This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (26)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Sleep Apnea  • Alert me on articles by topic

Arch Otolaryngol Head Neck Surg. 1999;125:353-356.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis:

Polysomnography documenting obstructive sleep apnea should be obtained prior to tonsillectomy for airway obstruction in children with no history of infectious tonsillitis.

Figure appears in full text version. Anna H. Messner, MD

INTRODUCTION

Sleep-related breathing disorders range in disease severity from primary or simple snoring through upper airway resistance syndrome (UARS) and, at the severe end of the spectrum, obstructive sleep apnea syndrome (OSAS). Typical nighttime signs of a sleep-related breathing disorder include snoring, pauses in the breathing (apneic episodes), gasping, restless sleep, and, sometimes, enuresis. Daytime symptoms may include excessive daytime somnolence, but, in children, unlike adults, this is not a hallmark of a sleep-related breathing disorder. Some children have nonspecific behavioral difficulties, such as hyperactivity, developmental delay, rebelliousness, and aggressive behavior. In severe cases, children may grow poorly and can develop hypertrophy of the right side of the heart and cor pulmonale.

Adenotonsillar hypertrophy is the most common cause of a sleep-related breathing disorder in . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE

RELATED ARTICLES

The Diagnosis of OSAS and UARS in Children: Trying to Relieve the Frustration
Jack A. Coleman, Jr
Arch Otolaryngol Head Neck Surg. 1999;125(3):356-357.
EXTRACT | FULL TEXT  

Clinical Opinion: Preoperative Sleep Studies
Nancy Sculerati
Arch Otolaryngol Head Neck Surg. 1999;125(3):357.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pediatric Sleep Questionnaire: Prediction of Sleep Apnea and Outcomes
Chervin et al.
Arch Otolaryngol Head Neck Surg 2007;133:216-222.
ABSTRACT | FULL TEXT  

Sleep-Disordered Breathing, Behavior, and Cognition in Children Before and After Adenotonsillectomy
Chervin et al.
Pediatrics 2006;117:e769-e778.
ABSTRACT | FULL TEXT  

Clinical Assessment of Pediatric Obstructive Sleep Apnea
Goldstein et al.
Pediatrics 2004;114:33-43.
ABSTRACT | FULL TEXT  

Impact of Adenotonsillectomy on Quality of Life in Children With Obstructive Sleep Disorders
de Serres et al.
Arch Otolaryngol Head Neck Surg 2002;128:489-496.
ABSTRACT | FULL TEXT  

Impact of Tonsillectomy and Adenoidectomy on Child Behavior
Goldstein et al.
Arch Otolaryngol Head Neck Surg 2000;126:494-498.
ABSTRACT | FULL TEXT  

Evaluation of Obstructive Sleep Apnea by Polysomnography Prior to Pediatric Adenotonsillectomy
Pelayo et al.
Arch Otolaryngol Head Neck Surg 1999;125:1282-1283.
FULL TEXT