title: [Severe obstructive sleep apnea syndrome in a toddler].
abstract: 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.
authors.affiliation: Unidad de Sueño, Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospitales Universitarios Virgen del Rocío, Seville, Spain. virginia_leon@hotmail.com
authors.forename: Virginia
authors.initials: V
authors.lastname: León Miranda
authors.forename: Angeles
authors.initials: A
authors.lastname: Sánchez Armengol
authors.forename: Aránzazu
authors.initials: A
authors.lastname: Ruiz García
authors.forename: Carmen
authors.initials: C
authors.lastname: Carmona Bernal
authors.forename: Georgina
authors.initials: G
authors.lastname: Botebol Benhamou
authors.forename: Francisco
authors.initials: F
authors.lastname: Capote Gil
mesh_terms: D000233:Adenoidectomy; D002675:Child, Preschool; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000601:surgery