Enlarged tonsils and adenoids are a common cause for SDB in children. Our ENT team will evaluate with an endoscope to check for the same. Surgical removal of hypertrophic tonsils and adenoids is generally considered the first line treatment for pediatric SDB if the symptoms are significant, and the tonsils and adenoids are persistently enlarged.
Many children with OSA show both short- and long-term improvement in their sleep and behaviour after Tonsillectomy and Adenoidectomy
Not every child with snoring needs to undergo T&A. If the SDB symptoms are mild or intermittent, academic performance and behavior is not an issue and if the tonsils are small, or the child is near puberty (because tonsils and adenoids often shrink at puberty), it may be recommended that a child with SDB be watched conservatively and treated surgically only if symptoms worsen.
Our dentists with sleep medicine training will design dental appliances like Rapid Maxillary Expansion ( RME ) appliances to improve craniofacial abnormalities that affect airway and help with proper growth or expansion of jaw bone. Orthodontic treatment, jaw surgery, myofunctional therapy to improve the tonicity of the muscles or the use of continuous positive airway pressure (CPAP) may be required simultaneously to improve the airway.
By treating children with SDB with early diagnosis and management, we can help prevent lifelong complications that can negatively affect a child’s sleep, overall health and well being.
At Snoring and Sleep Apnea Centre, a team approach and actively involving the child and parent in treatment decisions ensures the best possible treatment outcomes for the child.