Sleep Apnea in Children Without Hypertrophy of the Tonsils

Author:

Hultcrantz E.1,Svanholm H.1,Ahlqvist-Rastad J.1

Affiliation:

1. Department of Otorhinolaryngology and the Department of Phoniatrics, University Hospital, Uppsala, Sweden

Abstract

Two 12-year-old boys with severe sleep apnea syndrome but normal-sized tonsils were satisfactorily corrected by tonsillectomy and uvulopalatopharyngoplasty. One of the boys had muscular hypotony as contributing cause of the condition. The other had mandibular hypoplasia in combination with a long soft palate. Thorough preoperative anamnesis and examination in a sleep laboratory are necessary to determine which cases will benefit from surgery in spite of normal-sized tonsils and which surgical procedure will be most helpful.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology, and Child Health

Reference6 articles.

1. Apnea of Infancy and Childhood

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4. Potsic WP, Marsh RR Snoring and obstructive sleep apnea in children. In: Snoring and Obstructive Sleep Apnea. eds. Fairbanks D, Fujita S, Ikematsu T, Simmons FB. New York: Raven Press, 1987;245-58.

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