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Page 82
Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Pediatric Sleep Questionnaire As A Screening Tool To Predict Surgical Intervention In Pediatric Sleep
Related Breathing Disorders – A Prospective Study
Varada Elamon
and
George Kuruvilla
FRCS (Glasg.), Fellowship in Paediatric ENT (Canada)
P
aediatric Sleep Related Breathing Disorders (SRBDs) is viewed as a continuumof severity frompartial obstruction
of the upper airway to continuous episodes of complete upper airway obstruction or obstructive sleep apnoea
(OSA). A few published validated questionnaires have been designed to assess the SRBDs and associated symptoms
occurring in children. Sleep endoscopy is a consistently reliable tool, which is well established now a days for
identifying the site of obstruction in children with SRBDs. The objective of this study was to evaluate the effectiveness
of Paediatric Sleep Questionnaire (PSQ) score in predicting the need for surgical intervention in children with
SRBDs using the following parameters:
1. By co-relating the PSQ score with sleep endoscopy results in children with SRBDs.
2. The use of PSQ scores as a screening tool to predict the need of surgical intervention in paediatric SRBDs.
Methodology
This prospective observational study was conducted in the Department of ENT, Lourdes Hospital,
Kochi, Kerala from December 2015 to November 2017. A total of 60 patients clinically suspected to have SRBDs and
posted for sleep endoscopy study were selected. On the day of admission, after undergoing routine ENT examination,
the parents were requested to answer the questions in the validated Paediatric Sleep Questionnaire. The patient then
underwent sleep endoscopy on the following day and the site and severity of obstructions was assessed followed by
possible surgical intervention. The score obtained from the PSQ for a particular patient was then co-related with the
sleep endoscopy findings with or without surgical intervention.
Results:
In this study the PSQ score was found to be effective as a screening tool in predicting the need for surgical
intervention in children with SRBDs. The PSQ score obtained also co-related well with the endoscopically assessed
severity of obstruction.
Otolaryngol (Sunnyvale) 2019, Volume 09