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Indications and outcomes of adenoidectomy in infancy

Anat Shatz1

  • 1Pediatric Airways Service, Shaare Zedek Medical Center, Jerusalem, Israel.

The Annals of Otology, Rhinology, and Laryngology
|November 13, 2004
PubMed

Insights

Adenoidectomy is a safe and effective treatment for infants under one year old experiencing obstructive sleep apnea due to adenoid hypertrophy. This procedure successfully resolved airway obstruction and related symptoms in all studied infants.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine

Background:

  • Adenoid hypertrophy is a frequent cause of pediatric obstructive sleep apnea (OSA).
  • Adenoidectomy is the primary treatment, but rarely performed in infants under one year old.

Purpose of the Study:

  • To evaluate the efficacy and safety of adenoidectomy in infants younger than one year with obstructive sleep apnea.

Main Methods:

  • Retrospective case series of 24 infants under one year old with OSA and adenoid hypertrophy.
  • Reviewed clinical data, symptoms, physical exams, polysomnography, endoscopy, pH-metry, and echocardiography.
  • Assessed outcomes following adenoidectomy with careful monitoring.

Main Results:

  • Adenoidectomy was performed without complications in all 24 infants.
  • All infants experienced significant improvement, with complete resolution of upper airway obstruction symptoms.
  • Associated conditions such as failure to thrive and GERD also resolved.

Conclusions:

  • Adenoidectomy is a safe, effective, and curative treatment for obstructive sleep apnea in infants under one year old.
  • The procedure addresses upper airway obstruction, failure to thrive, and GERD in this population.

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