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Related Experiment Videos

Failure to thrive due to obstructive sleep apnea.

A D Everett, W C Koch, F T Saulsbury

    Clinical Pediatrics
    |February 1, 1987
    PubMed
    Summary

    Pediatric obstructive sleep apnea (OSA) can cause failure to thrive. Treating OSA with adenotonsillectomy led to significant catch-up growth in two children, highlighting OSA

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    Area of Science:

    • Pediatric Endocrinology
    • Sleep Medicine
    • Otolaryngology

    Background:

    • Failure to thrive (FTT) is a complex condition in pediatrics.
    • Obstructive sleep apnea (OSA) is increasingly recognized as a contributing factor to FTT.

    Observation:

    • Two pediatric patients presented with persistent subnormal growth velocities for height and weight.
    • Both children were underweight for their height prior to diagnosis.
    • Clinical features suggested underlying airway obstruction.

    Findings:

    • Diagnosis of obstructive sleep apnea was confirmed in both cases.
    • Adenotonsillectomy effectively relieved airway obstruction.
    • Post-surgical intervention resulted in prompt catch-up growth and normalization of growth velocities.

    Implications:

    • Obstructive sleep apnea should be a key consideration in the differential diagnosis of pediatric FTT.
    • Timely diagnosis and surgical management of OSA can reverse growth deficits.
    • This case series underscores the critical link between pediatric sleep-disordered breathing and nutritional/growth outcomes.

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