Correspondence Address:
Daniel Kwok-Keung Ng
Department of Paediatrics, Kwong Wah Hospital, Hong Kong SAR
China

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Habitual snoring is a common symptom of obstructive sleep apnea syndrome (OSAS) and OSAS is a common problem in children in Asia and a position statement was produced by Asian Paediatric Pulmonology Society.[1] The current issue saw Prof. Huang YS et al. giving an updated views on management of childhood sleep-disordered breathing (SDB) and this will surely help improve the long-term outcomes of children with SDB, which includes habitual snoring. Chan MC et al. published an original study looking at the occurrence of symptoms of neurobehavioral disorder, i.e., attention deficit, impulsiveness, and hyperactivity, in children with so-called “primary snoring”. It further strengthens the view that habitual snoring is not free of pathology given the constraints of the current definition of OSAS in children.

Acute bronchiolitis is the most common cause of acute respiratory distress in infants, and hypertonic saline nebulization was commonly used. Recently, a lot of advance has been made in the nebulizer technology. In a prospective randomized trial, Lai SH et al. compared the small volume nebulizer (SVN) and the vibrating mesh nebulizer (VMN) and found the latter to be more acceptable by parents. This might be important clinically as one often finds young children frightened by the noise of the SVN and pushed the mask away leading to decreased effectiveness of SVN. VMN might well be the answer.[2]