Guidelines of the French Society of Otorhinolaryngology. Role of the ENT specialist in the diagnosis of childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). Part 1: Interview and physical examination.

• 影响指数: 2.665
• 发表时间: Sep 2019
• 来源期刊: Eur Ann Otorhinolaryngol Head Neck Dis
• DOI: 10.1016/j.anorl.2019.05.017
• PMID: 31202666
• 文章类型: Journal Article
• 中科院分区: Q4
• 方向: 医学
• 作者列表: Leclere JC,Marianowski R,Monteyrol PJ,Akkari M,Chalumeau F,Fayoux P,Leboulanger N,Franco P,Couloigner V,Mondain M

关键词: Adolescent; Child; Obesity; Obstructive sleep apnea-hypopnea syndrome; PSQ (Pediatric Sleep Questionnaire); Spruyt Gozal score

Mesh: Child; Endoscopy; France; Humans; Medical History Taking; Otolaryngologists; Pediatrics; Physical Examination / methods; Physician's Role; Sleep Apnea, Obstructive / diagnosis; Societies, Medical; Surveys and Questionnaires

Abstract

OBJECTIVE: To present the 2017 Clinical Practice Guidelines of the French Society of Otorhinolaryngology concerning the role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome. This article focuses specifically on medical history and physical examination.
METHODS: A multidisciplinary work-group drew up a first version of the guidelines, graded according to level of evidence following the GRADE grading system. The final version was obtained by including the suggestions and comments from the editorial group.
RESULTS: At the end of the process, guidelines were established and graded regarding the following points: interview and analysis of the various interview scores recommended in the literature; clinical examination with awake upper-airway endoscopy; and indications for referral to non-ENT specialists.