title: [Analysis of poor-responding sleep apnea children to adenoidtonsillectomy and further treatment].
abstract: OBJECTIVE
  To analyze factors on sleep apnea children's poor responding to adenoid tonsillectomy, and discuss the further treatment.
  
  
  METHODS
  Two hundred and forty three obstructive sleep apnea hypopnea syndrome (OSAHS) children who had adenoid tonsillectomy or adenoidectomy were reviewed, all cases had follow-up sleep study (polysomnogram, PSG) after surgery.
  
  
  RESULTS
  According to the results obtained in 3 to 12 months after surgery with PSG, 221 cases (90.9%) were cured (apnea and hypopnea index, AHI, < 5/h), while the remaining 22 cases AHI > 5.0/h. In the latter group, 2 cases who only had adenoidectomy received tonsillectomy afterwards, 7 cases who have nasal congestion were treated with medication, 5 overweight cases and 3 cases with cerebral palsy, pectus excavatum or hyperplastic tori were treated with CPAP.
  
  
  CONCLUSIONS
  Adenoid tonsillectomy is effective for OSAHS children. For the poor responding cases, suitable treatment should be selected accordingly.
authors.affiliation: Department of Otorhinolaryngology, Affiliated Beijing Children's Hospital of Capital University of Medical Sciences, Beijing 100045, China. yameizhang25@yahoo.com.cn
authors.forename: Ya-Mei
authors.initials: YM
authors.lastname: Zhang
authors.forename: Jing
authors.initials: J
authors.lastname: Zhao
authors.forename: Jia-Qing
authors.initials: JQ
authors.lastname: An
authors.forename: Juan
authors.initials: J
authors.lastname: Gao
authors.forename: Gui-Xiang
authors.initials: GX
authors.lastname: Wang
mesh_terms: D000233:Adenoidectomy; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D014068:Tonsillectomy; D016896:Treatment Outcome