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Reversible cardio-pulmonary changes due to adeno-tonsilar hypertrophy
S Ramakrishna1, V S Ingle, S Patel
1Department of ENT, Ibri Regional Referral Hospital, P.B. No. 46, P.C. 516, Sultanate of Oman, Oman.
International Journal of Pediatric Otorhinolaryngology
|October 18, 2000
Summary
Enlarged adenoids and tonsils can cause upper airway obstruction and sleep apnea in young children. Surgical removal of these tissues successfully treated cardio-pulmonary changes in two infants.
Area of Science:
- Otorhinolaryngology
- Pediatric Cardiology
- Sleep Medicine
Background:
- Adeno-tonsillar hypertrophy is a common ENT condition.
- It is increasingly recognized as a significant cause of pediatric sleep apnea syndrome.
- Previous reports link it to pulmonary hypertension and corpulmonale.
Observation:
- Two children under 2 years old presented with symptoms suggestive of upper airway obstruction.
- These children exhibited significant cardio-pulmonary changes.
- The condition was secondary to chronic adeno-tonsillar hypertrophy.
Findings:
- Cardio-pulmonary changes in infants can be secondary to adeno-tonsillar hypertrophy.
- Surgical removal (adeno-tonsillectomy) led to successful treatment of these changes.
- Early intervention is crucial for managing these pediatric cases.
Implications:
- Adeno-tonsillar hypertrophy should be considered in infants with unexplained cardio-pulmonary issues.
- Prompt surgical intervention can reverse severe complications.
- This highlights the importance of addressing airway obstruction in early childhood development.