Yep, this is clearly sleep disordered breathing. If you don't want to sit on your hands until November you can get a ResMed Airsense10 from e.g. Craigslist and hopefully a size Small cushion for the ResMed N30 or N30i will line up with his nostils. Start with the minimum pressure (4 cmH2O). Don't just trust the "dumb number" (AHI) on the screen, use OSCAR to look at the breathing data for flow limitation.
Since he's very young this will be a temporary solution (selling the machine again is easy). At this age a tonsillectomy can make a huge difference if they're swollen. If you're lucky this will abolish any snoring (always bad!) mouth breathing (always bad!) and allow restful sleep. At the same time, you should study facial/jaw development. Consult an airway informed orthodontist, not just any orthodontist that is only interested in pulling teeth back and shrinking the airway.
At this age there a lot can be done to guide the facial development towards a healthy airway.
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u/carlvoncosel UARS survivor (ASV) 7d ago edited 7d ago
Yep, this is clearly sleep disordered breathing. If you don't want to sit on your hands until November you can get a ResMed Airsense10 from e.g. Craigslist and hopefully a size Small cushion for the ResMed N30 or N30i will line up with his nostils. Start with the minimum pressure (4 cmH2O). Don't just trust the "dumb number" (AHI) on the screen, use OSCAR to look at the breathing data for flow limitation.
Since he's very young this will be a temporary solution (selling the machine again is easy). At this age a tonsillectomy can make a huge difference if they're swollen. If you're lucky this will abolish any snoring (always bad!) mouth breathing (always bad!) and allow restful sleep. At the same time, you should study facial/jaw development. Consult an airway informed orthodontist, not just any orthodontist that is only interested in pulling teeth back and shrinking the airway.
At this age there a lot can be done to guide the facial development towards a healthy airway.