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- W2156879794 abstract "Los trastornos respiratorios del sueño (TRS), incluyendo la apnea obstructiva del sueño, afectan a un grupo importante de los pacientes pediátricos. Su más frecuente síntoma, el ronquido, debe ser buscado dirigidamente en los controles pediátricos e investigado cuando esté presente. La principal causa de los TRS en niños es la hipertrofia adenoamigdalina, pudiendo contribuir también la obesidad, cuadros alérgicos, trastornos neuromusculares y malformaciones craneofaciales. La apnea del sueño en población pediátrica se asocia a trastornos neurocognitivos, retraso del crecimiento, aumento de la resistencia vascular pulmonar, trastornos metabólicos y enuresis. La evaluación es inicialmente clínica, pudiendo ser complementada con una nasofibroscopía y, en casos dudosos, con estudios del sueño (saturometría ambulatoria de O2, polisomnograma). El tratamiento de elección es la adenoamigdalectomía, cirugía con una alta efectividad en resolver los TRS infantiles y con una baja tasa de complicaciones. En casos seleccionados puede ser necesario utilizar equipos de presión positiva (C-PAP). Sleep-disordered breathing (SDB), including obstructive sleep apnea syndrome (OSAS), is a common problem in the pediatric population. Snoring is its most frequent symptom, and it should be looked for in routine pediatric consultations and studied when present. The main etiology of pediatric SDB is adenotonsillar hypertrophy; obesity, respiratory allergies, neuromuscular diseases and craniofacial malformations may be present as contibuting factors. Sleep apnea in childhood is responsible of neurocognitive dysfunction, failure to thrive, high vascular resistance in pulmonary circulation, metabolic disorders and enuresis. The initial evaluation is based on clinical history and physical examination, and the workup may include a flexible nasopharyngoscopy and, in uncertain cases, sleep studies (night oxygen saturation studies, polysomnogram). Adenotonsillectomy is the treatment of choice, as it is a safe and effective procedure for curing pediatric SDB. In selected cases, continuous positive airway pressure (C-PAP) devices may be necessary." @default.
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- W2156879794 date "2013-05-01" @default.
- W2156879794 modified "2023-10-16" @default.
- W2156879794 title "Trastornos respiratorios del sueño en la edad pediátrica" @default.
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- W2156879794 doi "https://doi.org/10.1016/s0716-8640(13)70176-7" @default.
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