[Severe obstructive sleep apnea syndrome in a toddler].
We report the case of a 3-year-old boy who had experienced intense snoring, frequent awakenings, intense respiratory effort during sleep, and delayed growth starting at the age of 15 months. He underwent adenoidectomy at 18 months. Symptoms initially improved but reappeared 3 months after surgery. He underwent a second adenoidectomy, this time with tonsillectomy, but there was no significant clinical improvement. Polysomnography revealed severe sleep apnea-hypopnea with an apnea-hypopnea index of 45. Continuous positive airway pressure improved sleep quality, although some symptoms, mainly snoring, persisted. A third adenoidectomy was necessary to normalize his breathing pattern during sleep.
León Miranda
Virginia
V
Unidad de Sueño, Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospitales Universitarios Virgen del Rocío, Seville, Spain. virginia_leon@hotmail.com
Sánchez Armengol
Angeles
A
Ruiz García
Aránzazu
A
Carmona Bernal
Carmen
C
Botebol Benhamou
Georgina
G
Capote Gil
Francisco
F
D000233:Adenoidectomy; D002675:Child, Preschool; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000601:surgery