Related Experiment Videos
Sleep apnea associated with congenital diseases and moderate hypertrophy of tonsils
1Department of Otorhinolaryngology, Nagoya City University Medical School, Nagoya, Japan.
Insights
Tonsil and adenoid hypertrophy in children with severe congenital conditions can cause obstructive sleep apnea. Surgical removal (tonsillectomy or adeno-tonsillectomy) significantly improved sleep apnea symptoms in these patients.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Congenital Disorders
Background:
- Moderate tonsil and adenoid hypertrophy can lead to obstructive sleep apnea (OSA).
- Children with serious congenital diseases may have co-occurring airway issues.
- The impact of OSA in children with complex congenital conditions requires further investigation.
Abstract:
In this paper, we studied 3 children with moderate hypertrophy of the palatine tonsils and adenoids and serious congenital diseases. The first patient was a 4-year-old girl with Fallot's tetralogy, the second was a 6-year-old girl with Goldenhar syndrome and ventricular septal defect, aortic stenosis and patent ductus arteriosus, and the third was a 3-year-old boy with cerebral palsy and epilepsy. We examined obstructive apnea during sleep in these patients using all-night polysomnogram or apnomonitor before surgical therapy. After tonsillectomy or adeno-tonsillectomy we confirmed significant improvement of clinical symptoms and obstructive sleep apnea in these patients by all-night polysomnograms or apnomonitor.