Treatment
Conservative measures can be helpful in children with intermittent snoring only and no history of apnoeas, no underlying medical conditions and no daytime features (1).
Treatment options include:
- adenotonsillectomy
- tonsillectomy and/or adenoidectomy is carried out in children with adenotonsillar hypertrophy and no underlying medical condition. For these children
- post operative haemorrhage seen in 3 to 4% of patients is a complication of the surgery
- generally can be done safely in a district general hospital setting but high risk patients should be referred for treatment in a specialist centre
- nasal steroids
- can be used to treat rhinitis (if present)
- can be used to treat rhinitis (if present)
- continuous positive airway pressure (CPAP)
- rarely used in children
- may have a role in children in whom adenotonsillar hypertrophy is not a significant contributor, if surgery is contraindicated or if there is a multifactorial aetiology (1,2)
Reference:
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