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Treatment

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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)

  • 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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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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