{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:58:02Z","timestamp":1791669482921,"version":"4.3.4"},"reference-count":51,"publisher":"JLE","issue":"3-4","license":[{"start":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:00:00Z","timestamp":1587686400000},"content-version":"vor","delay-in-days":236,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p><jats:bold>Introduction :<\/jats:bold> Chez l\u2019enfant, le syndrome d\u2019apn\u00e9es obstructives du\nsommeil (SAOS) constitue un trouble du sommeil fr\u00e9quent dont la pr\u00e9valence est\nd\u2019environ 3 % entre trois et huit ans. <jats:bold>Mat\u00e9riels et m\u00e9thodes :<\/jats:bold> Son origine est multifactorielle\n(hypertrophie de tissus mous pharyng\u00e9s, \u00e9troitesse des voies a\u00e9rif\u00e8res\nosseuses, atteinte du tonus neuromusculaire). Les sympt\u00f4mes et les signes cliniques\ndiurnes et nocturnes \u00e0 rechercher sont directement en rapport avec l\u2019obstruction des\nvoies a\u00e9rif\u00e8res sup\u00e9rieures (VAS) ou avec la mauvaise qualit\u00e9 de sommeil. Apr\u00e8s\nune \u00e9valuation anamnestique et clinique compl\u00e8tes, incluant une nasofibroscopie, le\nsp\u00e9cialiste ORL s\u2019orientera vers une ad\u00e9no-amygdalectomie ou vers un enregistrement\nnocturne par polysomnographie ou polygraphie pour confirmer le diagnostic\nchez l\u2019enfant. Chez l\u2019adolescent, la pr\u00e9valence du SAOS serait entre 0,5 et 6 %.\nLes facteurs de risque principaux sont l\u2019ob\u00e9sit\u00e9, le sexe masculin et les ant\u00e9c\u00e9dents\nd\u2019amygdalo-ad\u00e9no\u00efdectomie. Outre les sympt\u00f4mes classiques du SAOS de l\u2019enfant,\nce syndrome peut, chez l\u2019adolescent, se manifester par une s\u00e9miologie trompeuse\n\u00e0 type de dyssomnie, somnolence diurne excessive et\/ou troubles de l\u2019humeur. Les\ndiagnostics diff\u00e9rentiels \u00e0 type de conduites \u00e0 risque, retard de phase ou narcolepsie\ndoivent \u00eatre syst\u00e9matiquement \u00e9voqu\u00e9s. L\u2019enregistrement de la respiration pendant\nle sommeil s\u2019impose. M\u00eame si l\u2019index d\u2019apn\u00e9es\/hypopn\u00e9es obstructives est faible, il\ndoit \u00eatre consid\u00e9r\u00e9. <jats:bold>Conclusion :<\/jats:bold> Chez l\u2019enfant comme chez l\u2019adolescent, la prise\nen charge multidisciplinaire (ORL, orthodontiste, kin\u00e9sith\u00e9rapeute maxillo-facial,\npneumologue) doit \u00eatre pr\u00e9coce afin d\u2019\u00e9viter les complications neurocognitives,\ncomportementales, cardiovasculaires et m\u00e9taboliques. Une chirurgie maxillo-faciale\npourra \u00eatre discut\u00e9e \u00e0 partir de l\u2019\u00e2ge de 15 ans. Il ne faudra pas oublier de veiller\naux r\u00e8gles d\u2019hygi\u00e8ne de vie et de sommeil ainsi qu\u2019\u00e0 la prise en charge de l\u2019ob\u00e9sit\u00e9.<\/jats:p>","DOI":"10.1051\/orthodfr\/2019034","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T08:23:42Z","timestamp":1587716622000},"page":"273-287","source":"Crossref","is-referenced-by-count":4,"title":["Troubles respiratoires obstructifs du sommeil chez l\u2019enfant et l\u2019adolescent : diagnostic, cons\u00e9quences et comorbidit\u00e9s"],"prefix":"10.1684","volume":"90","author":[{"given":"Laurianne","family":"Coutier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Franco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"18929","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1378\/chest.14-1959","volume":"147","author":"Alonso-Alvarez","year":"2015","journal-title":"Chest"},{"key":"R2","unstructured":"American Academy of Sleep Medicine. 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