{"id":162,"date":"2017-11-14T18:17:09","date_gmt":"2017-11-14T17:17:09","guid":{"rendered":"https:\/\/icare-cro.com\/blog\/?p=162"},"modified":"2020-01-28T16:21:52","modified_gmt":"2020-01-28T15:21:52","slug":"bambini-russamento-apnee","status":"publish","type":"post","link":"https:\/\/icare-cro.com\/blog\/2017\/11\/14\/bambini-russamento-apnee\/","title":{"rendered":"Bambini, russamento e apnee: qual \u00e8 la cura migliore?"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><h5><em><strong>Il bambino russa la notte, forse si blocca il respiro. L&#8217;ansia dei genitori sale. Tuttavia la diagnosi e la cura sono rapide ed efficaci nella stragrande maggioranza dei piccoli pazienti. Negli ultimi anni stanno emergendo maggiori evidenze sulla efficacia e sicurezza delle tecniche mini-invasive per rimuovere le tonsille e le adenoidi.<\/strong><\/em><\/h5>\n<p>Il russamento e la respirazione orale notturna, talvolta anche diurna,\u00a0 sono segni tipici dell&#8217;ipertrofia adenoidea isolata. Ciononostante in una percentuale variabile dall&#8217;1% al 3% della popolazione pediatrica pu\u00f2 soffrire anche di forme di apnee ostruttive in sonno. Quadro clinico a volte anche eclatante tale da far spaventare e rendere i genitori del piccolo paziente molto preoccupati. Tuttavia bisogna innanzitutto rassicurare che, salvo concomitanze di patologie genetiche, le apnee non mettono a rischio la vita del bambino ma determinano purtroppo numerosi effetti: dalla irritabilit\u00e0 allo scarso accrescimento, dalla riduzione di capacit\u00e0 di attenzione e apprendimento all&#8217;ogivalizzazione del palato duro.\u00a0 L&#8217;et\u00e0 di insorgenza pu\u00f2 essere anche precoce intorno ai 2 anni. La diagnosi non \u00e8 difficile. La valutazione specialistica otorino \u00e8 essenziale sia per escludere altre problematiche sia per rassicurare i genitori e indirizzare alla indagine strumentale migliore.<\/p>\n<div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div>\n<p>Nei bambini piccoli dalla nascita ai 2-4 anni \u00e8 possibile\u00a0 eseguire un esame molto semplice\u00a0 tramite la registrazione di una o pi\u00f9 notti della ossigenazione del sangue (pulsiossimetria) . Questo esame permette di ottenere una attendibilit\u00e0 del 97%. Tuttavia qualora l&#8217;esame fosse negativo, purtroppo non \u00e8 possibile escludere totalmente che il bambino non abbia apnee. Pertanto \u00e8 necessario affidarsi allo specialista per dirimere ogni dubbio e caso mai se il bambino \u00e8 collaborativo eseguire come in bambini pi\u00f9 grandi un monitoraggio cardio-polmonare notturno (polisonnogramma di tipo III).<\/p>\n<p>Ma una volta diagnosticate le apnee, come si cura? L&#8217;ipertrofia adeno-tonsillare(tonsille e adenoidi grosse) \u00e8 la causa del russamento e delle apnee nella stragrande maggioranza dei bambini affetti. L&#8217;intervento efficace \u00e8 l&#8217;adenotonsillectomia(asportazione di adenoidi e tonsille). La tecnica tradizionale, tuttavia, \u00e8 aggravata da varie complicanze pi\u00f9 o meno gravi. Tra le pi\u00f9 frequenti: il sanguinamento (di solito dopo 5-10 giorni dall&#8217;intervento), il dolore e la scarsa alimentazione con rischio di disidratazione.<\/p>\n<div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div>\n<p>Nel corso del tempo, molti chirurghi hanno provato ad utilizzare diverse tecniche per abbattere al minimo tali complicanze. Recentemente, la tecnica di adenotonsillectomia intracapsulare con l&#8217;uso di microdebrider sembra ottenere eccellenti risultati di efficacia e di sicurezza.<\/p>\n<figure id=\"attachment_167\" aria-describedby=\"caption-attachment-167\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-167\" src=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2017\/11\/Presentazione-senza-titolo-300x243.jpg\" alt=\"\" width=\"300\" height=\"243\" srcset=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2017\/11\/Presentazione-senza-titolo-300x243.jpg 300w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2017\/11\/Presentazione-senza-titolo.jpg 624w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-167\" class=\"wp-caption-text\">Intervento di adentonsillectomia intracapsulare con microdebrider<\/figcaption><\/figure>\n<p>Un recente studio* ha analizzato i dati della letteratura scientifica dimostrando che tale tecnica permette di ottenere un alto tasso di successo per la cura delle apnee e del russamento con una contestuale riduzione del rischio di sanguinamento e di disidratazione, del dolore post-operatorio e una significativo anticipato\u00a0 recupero alla normalit\u00e0 rispetto all&#8217;intervento tradizionale.<\/p>\n<p><strong>Bibliografia<\/strong><\/p>\n<p>1. Lee HS, Yoon HY, Jin HJ, Hwang SH. The safety and efficacy of powered intracapsular tonsillectomy in children: A meta-analysis. Laryngoscope. 2017 Oct 25. doi: 10.1002\/lary.26886. [Epub ahead of print]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Il bambino russa la notte, forse si blocca il respiro. L&#8217;ansia dei genitori sale. Tuttavia la diagnosi e la cura sono rapide ed efficaci nella stragrande maggioranza dei piccoli pazienti. Negli ultimi anni stanno emergendo maggiori evidenze sulla efficacia e sicurezza delle tecniche mini-invasive per rimuovere le tonsille e le adenoidi. Il russamento e la&hellip;&nbsp;<a href=\"https:\/\/icare-cro.com\/blog\/2017\/11\/14\/bambini-russamento-apnee\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Bambini, russamento e apnee: qual \u00e8 la cura migliore?<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":"","_wpscppro_dont_share_socialmedia":false,"_wpscppro_custom_social_share_image":0,"_facebook_share_type":"","_twitter_share_type":"","_linkedin_share_type":"","_pinterest_share_type":"","_linkedin_share_type_page":"","_instagram_share_type":"","_medium_share_type":"","_threads_share_type":"","_google_business_share_type":"","_bluesky_share_type":"","_mastodon_share_type":"","_selected_social_profile":[],"_wpsp_enable_custom_social_template":false,"_wpsp_social_scheduling":{"enabled":false,"datetime":null,"platforms":[],"status":"template_only","dateOption":"","timeOption":"","customDays":"","customHours":"","customDate":"","customTime":"","schedulingType":""},"_wpsp_active_default_template":true},"categories":[18,26,36],"tags":[20,58],"class_list":["post-162","post","type-post","status-publish","format-standard","hentry","category-apnee-notturne","category-medicina-del-sonno","category-roncopatia","tag-apnee-notturne","tag-bambino"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bambini, russamento e apnee: qual \u00e8 la cura migliore?<\/title>\n<meta name=\"description\" content=\"Russamento e apnee nel bambino. 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