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

J C Leclere; R Marianowski; P J Monteyrol; M Akkari; F Chalumeau; P Fayoux; N Leboulanger; P Franco; V Couloigner; M Mondain

doi:10.1016/j.anorl.2019.05.017

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

Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Sep;136(4):301-305. doi: 10.1016/j.anorl.2019.05.017. Epub 2019 Jun 13.

Authors

J C Leclere¹, R Marianowski², P J Monteyrol³, M Akkari⁴, F Chalumeau⁵, P Fayoux⁶, N Leboulanger⁷, P Franco⁸, V Couloigner⁷, M Mondain⁴

Affiliations

¹ Service d'ORL et de chirurgie cervico-faciale, hôpital Morvan, université de Bretagne Occidentale, CHRU Brest, 29200 Brest, France. Electronic address: leclere.jean-christophe@hotmail.fr.
² Service d'ORL et de chirurgie cervico-faciale, hôpital Morvan, université de Bretagne Occidentale, CHRU Brest, 29200 Brest, France.
³ ORL, polyclinique du Tondu, 33000 Bordeaux, France.
⁴ Service d'ORL, hôpital Gui de Chauliac, université de Montpellier, CHU Montpellier, 34295 Montpellier, France.
⁵ ORL, 67, boulevard Pasteur, 94260 Fresnes, France.
⁶ Service d'ORL, hôpital Jeanne de Flandres, université Lille 2, CHRU Lille, 59120 Loos, France.
⁷ Service d'ORL pédiatrique, hôpital Necker-Enfants-Malades, université Paris Descartes, AP-HP, 75015 Paris, France.
⁸ Inserm U1028, CNRS UMR 5292, université Lyon 1, 69677 Bron, France; Unité de sommeil pédiatrique, hôpital Femme-Mère-Enfant, hospices Civils de Lyon, 69003 Lyon, France.

PMID: 31202666
DOI: 10.1016/j.anorl.2019.05.017

Abstract

Objectives: 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.

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

Publication types

Practice Guideline

MeSH terms

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