Sleep Med Psychophysiol.  2004 Jun;11(1):50-54.

A case of obstructive sleep apnea syndrome in childhood

Affiliations
  • 1Department of Otorhinolaryngology-Head & Neck Surgery, Korea University College of Medicine, Ansan, Korea.
  • 2Department of Pulmonary Sleep Disorder Center, Korea University College of Medicine, Ansan, Korea.
  • 3Department of Respiratory Internal Medicine, Korea University College of Medicine, Ansan, Korea.

Abstract

The obstructive sleep apnea syndrome can occur due to various etiologies in children. In otherwise healthy children, adenotonsillar hypertrophy is the leading cause of childhood obstuctive sleep apnea. Obstructive sleep apnea caused by adenotonsillar hypertrophy can lead to a variety of symptoms and sequelae such as behavioral disturbance, enuresis, failure to thrive, developmental delay, cor pulmonale, and hypertension. So if obstructive sleep apnea is clinically suspected, proper treatment should be administered to the patient after diagnostic examinations. More than 80% improvement is seen in symptoms of obstructive sleep apnea caused by adenotonsillar hypertrophy in children after tonsillectomy and adenoidectomy. However, when it is impossible to treat the patient using surgical methods or residual symptoms remained after tonsillectomy and adenoidectomy, additional treatments such as weight control, sleep position change, and continuous positive airway pressure (CPAP), should be considered. This paper reports a case using weight control and Auto-PAP to control mild sleep apnea and snoring, which in long-term follow-up were not resolved after tonsillectomy and adenoidectomy for severe obstructive sleep apnea.

Keyword

Sleep apnea syndrome; Child; Tonsil; Adenoids; Continuous positive airway
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