Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Loud, frequent and disruptive snoring is the most common nocturnal manifestation of OSAS in children and adolescents. Pulse oximetry has been proposed as an alternative for diagnosing OSAS in children. Present study was aimed to study overnight pulse oximetry in children posted for Adenotonsillectomy, for the diagnosis of obstructive sleep apnea syndrome. Present study was cross‐sectional descriptive study conducted in children below 18 years of age admitted with clinically confirmed adenotonsillar enlargement and posted for Adenotonsillectomy. McGill Oximetry Scoring was done to classify the severity of OSA and the need for surgery. A total of 55 children were studied, out of which 33 (60%) were in the age group of 6‐10 years. Among 55 children studied, 33 (60%) were males and 22 (40%) were females. Twenty Five children (45%) were obese and 30 children (55%) had normal BMI. Among 55 children, Adenoid facies were present in 28 (51%) cases, 24 (44%) had grade 3 tonsillar hypertrophy and 31 (56 %) had grade 4 tonsillar hypertrophy. Mouth breathing was present in 28 (51%) cases, snoring was present in 35 (74%) cases and frequent awakenings were present in 43(78%). Mean number of desaturations in obese children with adenotonsillar hypertrophy (17.40±1.66) was more than children with normal BMI (13.03±1.52), difference was statistically significant (p<0.001). Statistical Analysis shows statistically significant association of Obesity (p<0.001), Adenoid facies (p<0.001), grade 3 and grade 4 tonsillar hypertrophy (p>0.002), Mouth breathing, snoring and frequent awakenings (p<0.001) with severity of OSA. Overnight pulse oximetry is a low cost tool which can be used as an alternative to Polysomnography for the diagnosis and assessment of severity of OSA in children with Adenotonsillar hypertrophy.
How to cite this article:
Farheen Farooq Shah and B. M. Shivalingappa. Study of Overnight Pulse Oximetry in Children Posted for Adenotonsillectomy for the Diagnosis of
Obstructive Sleep Apnea Syndrome.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.201.204
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.201.204