000			03302na a2200313 4500
003			H12O
005			20211130062807.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aAntón-Pacheco Sánchez, Juan Luis _9835 _eCirugía Pediátrica
100			_aGarcía Hernández, Gloria _91432 _ePediatría
100			_aGarcía Recuero, Ignacio _9847 _eCirugía Maxilofacial
100			_91431 _aLuna Paredes, Carmen _ePediatría
100			_91428 _aMartínez Gimeno, Antonio _ePediatría
100			_aRomance García, Ana Isabel _9843 _eCirugía Maxilofacial
245	0	0	_aScreening for symptoms of obstructive sleep apnea in children with severe craniofacial anomalies: assessment in a multidisciplinary unit _h[artículo]
260			_bInternational Journal of Pediatric Otorhinolaryngology, _c2012
300			_a76(12):1767-1770.
500			_aFormato Vancouver: Luna-Paredes C, Antón-Pacheco JL, García Hernández G, Martínez Gimeno A, Romance García AI, García Recuero II. Screening for symptoms of obstructive sleep apnea in children with severe craniofacial anomalies: assessment in a multidisciplinary unit. Int J Pediatr Otorhinolaryngol. 2012;76(12):1767-70.
501			_aPMID: 22980525
504			_aContiene 25 referencias
520			_aTo assess the incidence of airway obstruction symptoms and the presence of obstructive sleep apnea in children with severe craniofacial anomalies by a proactive screening program using a standard questionnaire and cardiorespiratory polygraphy. PATIENTS AND METHODS: Children with severe craniofacial anomalies referred to our paediatric airway unit from February 2001 to June 2011 were eligible to be included in this retrospective, single centre study. Symptoms of airway obstruction were proactively investigated using the shorter version of the Pediatric Sleep Questionnaire (PSQ). Obstructive sleep apnea was assessed by means of cardiorespiratory polygraphy. Demographic data and reason for referral were also recorded. Primary outcomes were the prevalence of symptoms of airway obstruction and OSA. RESULTS: 44 children (24 girls) with severe craniofacial anomalies (15 Crouzon, 13 Apert, 9 Goldenhar, 5 Treacher-Collins, 2 Pfeiffer) were included, at a mean age of 5 years (range 8 months to 14 years). Reason for referral was routine follow up in 30 patients and overt OSA symptoms and signs in the remaining 14. PSQ results showed symptoms of airway obstruction in 82% of patients, being snoring the most frequent symptom (64.1%) followed by apneas (33.3%). Polygraphic studies showed inconclusive results in 8 children (18.2%), normal apnea-hypopnea index (AHI) in 16 (36.4%), mild obstructive sleep apnea in 9 (20.4%), moderate in 4 (9.1%) and severe obstructive sleep apnea in 7 (15.9%). CONCLUSIONS: Children with craniofacial anomalies have a high prevalence of symptoms of airway obstruction and obstructive sleep apnea that support a proactive screening strategy in this highly selected population.
710			_9374 _aServicio de Cirugía Pediátrica
710			_9365 _aServicio de Cirugía Oral y Maxilofacial
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/9/pc9461.pdf _ySolicitar documento
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999			_c9461 _d9461