liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The development of sleep disordered breathing from 4 to 12 years and dental arch morphology
Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Reconstruction Centre, Department of ENT - Head and Neck Surgery UHL.
Uppsala University.
2009 (English)In: INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, ISSN 0165-5876, Vol. 73, no 9, 1234-1241 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To track the development of sleep disordered breathing (SDB) as well as dento-facial morphology in cohort of children by having them complete a questionnaire at ages 4, 6 and 12. Clinical examination, sleep studies (at ages 4 and 12) and orthodontic evaluation were carried out on all who were reported to snore regularly and children who did not snore at all. Results: Out of the original group of 615 children, 64% (393) answered the inquiry on all three occasions. Of those, 27 snored regularly and 231 did not snore at all at the age of 12. There were differences between those groups on all answers, especially prevalence of oral breathing: 78% versus 5% (p andlt; 0.001). The prevalence of OSA decreased from 3.1% at the age of 4 to 0.8% at age 12 and the severity decreased from a mean AHI 14.8 at 4 to a mean AHI of 1.95 at age 12. The minimum prevalence of snoring regularly was estimated to 4.2% at 12 years compared to 5.3% at 4, calculated for the original cohort of 644 children. The odds for a child who snored regularly at 4 or 6 years to be snoring regularly also at age 12 was 3.7 times greater than fora not snoring child in spite of surgery (OR 3.7, 95% CI 2.4-5.7). 63 children had undergone surgery due to snoring by age 12. 14 of them never snored and 17 snored regularly at the age 12. The dental arch was narrower in the children snoring regularly at 4, 6 and 12 years compared to not snoring children. Cross-bites were more common among snoring children than among non-snoring children, at 4 and 6 as well as at 12. Conclusion: The prevalence of regular snoring is about the same from 4 to 12 years independent of surgery, but the prevalence of OSA decreased considerably. The children snoring regularly generally have a narrower maxilla compared to children not snoring. Surgery in young children is necessary but "cures" the snoring only temporary.

Place, publisher, year, edition, pages
2009. Vol. 73, no 9, 1234-1241 p.
Keyword [en]
Snoring, OSA, Sleep disordered breathing, Tonsillectomy, Adenoidectomy, Dento-facial development
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-20406DOI: 10.1016/j.ijporl.2009.05.012OAI: oai:DiVA.org:liu-20406DiVA: diva2:234517
Note
Original Publication: Elisabeth Hultcrantz and B Lofstrand Tidestrom, The development of sleep disordered breathing from 4 to 12 years and dental arch morphology, 2009, INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, (73), 9, 1234-1241. http://dx.doi.org/10.1016/j.ijporl.2009.05.012 Copyright: Elsevier Science B.V., Amsterdam. http://www.elsevier.com/ Available from: 2009-09-08 Created: 2009-09-07 Last updated: 2009-09-11

Open Access in DiVA

fulltext(861 kB)257 downloads
File information
File name FULLTEXT01.pdfFile size 861 kBChecksum SHA-512
60ebca66730097b886ff47709170634e47fc84a045d228bef7a7816aedef1bb8afe17d2a02439081c5d05a45c17174be530187f0c641464cea66619b55685c17
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Hultcrantz, Elisabeth

Search in DiVA

By author/editor
Hultcrantz, Elisabeth
By organisation
Oto-Rhiono-Laryngology and Head & Neck Surgery Faculty of Health SciencesDepartment of ENT - Head and Neck Surgery UHL
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 257 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 85 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf