Cargando…

Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome

Aim: The aim of this paper is to describe the multidisciplinary management pathway for pediatric patients with suspected obstructive sleep apnea syndrome (OSAS) conducted by the Pediatric and Orthodontic Department of the Dental Clinic of Padua. Materials and methods: All pediatric subjects undergo...

Descripción completa

Detalles Bibliográficos
Autores principales: Savin, Sorina, Mezzofranco, Luca, Gracco, Antonio, Bruno, Giovanni, De Stefani, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378214/
https://www.ncbi.nlm.nih.gov/pubmed/37508722
http://dx.doi.org/10.3390/children10071225
_version_ 1785079710220288000
author Savin, Sorina
Mezzofranco, Luca
Gracco, Antonio
Bruno, Giovanni
De Stefani, Alberto
author_facet Savin, Sorina
Mezzofranco, Luca
Gracco, Antonio
Bruno, Giovanni
De Stefani, Alberto
author_sort Savin, Sorina
collection PubMed
description Aim: The aim of this paper is to describe the multidisciplinary management pathway for pediatric patients with suspected obstructive sleep apnea syndrome (OSAS) conducted by the Pediatric and Orthodontic Department of the Dental Clinic of Padua. Materials and methods: All pediatric subjects undergo a comprehensive medical history, including the completion of the Pediatric Sleep Questionnaire (PSQ), and a physical examination. Patients with suspected OSAS are placed on a waiting list for home respiratory polygraphy testing. The respiratory polygraphy examination is conducted over two consecutive nights and interpreted by a neurologist. Additionally, patients diagnosed with OSAS undergo a case study involving intraoral and extraoral photography, as well as radiographic evaluation. Results: Between September 2021 and May 2023, a total of 134 subjects (including 76 males), with an average age of 9.2 years, were identified as diagnostic suspects. Among these, 38 patients (28.3%) tested positive based on respiratory polygraphic results. Depending on the severity and etiopathogenetic characteristics of the disease, the positive cases were referred to various specialists. Conclusion: In the daily clinical practice of dentistry, particularly in orthodontics and pedodontics, the establishment of a defined management pathway for pediatric patients with OSAS is crucial. The collaboration of a multidisciplinary team with a shared objective of achieving accurate diagnosis and implementing targeted treatment in a timely manner is essential. Regular re-evaluation of patients through clinical and instrumental examinations is recommended.
format Online
Article
Text
id pubmed-10378214
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103782142023-07-29 Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome Savin, Sorina Mezzofranco, Luca Gracco, Antonio Bruno, Giovanni De Stefani, Alberto Children (Basel) Article Aim: The aim of this paper is to describe the multidisciplinary management pathway for pediatric patients with suspected obstructive sleep apnea syndrome (OSAS) conducted by the Pediatric and Orthodontic Department of the Dental Clinic of Padua. Materials and methods: All pediatric subjects undergo a comprehensive medical history, including the completion of the Pediatric Sleep Questionnaire (PSQ), and a physical examination. Patients with suspected OSAS are placed on a waiting list for home respiratory polygraphy testing. The respiratory polygraphy examination is conducted over two consecutive nights and interpreted by a neurologist. Additionally, patients diagnosed with OSAS undergo a case study involving intraoral and extraoral photography, as well as radiographic evaluation. Results: Between September 2021 and May 2023, a total of 134 subjects (including 76 males), with an average age of 9.2 years, were identified as diagnostic suspects. Among these, 38 patients (28.3%) tested positive based on respiratory polygraphic results. Depending on the severity and etiopathogenetic characteristics of the disease, the positive cases were referred to various specialists. Conclusion: In the daily clinical practice of dentistry, particularly in orthodontics and pedodontics, the establishment of a defined management pathway for pediatric patients with OSAS is crucial. The collaboration of a multidisciplinary team with a shared objective of achieving accurate diagnosis and implementing targeted treatment in a timely manner is essential. Regular re-evaluation of patients through clinical and instrumental examinations is recommended. MDPI 2023-07-14 /pmc/articles/PMC10378214/ /pubmed/37508722 http://dx.doi.org/10.3390/children10071225 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Savin, Sorina
Mezzofranco, Luca
Gracco, Antonio
Bruno, Giovanni
De Stefani, Alberto
Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title_full Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title_fullStr Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title_full_unstemmed Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title_short Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome
title_sort management of the pediatric patient with suspected diagnosis of obstructive sleep apnea syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378214/
https://www.ncbi.nlm.nih.gov/pubmed/37508722
http://dx.doi.org/10.3390/children10071225
work_keys_str_mv AT savinsorina managementofthepediatricpatientwithsuspecteddiagnosisofobstructivesleepapneasyndrome
AT mezzofrancoluca managementofthepediatricpatientwithsuspecteddiagnosisofobstructivesleepapneasyndrome
AT graccoantonio managementofthepediatricpatientwithsuspecteddiagnosisofobstructivesleepapneasyndrome
AT brunogiovanni managementofthepediatricpatientwithsuspecteddiagnosisofobstructivesleepapneasyndrome
AT destefanialberto managementofthepediatricpatientwithsuspecteddiagnosisofobstructivesleepapneasyndrome