Upper airway resistance syndrome in children: A clinical review

Upper airway resistant syndrome (UARS) is more common in children than is obstructive sleep apnea syndrome (OSAS). Age will color the symptoms associated with the syndrome. UARS must be looked for in families with adult sleep-disordered breathing. Polygraphic recording during sleep will show flow li...

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Bibliographic Details
Published in:Seminars in pediatric neurology 2001-12, Vol.8 (4), p.207-215
Main Authors: Guilleminault, Christian, Khramtsov, Andrei
Format: Article
Language:English
Subjects:
Adenoids - pathology
Adolescent
Autonomic Nervous System - physiology
Child
Child, Preschool
Diagnosis, Differential
Esophagus - growth & development
Esophagus - physiology
Humans
Infant
Infant, Newborn
Physical Examination
Polysomnography
Pressure
Risk Factors
Skull - growth & development
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - pathology
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Summary:Upper airway resistant syndrome (UARS) is more common in children than is obstructive sleep apnea syndrome (OSAS). Age will color the symptoms associated with the syndrome. UARS must be looked for in families with adult sleep-disordered breathing. Polygraphic recording during sleep will show flow limitation with usage of nasal cannula/pressure transducer system, but the abnormal breathing during sleep may be indicated also by burst of tachypnea without saturation drops. Esophageal pressure monitoring may be the only way to confirm a suspected diagnosis. A mild developmental anomaly of the craniofacial skeleton is often seen in these children even in the presence of enlarged tonsils and adenoids. Children with sleep-disordered breathing should have a maxillomandibular examination to assess the need for orthodontic treatment to expand the oral cavity.
ISSN:1071-9091
1558-0776
DOI:10.1053/spen.2001.29045