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To the Editor We read with great interest the article titled “The Role of Sleep Studies in Children Who Snore” by Ishman.1 In this article the author reaffirmed the importance of performing polysomnography in children with suspected sleep disordered breathing (SDB) before and especially after treatment because the risk of persistent obstructive sleep apnea (OSA) after surgery is high. Moreover, the high cost and the limited availability of these studies is quite correctly pointed out by the author. It seems that there is no hope for these children to be studied if polysomnography is not available because, as the author states, medical history and physical examination have a positive and negative predictive value that is not sufficient to establish an OSA diagnosis.
Villa MP, Vitelli O, Evangelisti M. Screening and Follow-up of Children Who Snore When Polysomnography Is Not Available. JAMA Otolaryngol Head Neck Surg. 2016;142(7):711. doi:10.1001/jamaoto.2016.0465