International Journal of Pediatric Otorhinolaryngology Extra
Volume 2, Issue 3 , Pages 147-150, September 2007

Severe obstructive sleep apnoea syndrome in a 5-year-old girl

  • I. Koutsourelakis

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece
    • Corresponding Author InformationCorresponding author at: Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, 45-47 Ipsilandou Str., GR 106 75, Athens, Greece. Tel.: +30 210 72 01 843; fax: +30 210 72 01 843.
    • ,
  • E. Perraki

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece
    • ,
  • P. Dimitrokali

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece
    • ,
  • V. Kalliou

      Affiliations

    • Second Pediatric Clinic, Medical School of Athens University, Aglaia Kyriakou Hospital, Greece
    • ,
  • M. Tsolia

      Affiliations

    • Second Pediatric Clinic, Medical School of Athens University, Aglaia Kyriakou Hospital, Greece
    • ,
  • E. Vagiakis

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece
    • ,
  • C. Roussos

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece
    • ,
  • S. Zakynthinos

      Affiliations

    • Center of Sleep Disorders, Medical School of Athens University, Department of Critical Care and Pulmonary Services, Evangelismos Hospital, Greece

Received 29 March 2007; received in revised form 12 April 2007; accepted 15 April 2007.

Summary 

The obstructive sleep apnoea syndrome (OSAS) is a common cause of morbidity during childhood. Although pediatric OSAS usually stems from adenotonsillar hypertrophy, it is also related to craniofacial anomalies. We report a case of extremely severe OSAS in a 5-year-old girl who has undergone adenoidectomy and partial tonsillectomy 1.5 year previously. A second adenotonsillectomy was elected to resolve abnormal respiration during sleep. Polysomnography was repeated 8 weeks after surgery and revealed an outstanding improvement but not complete resolution. The residual number of apnoeas is attributed to the retrognathia of the patient.

Keywords: Severe obstructive sleep apnoea syndrome, Adenotonsillectomy, Retrognathia

 

PII: S1871-4048(07)00029-9

doi:10.1016/j.pedex.2007.04.003

International Journal of Pediatric Otorhinolaryngology Extra
Volume 2, Issue 3 , Pages 147-150, September 2007

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