Comparison of polysomnography and sonography for assessing regularity of respiration during sleep in adenotonsillar hypertrophy.

Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print Cited Medium: Print ISSN: 0023-852X (Print) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE

Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-

Respiration*; Adenoids/*pathology ; Palatine Tonsil/*pathology ; Sleep/*physiology ; Ultrasonography/*methods; Adolescent ; Airway Obstruction/diagnosis ; Airway Obstruction/etiology ; Airway Obstruction/physiopathology ; Airway Obstruction/surgery ; Child ; Child, Preschool ; Female ; Humans ; Hyperplasia ; Infant ; Male ; Sleep Apnea Syndromes/diagnosis ; Sleep Apnea Syndromes/surgery ; Sleep Wake Disorders/diagnosis ; Sleep Wake Disorders/etiology ; Sleep Wake Disorders/physiopathology ; Sleep Wake Disorders/surgery

Increasing awareness of the role of adenotonsillar hypertrophy in the etiology of chronic airway obstruction and disturbed respiration during sleep has created interest in the diagnostic methods available to assess the effects of obstruction. This study evaluates and compares simultaneously-obtained recordings of polysomnography and sleep sonography in children obstructed by adenotonsillar hypertrophy. Four hundred sixty-five 4-minute samples obtained from 18 patients in a clinical studies unit were analyzed and rated as to severity. Agreement between polysomnography and sleep sonography was very high in scoring the respiratory pattern (r = 0.79) and detecting apnea (r = 0.89). These findings demonstrate that sleep sonography is a reliable method for evaluating patients with upper airway obstruction due to adenotonsillar hypertrophy.

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Date Created: 19871201 Date Completed: 19880105 Latest Revision: 20190824

20221213

10.1288/00005537-198712000-00010

3316886