To what extent does tonsil size predict improvement in obstructive sleep apnea (OSA) severity after adenotonsillectomy in children?
An evaluation of a child with sleep-disordered breathing requires a careful assessment of symptoms as well as tonsil size, and decisions to proceed to an adenotonsillectomy should take into account both the clinical history and physical exam.
Explore this issue:March 2017
Background: Polysomnogram (PSG) is the current standard for measuring the severity of OSA; however, in practice, diagnosis of the severity of OSA is typically based on the caregiver’s account of habitual snoring with pauses, as well as the physician’s anatomic assessment, including a subjective evaluation of tonsil size.
Study design: Case series with chart review.