Child Snores Sleep Apnea

Is surgery the only option for treating sleep apnea or snoring

I do predominantly the line share of sleep apnea surgery in our department. I collaborate closely with the pulmonologists, who are the sleep medicine s. Those are the s that help diagnose and treat sleep apnea, as well. If those patients fail their, their medical or their conservative therapy, that's typically when they get sent to see me for surgical considerations to, to look at potential cures for their apnea. It's not uncommon for me to see a lot of patients for, who come in for snoring complaints and, you know, are wondering whether or not they have sleep apnea. So sleep apnea is condition where you actually stop breathing at night.

Snoring is somewhere on that spectrum, towards the more mild, you know, milder end of that spectrum. But, you know, really the only way to determine if you have sleep apnea, the gold standard of testing, is really getting a sleep study. And that's an overnight, monitored study where patients, you know, sleep in a room that's similar to a hotel room but they're being monitored and they're hooked up, you know, for sound so to speak with different monitors and cables on them. And that's really our best test to diagnose sleep apnea. The treatment for sleep apnea is typically a nonsurgical therapy; something called CPAP,

which stands for Continuous Positive Airway Pressure. And it's the patients that don't tolerate their CPAP who end up seeing me for surgical considerations. And there's a number of reasons why patients may not tolerate their CPAP. But there are some surgeries that can be helpful in patients who are not tolerant of their medical therapy. And I offer a variety of surgeries including nasal surgery, a variety of palatal surgeries for the kind of tonsil and soft pallet region and then also a variety of tonguebased procedures, as well. But we typically see a patient back after their procedure in about three weeks to recheck everything, make sure that they're healing okay.

After that, I normally recheck a sleep study in about three months after their surgery, just to give everything a chance to heal and to scar. And we, you know, make further recommendations based on the result of their followup sleep study after their surgery. We're exploring the, a new technology now which is actually a nerve stimulator for sleep apnea. It's an implantable device, very similar to a pacemaker that goes into the patient's chest. And there's an electrode that will actually stimulate the nerve that goes to the tongue to provide the tongue with a little bit of more tone when they're sleeping at night, and thereby eliminating their sleep apnea.

Sleep Apnea in Children

Sleep apnea in children. Sleep disorders in childrenrange from mild snoring to a condition known asObstructive Sleep Apnea, or OSA. A child with obstructiveSleep apnea has partial or complete airwayblockage during sleep, usually with loud snoring andbreathing pauses. This breathing pauseis called Apnea. Obstructive sleep apneais a serious condition

that affects 2 to 4%of preschool children. It is most common betweenthe ages of two to seven. But can effect infants andadolescents as well. About 10% of children snore, of those children 20 to 30% willhave obstructive sleep apnea. Any child that snores shouldsee their health care provider. Many children have mild symptomsand may outgrow the condition. However, untreatedsleep apnea in children

can lead to serious problems,including delays in growth and development, behavior problems,hyperactivity, heart problems, and high blood pressure. The most common cause ofobstructive sleep apnea in children is enlarged adenoids ortonsils. Other causes include obesity,poor muscle tone and abnormal structures in the face,such as a deviated septum or nasal polyps.

Symptoms ofObstructive Sleep Apnea. Snoring is a common symptomof obstructive sleep apnea. In children under the ageof five years old parents may report other nighttime symptoms, such as mouth breathing, sweating, difficultbreathing, restless sleep, frequent awakenings, andwitness periods of apnea. Daytime sleepiness isuncommon in young children. Sleep deprivationcan cause symptoms

of Attention DeficitHyperactivity Disorder. ADHD during the day. In children, five years and older, bed wetting isa common occurrence. As well as behavior problems,decreased attention span and developmental issues. Nightmares, night terrors and frequent morningheadaches may also occur.

Children and teens with sleep disorders mayexhibit poor school performance, daytime sleepiness,irritability, and depression. Diagnosing ObstructiveSleep Apnea in Children. Children between ages of fiveto ten need at least nine hours of sleep ona regular basis. If you suspect your childhas obstructive sleep apnea, contact his orher healthcare provider.

