J Korean Med Assoc.  2012 Feb;55(2):138-145. 10.5124/jkma.2012.55.2.138.

Diagnostic aspects of polysomnography in obstructive sleep apnea

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea. shleeent@korea.ac.kr

Abstract

Obstructive sleep apnea (OSA) is a sleep-related breathing disorder which is characterized by intermittent hypoxia and frequent arousals because of partial or complete upper airway obstruction during sleep. This condition may be associated with various clinical sequelae such as hypertension, cardiovascular disorders, and metabolic syndrome in adults, and failure to thrive, deformity of dentofacial structures, behavioral problems, impairment of sleep-related quality of life, and enuresis in children. Although technician-attended, in-laboratory, overnight standard polysomnography (PSG) is considered a basic and important diagnostic test to classify the severity of respiratory disturbance and define the proper treatment modality in adults and children with OSA, it is too expensive and complicated to perform. Recently, in order to overcome the disadvantages of standard PSG in the clinical field, a portable sleep monitoring device has been introduced as an alternative to standard PSG in selected patients. The purpose of this article is to elucidate the clinical indications of polysomnography in OSA, to define the differential characteristics of polysomnographic indices between children and adults with OSA, and to introduce the clinical efficacy of a portable sleep monitoring device.

Keyword

Polysomnography; Adult; Child; Obstructive sleep apnea

MeSH Terms

Adult
Airway Obstruction
Anoxia
Arousal
Child
Congenital Abnormalities
Diagnostic Tests, Routine
Enuresis
Failure to Thrive
Humans
Hypertension
Polysomnography
Quality of Life
Respiration
Sleep Apnea, Obstructive

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