Why does my child snore?

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Sleep apnea syndrome is defined as disruption of normal breathing and sleep structure as a result of complete or partial airway obstruction during sleep. It can be seen in any age group from neonatal period to adolescence. It occurs most frequently in children between 2-6 years of age due to the growth of tonsils and nasal passages. Snoring is caused by the vibration of the soft palate and the surrounding structure and shows us that the upper airway narrows during sleep. In a study conducted in our country, the frequency of chronic snoring in children was found to be 7 percent. However, not every child snores sleep apnea, apnea rate is around 1 percent.Pay attention to recurrent otitis media If your child usually breathes in the mouth, often has an upper respiratory tract infection, constantly runs out of the nose, snores at night, and recurrent middle ear inflammation is important to see by an otolaryngologist. Causes such as nasal flesh, tonsil size that may cause sleep apnea should be investigated. Behavioral disorders can be seen Children suffering from sleep apnea usually have headaches in the morning, have difficulty waking up, dry mouth sensation, breathing through the mouth, long-term nasal obstructions are seen. In addition, sleepwalking and sleep terror are more common in these children. Behavioral problems, for example; drowsiness during the day, drowsiness, difficulty in performing or daily activities, hyperactivity, aggressive behaviors, learning difficulties are frequently observed. There are also reasons other than nasal fleshThere are also causes of sleep apnea in children except big tonsils and nasal flesh. Asthma, frequent sinus infections, exposure to cigarette smoke, some muscle diseases, some neurological diseases, anatomical disorders of the bone and connective tissue around the head and neck are among the factors that increase the risk of sleep apnea syndrome. Most adults with sleep apnea are overweight, but children with sleep apnea can be at normal weight, even with developmental delay in these children. However, sleep apnea syndrome can be seen in a small group due to obesity. Excess fat tissue accumulates in the muscles and soft tissue surrounding the airway and pressure from the neck can cause apnea in obese children. How is the diagnosis made?
Presence of obesity or growth retardation in the child, drowsiness during the daytime, face downward extension, high palate structure, snoring at night when the patient is not sick, and especially a history of intermittent breathing. Treatment of the disease should be decided by the pediatrician and otorhinolaryngologist. Detailed ear-nose and throat examination of the child, endoscopy and nasal radiography to evaluate the size of tonsils and nasal flesh, monitoring during sleep, watching sleep video images can give an idea about sleep apnea. The final diagnosis is made by sleep test (polysomnography).How is the sleep test performed?
Sleep test is a test that evaluates the child's breathing, oxygen, sleep in the sleep laboratory. In children, the first step of treatment is to remove the tonsils and nasal flesh by surgery. In some patients, complaints may persist after surgery, and other allergic disorders and environmental factors should be considered. It is important to remember that not every snoring child has sleep apnea. Therefore, each child is special and appropriate treatment needs to be offered considering patient-specific factors.