| 김지선1
, 최지호2
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1가톨릭대학교 의과대학 은평성모병원 이비인후-두경부외과학교실
2순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실 |
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Received: 5 August 2024; Revised: August 31, 2024 Accepted: 9 September 2024. Published online: 25 October 2024. |
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| ABSTRACT |
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Obstructive sleep apnea (OSA) significantly impacts the quality of life in children, affecting their physical and mental health. The pathophysiology involves a complex interaction between anatomical factors (such as enlarged tonsils, adenoids, and structural abnormalities) and obesity, along with neuromuscular compensations. Clinical manifestations include loud snoring, breathing pauses, restless sleep, unusual sleeping positions, and frequent awakenings. OSA can lead to enuresis, growth impairment, poor academic performance, and neurocognitive and behavioral difficulties. Long-term consequences are cardiovascular morbidity, metabolic dysfunction, and neurocognitive impairment. Many studies have explored these associations and the impact of adenotonsillectomy. This review provides an overview of clinical manifestations and consequences of OSA, aiming to enhance diagnosis and treatment strategies for pediatric OSA. |
| Keywords:
Complicationsㆍ Obstructive sleep apneaㆍ Pathophysiologyㆍ Signs and symptoms |
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