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A Cause of Obstructive Sleep Apneas, CO2 Retention, and Retarded Growth

Magnus G. Lind, MD; Bo P. W. Lundell, MD

Arch Otolaryngol. 1982;108(10):650-654.

Abstract
• Tonsillar hyperplasia causing obstructive sleep apneas in children is a well-defined clinical entity with nocturnal CO₂ retention, retarded growth, and impaired physical and psychological status. Pulmonary hypertension, cor pulmonale, and ultimately, death may develop in a small number of these children. This syndrome may also develop in children with only moderately enlarged tonsils in association with neuromuscular hypothonia or anatomical defects. Anamnesis will readily detect the children at risk. The syndrome is cured completely by tonsillectomy. The CO₂ retention disappears and length and weight growths are accelerated after surgery.

(Arch Otolaryngol 1982;108:650-654)

Author Affiliations
From the Departments of Otolaryngology (Dr Lind) and Pediatrics (Dr Lundell), Karolinska Hospital, Stockholm.

Footnotes
Accepted for publication April 3, 1982.

Reprint requests to Department of Otorhinolaryngology, Karolinska Sjukhuset, Box 60500, S-104 01 Stockholm 60, Sweden (Dr Lind).

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