Ermens F, Van Geert G, Kahn A, Blum D
Acta Otorhinolaryngol Belg. 1984;38(3):268-77.
The review of 31 records of obstructive sleep apnea syndrome in childhood allows the authors to report some characteristics of the population and the clinical picture. They explain the diagnostic plan, detailing the need of combined ENT and pediatrician evaluations and the importance of the polygraphic sleep recording. They relate their therapeutical results after adenotonsillectomy in cases with lymphoid enlargement, after section of velopharyngeal flap in plasties for velopalatal incompetence and discuss their attitude in cases of other origins. They finally give the results of complete biological investigations performed in hope to find an univocal pathway to the observed massive lymphoid hyperplasia.