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Tonsillectomy and adenoidectomy. Changing indications

E S Deutsch1

  • 1Department of Pediatric Otolaryngology, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.

Pediatric Clinics of North America
|December 1, 1996
PubMed
Summary
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Adenotonsillar hypertrophy often causes obstructive sleep apnea and upper airway obstruction in children. Surgical removal of tonsils and adenoids (tonsillectomy and adenoidectomy) is indicated for these patients.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine

Background:

  • Adenotonsillar hypertrophy is increasingly recognized as a cause of pediatric obstructive sleep apnea and upper airway obstruction.
  • Symptoms range from complete apnea to partial obstruction, impacting children's health.

Purpose of the Study:

  • To review the indications and value of tonsillectomy and adenoidectomy for children with obstructive sleep apnea and upper airway obstruction due to adenotonsillar hypertrophy.

Main Methods:

  • Clinical history and physical examination are primary diagnostic tools.
  • Lateral neck radiographs and polysomnograms may supplement evaluation in select cases.

Main Results:

  • Most children who will benefit from surgery can be identified through standard clinical assessment.

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  • Surgical intervention is valuable for carefully selected pediatric patients.

    • Conclusions:

    • Tonsillectomy and adenoidectomy are effective treatments for specific pediatric airway obstruction conditions.
    • Careful patient selection based on thorough evaluation is crucial for successful outcomes.