Sleep apnea in children without hypertrophy of the tonsils.
Two 12-year-old boys with severe sleep apnea syndrome but normal-sized tonsils were satisfactorily corrected by tonsillectomy and uvulopalatopharyngoplasty. One of the boys had muscular hypotony as contributing cause of the condition. The other had mandibular hypoplasia in combination with a long soft palate. Thorough preoperative anamnesis and examination in a sleep laboratory are necessary to determine which cases will benefit from surgery in spite of normal-sized tonsils and which surgical procedure will be most helpful.
Hultcrantz
E
E
Department of Otorhinolaryngology, University Hospital, Uppsala, Sweden.
Svanholm
H
H
Ahlqvist-Rastad
J
J
D002648:Child; D006801:Humans; D008297:Male; D009123:Muscle Hypotonia / Q000150:complications; D010159:Palate / Q000601:surgery; D010614:Pharynx / Q000601:surgery; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000601:surgery*; D014068:Tonsillectomy; D014609:Uvula / Q000601:surgery*