Sleep apnea, hypersomnolence, and upper airway obstruction secondary to adenotonsillar enlargement.

摘要: The authors examined four children with substantial adenotonsillar enlargement that caused intermittent severe upper airway obstructive episodes, documented by all-night polygraphic monitoring of sleep and respirations. Previously unreported complications were demonstrated included prolonged apneic episodes disturbed patterns. also exhibited daytime hypersomnolence. Polygraphic studies after adenotonsillectomy confirmed improved patterns relief the episodes. None our patienqs had developed pulmonary hypertension, cor pulmonale, or other reported obstruction, all which may have been averted early diagnosis treatment.