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Residual OSA after Adenotonsillectomy in Children

Persistent obstructive sleep apnoea after adenotonsillectomy requires multidisciplinary evaluation.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Residual OSA after Adenotonsillectomy in Children?

Pediatric obstructive sleep apnoea is most often caused by adenotonsillar hypertrophy and adenotonsillectomy is the first-line treatment.

Residual OSA is the persistence or partial resolution of disease in 20 to 75 percent of children after surgery, and is more common in obese, syndromic and craniofacial anomaly cases.

Drug-induced sleep endoscopy (DISE) is performed for diagnosis; lingual tonsil hypertrophy, retroglossal collapse and laryngomalacia are typical residual findings.

Symptoms

Persistent snoring and apnoea episodes after surgery
Daytime sleepiness and behavioural problems
Sleep restlessness and night sweats
Mouth breathing and morning headache
Growth retardation and learning difficulty
Recurrent upper respiratory tract infection

Risk Factors

Childhood obesity (severe risk factor)
Down syndrome and other syndromes
Craniofacial anomalies (Pierre Robin sequence, Crouzon)
Mucopolysaccharidosis and metabolic diseases
Cerebral palsy and neuromuscular disease
Allergic rhinitis and chronic nasal obstruction

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Snoring and apnoea persisting six weeks after surgery require sleep test
  • Polysomnography is the gold standard
  • DISE is performed for surgical planning
  • Multidisciplinary evaluation in children with severe disease

Treatment Methods

01
Repeat polysomnography and DISE
02
Weight management and nutritional regulation
03
Lingual tonsillectomy, supraglottoplasty (DISE-guided)
04
CPAP/BiPAP positive airway pressure
05
Allergy treatment and intranasal steroid
06
Maxillomandibular surgery (in selected cases)

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.