Sleep apnea associated with congenital diseases and moderate hypertrophy of tonsils.
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.
Suzuki
K
K
Department of Otorhinolaryngology, Nagoya City University Medical School, Nagoya, Japan.
Yamamoto
S
S
Ito
Y
Y
Baba
S
S
D000234:Adenoids / Q000503:physiopathology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D014066:Palatine Tonsil / Q000503:physiopathology* / Q000601:surgery; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000601:surgery; D012894:Sleep Stages; D012895:Sleep, REM; D013771:Tetralogy of Fallot / Q000150:complications*