OBJECTIVE To assess the effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy. DESIGN Open, randomised controlled trial. SETTING 21 general hospitals and three academic centres in the Netherlands. PARTICIPANTS 300 children aged 2-8 years requiring adenotonsillectomy. INTERVENTION Adenotonsillectomy compared with watchful wa...

BACKGROUND/AIM The aim of this study was to estimate the quality of life (QOL) in children with sleep-disordered breathing (SDB) before and after adenoidectomy and before and after adenotonsillectomy using the OSA-18 survey. SETTING AND DESIGN The prospective study included sixty children with symptoms of SDB caused by enlarged adenoids or tonsils, of both sexes, aged 3-12 years, consecutivel...

Abstract Background In a majority of OSA children with adenotonsillar hypertrophy, very mild symptoms or no at all are related to the cardiopulmonary system, but symptomless chronic changes may slowly occur in these children. Therefore, it is wise monitor patients by an easy, noninvasive cost-effective method; this can easily be done monitoring mean pulmonary artery pressure (mPAP) Doppler echo...

OBJECTIVE Adenotonsillar hypertrophy (ATH) is the leading cause for obstructive sleep apnea syndrome (OSAS) in children. The peak age for adenoid and tonsillar hypertrophy and related OSAS is 3-6 years. It has been suggested that OSAS due to ATH is extremely rare in infants. The purpose of the present study was to delineate OSAS due to ATH in infants. METHODS Twenty-nine consecutive infants <...

OBJECTIVE To determine clinical and baseline polysomnographic data on obstructive sleep apnoea secondary to adenotonsillar hypertrophy in Hong Kong Chinese children. DESIGN Prospective study. SETTING University teaching hospital, Hong Kong. PARTICIPANTS Fifty children (35 boys and 15 girls) suspected to have obstructive sleep apnoea were recruited between January 1999 and December 1999. ...