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- W2079480796 abstract "Bien que le retard de croissance chez le nourrisson souffrant du syndrome d'apnées obstructives du sommeil (SAOS) secondaire à une hypertrophie amygdalienne ait été déjà bien documenté dans la littérature, le geste chirurgical est souvent retardé par manque d'assurance diagnostique. Observations. — Nous rapportons trois observations dont les caractéristiques communes sont l'âge au moment du début des symptômes, l'hypertrophie amygdalienne, le retard de croissance staturopondérale et la reprise de la croissance somatique après l'amygdalectomie. Les auteurs insistent sur l'importance du diagnostic clinique qui est suffisant pour poser l'indication opératoire évitant ainsi la réalisation d'examens complémentaires inutiles et coûteux. Conclusion. — Le diagnostic du SAOS chez le nourrisson et l'enfant est clinique. II repose sur la recherche, par l'interrogatoire des parents, des principaux signes nocturnes et sur l'examen clinique. Un retard de croissance est très frèquent au cours de ce syndrome et doit être recherché systématiquement. L'amygdalectomie, qui est efficace sur les manifestations respiratoires, permet aussi la restauration de la croissance staturopondérale. Obstructive sleep apnea syndrome and hypertrophic tonsils in infants. Background. — Even if failure to thrive in infants suffering from obstructive sleep apnea syndrome (OSAS) due to hypertrophic tonsils is well documented in the literature, the surgical act is often delayed due to the lack of diagnostic evidence. Case reports. — We report three cases which share the common characteristic of age of onset, tonsillar hypertrophy, growth retardation and growth catch-up after tonsillectomy. Authors emphasize the importance of clinical diagnosis as a sufficient tool in making the decision of surgery, thus avoiding unnecessary and expensive investigations. Conculsion. — The diagnosis of OSAS in infants and children is essentially clinical, depending mainly on a history provided by the parents, laying stress on nocturnal symptoms and clinical examination. Growth retardation is frequent in this syndrome and should be systematically sought. Tonsillectomy, which is effective in relieving respiratory manifestations, also allows growth recovery." @default.
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- W2079480796 date "2000-09-01" @default.
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- W2079480796 title "Le syndrome d'apnées obstructives du sommeil et hypertrophie amygdalienne chez le nourrisson" @default.
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- W2079480796 doi "https://doi.org/10.1016/s0929-693x(00)90011-3" @default.
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