Guidelines of the French Society of Otorhinolaryngology. Role of the ENT specialist in the diagnosis of childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). Part 1: Interview and physical examination

• Published in: European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2019-09, Vol.136 (4), p.301-305
• Main Authors: Leclere, J.C, Marianowski, R, Monteyrol, P.J, Akkari, M, Chalumeau, F, Fayoux, P, Leboulanger, N, Franco, P, Couloigner, V, Mondain, M
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Endoscopy; France; Human health and pathology; Humans; Life Sciences; Medical History Taking; Obesity; Obstructive sleep apnea-hypopnea syndrome; Otolaryngologists; Otolaryngology; Pediatrics; Physical Examination - methods; Physician's Role; PSQ (Pediatric Sleep Questionnaire); Sleep Apnea, Obstructive - diagnosis; Societies, Medical; Spruyt Gozal score; Surveys and Questionnaires
• ISSN: 1879-7296; 1879-730X
• DOI: 10.1016/j.anorl.2019.05.017

AbstractObjectivesTo present the 2017 Clinical Practice Guidelines of the French Society of Otorhinolaryngology concerning the role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome. This article focuses specifically on medical history and physical examination. MethodsA multidisciplinary work-group drew up a first version of the guidelines, graded according to level of evidence following the GRADE grading system. The final version was obtained by including the suggestions and comments from the editorial group. ResultsAt the end of the process, guidelines were established and graded regarding the following points: interview and analysis of the various interview scores recommended in the literature; clinical examination with awake upper-airway endoscopy; and indications for referral to non-ENT specialists.