Obstructive Sleep Disordered Breathing
Conditions
Keywords
obstructive sleep disordered breathing, pediatrics, sleep, obstructive sleep apnea, snoring, tongue
Brief summary
This study investigates the hypothesis that, in children, tongue motor functions can predict both the anatomical site and the degree of upper airway obstruction contributing to obstructive sleep-disordered breathing.
Detailed description
Patients will be enrolled during their visit to the ENT physician. Subsequently, their tongue motor functions will be assessed during their pre-surgical appointment. Finally, they will undergo a drug-induced sleep endoscopy prior to their surgery.
Interventions
OTHERPhysiotherapist assessment
* Tongue motor skills (Tongue pressures and tongue mobility, assessed through the Iowa Oral Performance Instrument and the Motricité Bucco-Linguo-Faciale tongue subscore, respectively) * Tongue restriction of mobility due to its frenulum (assessed through the Quick Tongue-Tie assessment tool) * Breathing Pattern (questionnaire from Abreu RR, Rocha RL, Lamounier JA, Guerra AF. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J Pediatr (Rio J). 2008;84(6):529-535.).
OTHERENT assessment
Data from the ENT appointment will be collected (e.g., sex, height, weight)
DIAGNOSTIC_TESTDrug-Induced Sleep Endoscopy
A Drug-Induced Sleep Endoscopy will be performed, recorded, and evaluated by two blinded raters using the IPSES scale.
Sponsors
Université Catholique de Louvain
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Age between 6 and 17 years old * Medical diagnosis of obstructive sleep-disordered breathing requiring surgical removal of tonsils (partial or total) and/or adenoids * Positive Pediatric Sleep Questionnaire (8 or more positive responses) * Eligibility for surgical intervention
Exclusion criteria
* Neurological, cardiac, or respiratory comorbidity other than obstructive sleep-disordered breathing * Previous surgery of the upper airway or oral cavity * History of or current head or neck cancer * Cranial, upper airway, or oral cavity malformation * Contraindication to performing endoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extent of tongue base obstruction | During the planned surgery | Evaluated through the IPSES scoring during a Drug Induced Sleep Endoscopy (DISE) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Breathing pattern | During the pre-surgical appointment | Presence or absence of mouth breathing will be assessed with the mouth breathing questionnaire from Abreu et al. (2018). |
| Tongue mobility (MBLF score) | During the pre-surgical appointment | Assessed through the Motricité Bucco-Linguo-Faciale (MBLF) tongue test score |
| Tongue pressures (kPa) | During the pre-surgical appointment | Tongue pressures will be measured with the Iowa Oral Performance Instrument (IOPI), in kPa, during a protrusion, an elevation, and a swallowing task. |
| Tongue mobility restriction due to its frenulum ratio (%) | During the pre-surgical appointment | The ratio between the maximal comfortable mouth opening, with the tongue tip to the incisive papilla, and the maximal comfortable mouth opening, will be computed. |
Countries
Belgium
Contacts
CONTACTWilliam Poncin, Pr, Dr.
CONTACTPierre Cnockaert, PT
Outcome results
None listed