SECOND OPINION MYTH OR MEDICINE Childhood Snoring BCBS

NARRATOR: BLUE CROSS BLUE SHIELD IS A PROUDSPONSOR OF SECOND OPINION. LIVE FEARLESS NARRATIVE: OBSTRUCTIVE SLEEP APNEA IS A COMMONTYPE OF APNEA IN CHILDREN. IT'S TYPICALLY CAUSED BY AN OBSTRUCTION INTHE AIRWAY, SUCH AS ENLARGED TONSILS. ONE OF THE MANY SYMPTOMS INCLUDE SNORING,AND TREATMENT IS OFTEN THE SURGICAL REMOVAL OF THE TONSILS AND ADENOIDS. SO IF YOUR CHILD SNORES, THEY SHOULD HAVETHEIR TONSILS OUTé IS THIS MYTH OR MEDICINEé

DR. HEIDI CONNOLLY: IF YOUR CHILD SNORES, THEYSHOULD HAVE THEIR TONSILS OUT.quot; THAT IS A MYTH, AND I'M GOING TO TELL YOUWHY. I'M HEIDI CONNOLLY, AND I'M THE CHIEF OF THEDIVISION OF PEDIATRIC SLEEP MEDICINE AT THE UNIVERSITY OF ROCHESTER MEDICAL CENTER ANDTHE GOLISANO CHILDREN'S HOSPITAL AT STRONG. PROBABLY ABOUT 8% TO 10% OF PRESCHOOLAGECHILDREN SNORE, BUT ONLY ABOUT 2% ACTUALLY HAVE SLEEP APNEA. SO IF EVERY CHILD WHO SNORED WAS GOING TOHAVE THEIR TONSILS AND ADENOIDS TAKEN OUT

JUST BECAUSE THEY WERE SNORING, WE WOULD BEDOING SURGERY THAT'S NOT NECESSARY. TAKING OUT TONSILS AND ADENOIDS IS A RELATIVELYLOWRISK SURGICAL PROCEDURE, BUT IT'S STILL A SURGICAL PROCEDURE WITH THE ATTENDANT RISKSOF GETTING GENERAL ANESTHESIA, RECOVERY TIME, TIME OFF OF WORK, AND TIME FROM SCHOOL. NARRATOR: WHAT IS THE CORRELATION BETWEENOBESITY IN CHILDREN AND SLEEP APNEAé DR. HEIDI CONNOLLY: HAVING OBESITY INCREASES THERISK OF HAVING OBSTRUCTIVE SLEEP APNEA BECAUSE IT NARROWS THE AIRWAY DUE TO FAT DEPOSITIONIN THE TISSUES OF THE UPPER AIRWAY.

THE CONVERSE IS ALSO TRUE, THAT HAVING SLEEPAPNEA INCREASES THE RISK OF OBESITY BECAUSE OF THE SLEEP DISRUPTION LEADING TO MORE SLEEPINESSAND SEDENTARY BEHAVIORS DURING THE DAYTIME. TREATMENT OF SLEEP APNEA IS KNOWN TO IMPROVELINEAR GROWTH IN CHILDREN, SO TALLER CHILDREN WHO WEIGH THE SAME ARE MORE THIN, AND IT ALSOHELPS WITH WEIGHT LOSS BECAUSE CHILDREN ARE MORE ENGAGED IN ACTIVITIES DURING THE DAYTIMEAND THEREFORE LESS LIKELY TO BE SEDENTARY AND HAVE EXCESS WEIGHT GAIN. AND THAT'S MEDICINE. NARRATOR: NOT SURE IF IT'S MYTH OR MEDICINEé

CONNECT WITH US ONLINE. WE'LL GET TO WORK AND GET YOU A SECOND OPINION. NARRATOR: BLUE CROSS BLUE SHIELD IS A PROUDSPONSOR OF SECOND OPINION. LIVE FEARLESS.

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