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  • Title: [Sleep apnea in hyperplasia of the pharyngeal lymphatic tissue. Polysomnographic studies in children].
    Author: Schlüter B, Buschatz D, Trowitzsch E, Andler W.
    Journal: Monatsschr Kinderheilkd; 1993 Feb; 141(2):124-9. PubMed ID: 8459813.
    Abstract:
    BACKGROUND: Hyperplasia of tonsils and adenoids is a common finding in early childhood. Breathing difficulties caused by hyperplastic lymphatic tissue represent an indication for adenoidectomy and tonsillectomy. It was examined, whether a polysomnographic recording is a useful tool to assess the severity of obstructive sleep apnea in children with hyperplasia of tonsils and adenoids. METHODS: In 15 patients (10 boys, 5 girls), 1.0 to 6.6 years of age, with a history of breathing difficulties during sleep a thorough clinical evaluation was performed. Additionally, a polysomnographic recording was carried out, including thoracic and abdominal breathing movements, nasal and buccal thermistor, ECG and transcutaneous blood gases. RESULTS: Before therapy, severe obstructive apnea was demonstrated by polysomnography in all patients. This finding disappeared almost completely after surgery. Hyperplasia of adenoids was diagnosed in 3 patients, hyperplasia of tonsils in 3 patients, hyperplasia of tonsils and adenoids in 8 patients, and other kind of lymphatic hyperplasia in 1 patient. CONCLUSION: Hyperplasia of tonsils and adenoids contributes to the development of sleep-apnea-syndrome in childhood. A polysomnographic recording seems to be a useful tool to describe the severity of obstructive sleep apnea in children with hyperplasia of tonsils and adenoids.
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