OSA/ Snoring ENT

Question 1

risk factors for primary snoring

Answer 1

• obese
• nasal obstruction
• adenotonsillar hypertrophy
• parental smoking

Question 2

risk factors for OSA

Answer 2

• craniofacial abnormalities
• CNS/ neuromuscular problems– decrease tone
• storage disorders–> Hurlers

Question 3

spectrum:

Answer 3

primary snoring–> upper airway resistance syndrome–> OSA

Question 4

nocturnal symptoms of OSA

Answer 4

• snoring
• apnea
• hyperactive
• night time sweats
• enuresis

Question 5

daytime symptoms of OSA

Answer 5

• mouth breather
• nasal obstruction
• hyponasal speech

Question 6

oral cavity findings for OSA

Answer 6

• LARGE tongue

- pharyngeal dimensions

Question 7

complications of OSA

Answer 7

• GROWTH- no GH release
• DEV’PT- poor academics/ attention/ hyperactive, aggressive
• CARDIO/PUL- pul HTN–> cor pulmonale–> LVH

Question 8

conservative mgmt OSA

Answer 8

• CPAP/ BiPAP

- steroids

Question 9

surgical mgmt OSA

Answer 9

• adenotonsillectomy
• tongue reduction
• craniofacial surgery

Question 10

craniofacial surgery for OSA

Answer 10

• mandibular advancement
• midface distraction
• choanal atresia repair