2 10 ~12 9.9%~29.9% 2 OSA. Obstructive Sleep Apnea Syn- drome OSA 1%~4% 3 OSA OSA OSA 2 ~8

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1 World J of Sleep Medicine Dec Vol. 1 No ~6 10 ~ %~29.9% 2 16 Obstructive Sleep Apnea Syn drome OSA %~4% 3 SDB OSA SDB 10%~ 12% OSA 0.9% ~ 5.8% 4-6 OSA 2 ~ OSA / 2 ~8 OSA OSA 23 OSA / BIDMC sunsc@ 163. com

2 World J of Sleep Medicine Dec Vol. 1 No. 6 20%~25% 24 OSA SDB /

3 World J of Sleep Medicine Dec Vol. 1 No OSA Ⅰ 25% Ⅱ 26%~50% Ⅲ 51%~75% Ⅳ 76%~100% Ⅲ X CT 35-50% 36 A N A /N ~ X 41 X Polysomnography PSG 38 4

4 World J of Sleep Medicine Dec Vol. 1 No. 6 3 ICSD- 3 3 ICSD OSA PSG OSA OSA PSG OSA AASM PSG EDS OSA / OSA 6 PSG OSAHS AASM 3

5 World J of Sleep Medicine Dec Vol. 1 No OSA Ⅳ III 59 PSG 60 / OSA PSG 5 1

6 World J of Sleep Medicine Dec Vol. 1 No. 6 8 / M Bowe CM Gungor A. Pediatric obstructive sleep apnea syndrome J. Otolaryngol Clin North Am American Academy of Sleep Medicine. International classification of sleep disorders 3rd ed S. Darien IL American Academy of Sleep Medicine Chhangani BS Melgar T Patel D. Pediatric obstructive 4 sleep apnea J. Indian J Pediatr Lumeng JC Chervin RD. Epidemiology of pediatric obstructive sleep apnea J. Proc Am ThoracSoc J

7 World J of Sleep Medicine Dec Vol. 1 No Cai XH. Multiple system morbidities associated with children with snore symptom J. PediatrPulmonol Capdevila OS. Pediatric obstructive sleep apnea complications management and long-term outcomes J. Proc Am ThoracSoc Huang YS. Attention-deficit /hyperactivity disorder with obstructive sleep apnea a treatment outcome study J. Sleep Med Nisbet LC. Nocturnal autonomic function in preschool children with sleep-disordered breathing J. Sleep Med Tatlipinar A. Adenotonsillar hypertrophy correlation between obstruction types and cardiopulmonary complications J. Laryngoscope Gozal D Kheirandish-Gozal L. The multiple challenges of obstructive sleep apnea in children morbidity and treatment J. CurrOpinPediatr Clinical practice guideline diagnosis and management of childhood obstructive sleep apnea syndrome J. Pediatrics Trosman I. Childhood obstructive sleep apnea syndrome a review of the 2012 American Academy of Pediatrics guidelines J. Pediatr Ann J Kim SY. Regrowth of the adenoids after coblation adenoidectomy cephalometric analysis J. Laryngoscope Bahadir O. Effects of adenoidectomy in children with symptoms of adenoidal hypertrophy J. Eur Arch Otorhinolaryngol J. M Reuveni H. Health care services utilization in children with obstructive sleep apnea syndrome J. Pediatrics Pt Marcus CL. A randomized trial of adenotonsillectomy for childhood sleep apnea J. N Engl J Med Tan HL Gozal D Kheirandish-Gozal L. Obstructive sleep apnea in children a critical update J. Nat Sci Sleep Gysin C. Indications of pediatric tonsillectomy J. ORL J OtorhinolaryngolRelat Spec Hwang SH. Usefulness of adenotonsillar size for prediction of severity of obstructive sleep apnea and flow limitation J. Otolaryngol Head Neck Surg Robb PJ. Tonsillectomy and adenoidectomy in children with sleep-related breathing disorders consensus statement of a UK multidisciplinary working party J. Ann R CollSurgEngl Materia E. The clinical and organisational appropriateness of tonsillectomy and adenoidectomy-an Italian perspective J. Int J PediatrOtorhinolaryngol Schechter MS. Technical report diagnosis and management of childhood obstructive sleep apnea syndrome J. Pediatrics e Gozal D. Sleep-disordered breathing and school performance in children J. Pediatrics Pt Goldman LS. Diagnosis and treatment of attention-deficit / hyperactivity disorder in children and adolescents. Council on Scientific Affairs American Medical Association J. JAMA J J J J Ungkanont K Damrongsak S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases J. Int J PediatrOtorhinolaryngol J

8 World J of Sleep Medicine Dec Vol. 1 No M Cassano P. et al. Adenoid tissue rhinopharyngeal obstruction grading based on fiberendoscopic findings a novel approach to therapeutic management J. Int J PediatrOtorhinolaryngol Tsai CM. Usefulness of desaturation index for the assessment of obstructive sleep apnea syndrome in children J. Int J PediatrOtorhinolaryngol Velasco Suarez CT. Pulse oximetry recording in chil- 39. dren with adenotonsillar hypertrophy usefulness in the J diagnostic of obstructive sleep apnea syndrome J Arch Argent Pediatr Dehkordi P. Pulse rate variability compared with Heart J Rate Variability in children with and without sleep dis- 41. CT ordered breathing J. ConfProc IEEE Eng Med Biol- J Soc Choi JH. Obstructive sleep apnea syndrome a child is not just a small adult J. Ann OtolRhinolLaryngol Goh DY Galster P Marcus CL. Sleep architecture and respiratory disturbances in children with obstructive sleep apnea J. Am J RespirCrit Care Med Pt McNamara F Issa FG Sullivan CE. Arousal pattern following central and obstructive breathing abnormalities in infants and children J. J ApplPhysiol Marcus CL. Diagnosis and management of childhood obstructive sleep apnea syndrome J. Pediatrics Marcus CL. Diagnosis and management of childhood obstructive sleep apnea syndrome J. Pediatrics e Brockmann PE Perez JL Moya A. Feasibility of unattended home polysomnography in children with sleepdisordered breathing J. Int J PediatrOtorhinolaryngol Held CM. Automated detection of apnea /hypopnea e- vents in healthy children polysomnograms preliminary results J. ConfProc IEEE Eng Med BiolSoc Pavone M. Night-to-night consistency of at-home noc- J. turnal pulse oximetry testing for obstructive sleep apnea in children J. PediatrPulmonol J Greenfeld M Sivan Tauman R. The effect of seasonality on sleep-disordered breathing severity in children J. Sleep Med Wang LF. Cigarette smoke inhibits dynamic ciliary beat frequency in pediatric adenoid explants J. Otolaryngol Head Neck Surg Nandalike K. Adenotonsillectomy in obese children with obstructive sleep apnea syndrome magnetic resonance imaging findings and considerations J. Sleep Tripuraneni M. Obstructive sleep apnea in children J. Laryngoscope Kang KT. Body weight status and obstructive sleep apnea in children J. Int J Obes Lond Bonuck KA. Prevalence and persistence of sleep disordered breathing symptoms in young children a 6-year population-based cohort study J. Sleep Vlahandonis A. A four year follow-up of sleep and respiratory measures in elementary school-aged children with sleep disordered breathing J. Sleep Med

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