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Sleep Apnea in Children Without Hypertrophy of the Tonsils

Department of Otorhinolaryngology and the Department of Phoniatrics, University Hospital, Uppsala, Sweden

H. Svanholm, MD

Department of Otorhinolaryngology and the Department of Phoniatrics, University Hospital, Uppsala, Sweden

J. Ahlqvist-Rastad, MD

Department of Otorhinolaryngology and the Department of Phoniatrics, University Hospital, Uppsala, Sweden

Two 12-year-old boys with severe sleep apnea syndrome but normal-sized tonsils were satisfactorily corrected by tonsillectomy and uvulopalatopharyngoplasty. One of the boys had muscular hypotony as contributing cause of the condition. The other had mandibular hypoplasia in combination with a long soft palate. Thorough preoperative anamnesis and examination in a sleep laboratory are necessary to determine which cases will benefit from surgery in spite of normal-sized tonsils and which surgical procedure will be most helpful.

Clinical Pediatrics, Vol. 27, No. 7, 350-352 (1988)
DOI: 10.1177/000992288802700709


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