Published online Feb 8, 2016. doi: 10.5409/wjcp.v5.i1.63
Peer-review started: July 31, 2015
First decision: September 27, 2015
Revised: October 17, 2015
Accepted: December 18, 2015
Article in press: December 21, 2015
Published online: February 8, 2016
Snoring is a very common problem in children and may be an indication of obstructive sleep apnea (OSA). Appropriate diagnosis is of importance due to detrimental effects of OSA. Polysomnography is considered the gold standard for the diagnosis of OSA. However, it is impractical for several reasons and this is why other tests have been developed as alternatives to formal polysomnography (PSG) for the assessment of children with snoring. In this mini-review basic features of PSG as well as alternative tests are presented and future perspectives are provided in addition to current guideline for the diagnosis and monitoring of childhood snoring. The aim of this review is to highlight briefly currently developed technologies that seem promising for the evaluation of snoring.
Core tip: There are several methods allowing for the screening of obstructive sleep apnea (OSA) patients in a large scale, either in the field of molecular diagnosis or in the field of microelectronics Miniaturization technology as well as advances in wireless devices connectivity and data processing allows for more affordable, convenient and reliable recording of parameters such as oxygen saturation, actigraphy and others. In addition, advances in molecular biology allows for the detection of genetic and non-genetic biomarkers of sleep apnea. However the aforementioned markers and their combinations remain to be validated. Until then polysomnography is considered the gold standard for the diagnosis of OSA.