Impact of Tonsillectomy and Adenoidectomy on Child Behavior

Open Access
Publisher Website
Google Scholar
Abstract
CHILDREN WITH obstructive sleep apnea syndrome (OSAS) usually are brought to medical attention because of nighttime breathing difficulties. Parents report symptoms of snoring, apneic pauses, choking, gasping, struggling to breath, restless sleep, unusual sleeping positions, and frequent awakenings.1-4 Although daytime sleepiness may be present, it is not a universal symptom in children compared with adults.5 Pediatric OSAS has also been associated with cor pulmonale and right-sided heart failure,3,4,6-8 systemic hypertension,3,9 failure to thrive,3,4,6 enuresis,3,10 and neurocognitive and behavioral abnormalities.