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Sleep Apnea, Hypersomnolence, and Upper Airway Obstruction Secondary to Adenotonsillar Enlargement
Devinder Mangat, MD;
William C. Orr, PhD;
Raymond O. Smith, MD
Arch Otolaryngol. 1977;103(7):383-386.
Abstract
• The authors examined four children with substantial adenotonsillar enlargement that caused intermittent severe upper airway obstructive episodes, documented by all-night polygraphic monitoring of sleep and respirations. Previously unreported complications of severe adenotonsillar enlargement that were demonstrated included prolonged obstructive apneic episodes and disturbed sleep patterns. The children also exhibited daytime hypersomnolence. Polygraphic sleep studies after adenotonsillectomy confirmed improved sleep patterns and relief of the obstructive episodes. None of our patients had developed pulmonary hypertension, cor pulmonale, or other reported complications of prolonged upper airway obstruction, all of which may have been averted by early diagnosis and treatment.
(Arch Otolaryngol 103:383-386, 1977)
Author Affiliations
From the Departments of Otolaryngology (Drs Mangat and Smith) and Psychiatry and Behavioral Sciences (Dr Orr), University of Oklahoma Health Sciences Center, Oklahoma City.
Footnotes
Accepted for publication Feb 4, 1977.
Presented at the meeting of the Society of Ear, Nose, and Throat Advances in Children, New Orleans, La, Nov 17, 1976.
Reprint requests to Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, PO Box 26901, Oklahoma City, OK 73190 (Dr Smith).
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