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[The surgical risk in sleep apnea: the implications for tonsillectomies]
R Pérez-Padilla1, J C Vázquez-García, S Meza-Vargas
1Departamento de Fisiología Respiratoria, Laboratorio de Sueño, Instituto Nacional de Enfermedades Respiratorias, Tlálpan, México DF. perezpad@servidor.unam.mx
Gaceta Medica De Mexico
|December 22, 1999
Abstract:
Hypertrophy of tonsils or adenoids is the commonest cause of obstructive sleep apnea (OSA) in children. Adenotonsillectomy (AT) is frequently curative in children with OSA but riskier than the same procedure without OSA. It is crucial to identify OSA among the patients programmed for AT because they require a detailed evaluation, frequently including total or limited polysomnogram. Patients with OSA need a continuous surveillance before, during, and after surgery, ideally in a referral hospital.