Sunday, 12 October 2008
 
 

Enlarged Tonsils and Adenoids

Obstructive sleep apnea in normal children is nearly always caused by enlarged hypertrophic tonsils and adenoids. These kids will show the typical sleeping patterns of sleep apnea. They have loudly snoring, frequent pauses with breathing at night, restless sleep, nightmares, frequent awakening from sleep and bedwetting. During the daytime, these children are mouth breathers, may have excessive day sleepiness, and poor school performance.

Other more rare cases of sleep apnea include any congenital or acquired cause of upper airway obstruction.

The treatment of obstructive sleep apnea is conducted to the cause of the obstruction.
As noted above, most cases of obstructive sleep apnea in children is had by enlarged tonsils and adenoids. Surgical interventions are therefore aimed to what is causing the obstruction. In the case of enlarged tonsils and adenoids, tonsillectomy and adenoidectomy is usually productive in relieving the trouble. If the problem is not the tonsils and adenoids, the cause of the obstruction must be influenced. For example, surgery of the jaw may be required. In some cases, even a tracheostomy is necessary. Non-surgical therapies include oral prostheses (difficult in children), medications (steroids, stimuli), and weight reduction.


In almost every case of obstructive sleep apnea in kids who do not have strange anatomic problems, tonsillectomy and adenoidectomy is a safe and effective treatment, and is highly recommended.
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