Adenotonsillectomy lowers high blood pressure in children with OSA

Obstructive sleep apnea (OSA) is a spectrum of disorders ranging from simple snoring to complete obstruction of upper airways during sleep, which affects both children and adults. The most common cause of obstructive sleep apnea in children is chronic adenotonsillar hypertrophy, and so adenotonsillectomy is considered as the first line treatment for OSA in children.

Clinical practice guidelines for tonsillectomy

Tonsillectomy is the second most commonly performed surgery in United States with more than 5,30,000 procedures performed on children younger than 15 years each year. Although tonsillectomy is a routine procedure performed by general and pediatric otolaryngologists, there is significant variation in preoperative, intraoperative, and postoperative patient treatment among clinicians. In order to avoid such variations […]

Adenotonsillectomy can improve bedwetting in children with obstructive sleep apnea

Bladder control in children usually occurs by the age of 5 years. Nocturnal enuresis (NE)or bed wetting, is the involuntary urination during sleep, in absence of physical disease in a child older than 5 years. Nocturnal enuresis affects children of all racial groups. The estimated prevalence rate is 8% to 20% for 5 year old children and 1.5% to 10% […]

Challenging diagnostic nasal imaging

5 year old male child presented with history of recurrent sore throat, fever, mouth breathing for the past 3 years. Parent also gives history of sleep disordered breathing including witnessed apneic episodes. History of nocturnal enuresis also present. On examination Adenoid facies present. Mouth breathing present. Oral cavity: Crowded tooth Oropharynx: Grade III tonsils Anterior rhinoscopy: […]