Long-term Changes in Quality of Life After Surgery for Pediatric Obstructive Sleep Apnea

Abstract
Over the last 20 years1 there has been growing awareness of the effects of sleep-disordered breathing on behavior,2 school performance,3 and quality of life4,5 in children. Sleep-disordered breathing comprises a spectrum of airway disorders6 that ranges from simple snoring to obstructive sleep apnea (OSA). Full-night polysomnography is the "gold standard" for distinguishing OSA from milder forms of sleep-disordered breathing such as simple snoring.7 The estimated prevalence of OSA in 4-year-old children is 1% to 3%,8 but the overall prevalence of other forms of sleep-disordered breathing is much higher.9

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