Moser R J, Rajagopal K R
Arch Intern Med. 1987 Jul;147(7):1265-7.
Tonsillar enlargement is a more common cause of obstructive sleep apnea (OSA) in the pediatric population than it is in adults. The small number of reported cases suggests that tonsillectomy for adult patients with this association may be as a successful as it is known to be for children. We compared polysomnographic findings and/or symptomatology both before and after tonsillectomy in six patients aged 22 to 52 years, who had adenotonsillar hypertrophy and OSA. Tonsillectomy provided lasting relief of OSA in four patients. We review the literature for available polygraphic data from similar patients before and after tonsillectomy. Our combined experience indicates that many adults with OSA can clearly benefit from removal of hypertrophied tonsils. Such success may, for some adults, be transient or may not occur. This should be considered during initial patient counseling and when planning postoperative follow-up.
扁桃体肿大在儿童人群中是阻塞性睡眠呼吸暂停（OSA）比在成人中更常见的原因。报告的病例数量较少表明，对于患有这种关联的成年患者进行扁桃体切除术可能与已知对儿童进行该手术一样成功。我们比较了6名年龄在22至52岁、患有腺样体扁桃体肥大和OSA的患者在扁桃体切除术前和术后的多导睡眠图检查结果和/或症状。扁桃体切除术为4名患者提供了OSA的持久缓解。我们查阅了文献，以获取类似患者在扁桃体切除术前和术后的可用多导睡眠图数据。我们的综合经验表明，许多患有OSA的成年人可以从切除肥大的扁桃体中明显受益。对于一些成年人来说，这种成功可能是短暂的，或者可能不会出现。在最初的患者咨询期间以及计划术后随访时应考虑到这一点。
