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Sleep Apneic Episodes as Indications for Adenotonsillectomy

Sleep Apneic Episodes as Indications for Adenotonsillectomy Abstract • Fourteen children with adenoid and tonsillar hyperplasia were studied for one night in the sleep laboratory. Six of the children had at least 40 apneic episodes per night, mostly central or obstructive. The largest number of episodes was found in rapid eye movement sleep. Mixed episodes were the longest and central episodes the shortest. Adenotonsillectomy was performed on children with at least 40 episodes and on children with predominantly obstructive episodes. In two of these children, preoperative and postoperative recordings were taken, revealing a reduction in the total number of apneic episodes and a complete disappearance of obstructive episodes. These results suggest that polysomnographic recordings can provide useful information regarding the necessity of adenotonsillectomy. (Arch Otolaryngol 106:492-496, 1980) References 1. Haggerty RJ: Diagnosis and treatment: Tonsils and adenoids: A problem revisited . Pediatrics 41:815, 1968. 2. Kaiser AD: Children's Tonsils In or Out: A Critical Study of the End Results of Tonsillectomy . Philadelphia, JB Lippincott Co, 1932. 3. Fairchild RC: A pediatrician views the tonsil and adenoid problem . Am J Orthodont 54:491, 1968.Crossref 4. Reid TM, Donaldson JS: The indications for tonsillectomy and adenoidectomy . Otolaryngol Clin North Am 3:339-344, 1970. 5. Ransom J: Tonsils and Adenoids: Recent Advances in Otolaryngology . London, Churchill Livingstone, 1973 pp 253-273. 6. Pratt LW: Infection of the lymphoid tissue , in English GM (ed): Otolaryngology . New York, Harper & Row Publishers Inc., 1977, vol 3. 7. Noonen JA: Reversible corpulmonale due to hypertrophied tonsils and adenoids: Studies in two cases . Circulation 32( (suppl 2) ):164, 1965. 8. Menashe VD, Fearron C, Miller M: Hypoventilation and corpulmonale due to chronic upper airway obstruction . J Pediatr 67:198-203, 1965.Crossref 9. Levy AM, Tabakin BS, Harrison JS, et al: Hypertrophied adenoids causing pulmonary hypertension and severe congestive failure . N Engl J Med 277:506-511, 1967.Crossref 10. Kravath RE, Pollak CP, Borowiecki B: Hypoventilation during sleep in children who have lymphoid airway obstruction treated by nasopharyngeal tube and T and A . Pediatrics 59:865-871, 1977. 11. Simmons BF, Guilleminault C, Dement WC, et al: Surgical management of airway obstructions during sleep . Laryngoscope 87:326-338, 1977.Crossref 12. Manget D, Orr WC, Raymond OS: Sleep apnea, hypersomnolence, and upper airway obstruction secondary to adenotonsillar enlargement . Arch Otolaryngol 103:383-386, 1977.Crossref 13. Guilleminault C, Tilkian A, Dement WC: The sleep apnea syndromes . Ann Rev Med 27:465-484, 1976.Crossref 14. Rechtschaffen A, Kales A (eds): Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects , publication 204. Washington, DC, National Institutes of Health, 1968. 15. Carskadon MA, Harvey K, Dement WC, et al: Respiration during sleep in children . West J Med 128:477-481, 1978. 16. Strohl KP, Saunders NA, Feldman NT, et al: Obstructive sleep apnea in family members . N Engl J Med 299:969-973, 1978.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Sleep Apneic Episodes as Indications for Adenotonsillectomy

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1980.00790320044011
Publisher site
See Article on Publisher Site

Abstract

Abstract • Fourteen children with adenoid and tonsillar hyperplasia were studied for one night in the sleep laboratory. Six of the children had at least 40 apneic episodes per night, mostly central or obstructive. The largest number of episodes was found in rapid eye movement sleep. Mixed episodes were the longest and central episodes the shortest. Adenotonsillectomy was performed on children with at least 40 episodes and on children with predominantly obstructive episodes. In two of these children, preoperative and postoperative recordings were taken, revealing a reduction in the total number of apneic episodes and a complete disappearance of obstructive episodes. These results suggest that polysomnographic recordings can provide useful information regarding the necessity of adenotonsillectomy. (Arch Otolaryngol 106:492-496, 1980) References 1. Haggerty RJ: Diagnosis and treatment: Tonsils and adenoids: A problem revisited . Pediatrics 41:815, 1968. 2. Kaiser AD: Children's Tonsils In or Out: A Critical Study of the End Results of Tonsillectomy . Philadelphia, JB Lippincott Co, 1932. 3. Fairchild RC: A pediatrician views the tonsil and adenoid problem . Am J Orthodont 54:491, 1968.Crossref 4. Reid TM, Donaldson JS: The indications for tonsillectomy and adenoidectomy . Otolaryngol Clin North Am 3:339-344, 1970. 5. Ransom J: Tonsils and Adenoids: Recent Advances in Otolaryngology . London, Churchill Livingstone, 1973 pp 253-273. 6. Pratt LW: Infection of the lymphoid tissue , in English GM (ed): Otolaryngology . New York, Harper & Row Publishers Inc., 1977, vol 3. 7. Noonen JA: Reversible corpulmonale due to hypertrophied tonsils and adenoids: Studies in two cases . Circulation 32( (suppl 2) ):164, 1965. 8. Menashe VD, Fearron C, Miller M: Hypoventilation and corpulmonale due to chronic upper airway obstruction . J Pediatr 67:198-203, 1965.Crossref 9. Levy AM, Tabakin BS, Harrison JS, et al: Hypertrophied adenoids causing pulmonary hypertension and severe congestive failure . N Engl J Med 277:506-511, 1967.Crossref 10. Kravath RE, Pollak CP, Borowiecki B: Hypoventilation during sleep in children who have lymphoid airway obstruction treated by nasopharyngeal tube and T and A . Pediatrics 59:865-871, 1977. 11. Simmons BF, Guilleminault C, Dement WC, et al: Surgical management of airway obstructions during sleep . Laryngoscope 87:326-338, 1977.Crossref 12. Manget D, Orr WC, Raymond OS: Sleep apnea, hypersomnolence, and upper airway obstruction secondary to adenotonsillar enlargement . Arch Otolaryngol 103:383-386, 1977.Crossref 13. Guilleminault C, Tilkian A, Dement WC: The sleep apnea syndromes . Ann Rev Med 27:465-484, 1976.Crossref 14. Rechtschaffen A, Kales A (eds): Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects , publication 204. Washington, DC, National Institutes of Health, 1968. 15. Carskadon MA, Harvey K, Dement WC, et al: Respiration during sleep in children . West J Med 128:477-481, 1978. 16. Strohl KP, Saunders NA, Feldman NT, et al: Obstructive sleep apnea in family members . N Engl J Med 299:969-973, 1978.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1980

References