{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:13:03Z","timestamp":1792059183069,"version":"4.4.0"},"reference-count":97,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2011,6,15]],"date-time":"2011-06-15T00:00:00Z","timestamp":1308096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>Objective. This guideline provides otolaryngologists with evidence\u2010based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep\u2010disordered breathing and are candidates for tonsillectomy, with or without adenoidectomy. Polysomnography is the electrographic recording of simultaneous physiologic variables during sleep and is currently considered the gold standard for objectively assessing sleep disorders.<\/jats:p>\n                  <jats:p>Purpose. There is no current consensus or guideline on when children 2 to 18 years of age, who are candidates for tonsillectomy, are recommended to have polysomnography. The primary purpose of this guideline is to improve referral patterns for polysomnography among these patients. In creating this guideline, the American Academy of Otolaryngology\u2014Head and Neck Surgery Foundation selected a panel representing the fields of anesthesiology, pulmonology medicine, otolaryngology\u2013head and neck surgery, pediatrics, and sleep medicine.<\/jats:p>\n                  <jats:p>Results. The committee made the following recommendations: (1) before determining the need for tonsillectomy, the clinician should refer children with sleep\u2010disordered breathing for polysomnography if they exhibit certain complex medical conditions such as obesity, Down syndrome, craniofacial abnormalities, neuromuscular disorders, sickle cell disease, or mucopolysaccharidoses. (2) The clinician should advocate for polysomnography prior to tonsillectomy for sleep\u2010disordered breathing in children without any of the comorbidities listed in statement 1 for whom the need for surgery is uncertain or when there is discordance between tonsillar size on physical examination and the reported severity of sleep\u2010disordered breathing. (3) Clinicians should communicate polysomnography results to the anesthesiologist prior to the induction of anesthesia for tonsillectomy in a child with sleep\u2010disordered breathing. (4) Clinicians should admit children with obstructive sleep apnea documented on polysomnography for inpatient, overnight monitoring after tonsillectomy if they are younger than age 3 or have severe obstructive sleep apnea (apnea\u2010hypopnea index of 10 or more obstructive events\/hour, oxygen saturation nadir less than 80%, or both). (5) In children for whom polysomnography is indicated to assess sleep\u2010disordered breathing prior to tonsillectomy, clinicians should obtain laboratory\u2010based polysomnography, when available.<\/jats:p>","DOI":"10.1177\/0194599811409837","type":"journal-article","created":{"date-parts":[[2011,6,15]],"date-time":"2011-06-15T20:15:54Z","timestamp":1308168954000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":288,"title":["Clinical Practice Guideline: Polysomnography for Sleep\u2010Disordered Breathing Prior to Tonsillectomy in Children"],"prefix":"10.1002","volume":"145","author":[{"given":"Peter S.","family":"Roland","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Texas Southwestern Medical School Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard 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