Sleep Disordered Breathing
and Thomas Verse1 (1) Department of Otorhinolaryngology Head and Neck Surgery, Asklepios Clinic Harburg, Eissendorfer Pferdeweg 52, 21075 Hamburg, Germany Abstract In the case of primary snoring, the patient does not…
Nasopharyngeal Surgery
and Wolfgang Pirsig2 (1) Department of Otorhinolaryngology Head and Neck Surgery, Asklepios Clinic Harburg, Eissendorfer Pferdeweg 52, 21075, Hamburg, Germany (2) Department of Otorhinolaryngology Head and Neck Surgery, Mozartstrasse 22/1, 89075 Ulm,…
Diagnostic Tools and Testing in the Sleepy Patient
General sleep assessments Sleep diary SF-12, SF-36 Daytime sleepiness Epworth Sleepiness Scale [34] Stanford Sleepiness Scale [35] Functional Outcomes of Sleep Questionnaire [36] OSA Berlin Questionnaire [37] STOP-BANG Questionnaire [38]…
Sleep-Related Breathing Disorders
Wide neck circumference: Men > 17 in. Women > 16 in. Enlarged nasal turbinates Deviated nasal septum Midfacial hypoplasia Narrow mandible or maxilla Dental overjet/retrognathia or micrognathia Crossbite and dental malocclusion (class 2) High…
The Parasomnias
The parasomnias Parasomnias associated with non-REM sleep (or “disorders of arousal”) • Confusional arousals • Sleep terrors • Sleepwalking (somnambulism) • Sleep-related eating disorder Parasomnias associated with REM sleep •…
Sleepless Patient: Circadian Rhythm Sleep–Wake Disorders
Fig. 11.1 Schematic representation of the primary CRSWDs Circadian rhythms are endogenous and genetically regulated and persist in the absence of external time cues with a period of approximately 24…
Sleeplessness During and After Pregnancy
Measure Outcome Insomnia Severity Index Insomnia symptoms General Sleep Disturbance Scale General sleep issues with subscales for sleep quality, daytime function, and sleep aid use Pittsburgh Sleep Quality Index Sleep…
Assessment and Management of Insomnia
Fig. 10.1 Example of a typical sleep diary Symptom inventories provide clinicians with dimensional measures of frequency and severity, which provide necessary information to inform accurate diagnosis and assessment of…
The Sleepless Child
Medical sleep disorders as common causes of the sleepless child Behavioral sleep disorders as common causes of the sleepless child Restless legs syndrome Sleep-onset association disorder Circadian rhythm disorder—delayed-sleep phase…
Restless Legs Syndrome: The Devil Is in the Details
Fig. 12.1 Periodic limb movements (PLMS): Polysomnogram and electromyogram report showing periodic limb movements (red arrows) in both lower extremities (“LLEG” and “RLEG”). In order to define the intermittent movements…
