title: [Obstructive sleep apnea-hypopnea syndrome in children: Clinical diagnosis].
abstract: The French Society of Research and Sleep Medicine (SFRMS) organized a meeting on obstructive sleep apnea syndrome (OSAS) in children. A multidisciplinary group of specialists (pulmonologist, ENT surgeons, pediatricians, orofacial myofunctional therapists, neurophysiologists, and sleep specialists) reached a consensus on the value of isolated or clustered clinical symptoms and of questionnaires completed by parents in the clinical diagnosis and in assessing the severity of OSAS. Are clinical history with validated questionnaires and a rigorous physical examination sufficient to suspect OSAS, to appreciate its severity, and finally to confirm the diagnosis? Usually, a sleep recording of respiratory parameters remains mandatory for the diagnosis of OSAS to be made. However, clinical symptoms are very useful for estimating the probability of the diagnosis and the severity of the disease, and therefore for classifying which children will benefit form polysomnography and for proposing an adapted follow-up after OSAS therapy. Even if they are not able to ascertain the diagnosis of OSAS in children, clinical history, questionnaires, and physical examination are very important. Finally, we propose a classification of the indications for polysomnography in children suspected of having OSAS.
authors: Service de pneumologie pédiatrique, centre de références des maladies respiratoires rares de l'enfant, hôpital Armand-Trousseau, AP-HP, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France; Inserm U 938, centre de recherche Saint-Antoine, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France; Centre de pneumologie de l'enfant, Ramsay générale de santé, clinique chirurgicale, 92100 Boulogne-Billancourt, France.
authors: G
authors: G
authors: Aubertin
authors: Service de psychiatrie de l'enfant et de l'adolescent, pôle psychiatrie, santé mentale et addictologie, hôpitaux universitaires de Strasbourg, université de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France; CNRS UPR 3212, équipe 9 « lumière, rythmes circadiens, homéostasie du sommeil et neuropsychiatrie », institut des neurosciences cellulaires et intégratives (INCI), 5, rue Blaise-Pascal, 67084 Strasbourg cedex, France.
authors: C
authors: C
authors: Schröder
authors: Centre ORL Laënnec, 129, boulevard Pinel, 69500 Bron, France.
authors: F
authors: F
authors: Sevin
authors: Cercle d'étude et de recherche en rééducation oro-maxillo-facial (CERROF), 54, rue de la Gare, 77140 Saint-Pierre-les-Nemours, France.
authors: F
authors: F
authors: Clouteau
authors: Service de neurophysiologie clinique, hôpital Roger-Salingro, CHRU de Lille, 59037 Lille cedex, France.
authors: M-D
authors: MD
authors: Lamblin
authors: Centre du sommeil et de la vigilance, centre de référence des hypersomnies rares, Hôtel Dieu, AP-HP, 1, place du Parvis-Notre-Dame, 75181 Paris cedex 04, France. Electronic address: marie-francoise.vecchierini@aphp.fr.
authors: M-F
authors: MF
authors: Vecchierini
mesh_terms: D002648:Child; D006801:Humans; D006984:Hypertrophy / Q000175:diagnosis; D008310:Malocclusion / Q000150:complications / Q000175:diagnosis; D014066:Palatine Tonsil / Q000473:pathology; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology; D012913:Snoring / Q000209:etiology; D011795:Surveys and Questionnaires