Determinants of growth in children with the obstructive sleep apnea syndrome☆,☆☆,★,★★
Section snippets
METHODS
Prepubertal children with suspected OSAS caused by adenotonsillar hypertrophy were studied. Children with craniofacial anomalies, with medical problems other than OSAS, or with a history of prior adenoidectomy, tonsillectomy, or other airway surgery were excluded.
Informed consent was obtained from the parents or legal guardians of each child, and assent was obtained from the child himself or herself. The study was approved by the institutional review board of Johns Hopkins Hospital.
Study group
Fifteen children were studied. One patient was subsequently excluded because a dental abscess developed, accompanied by dysphagia and anorexia, between the preoperative and postoperative evaluations. His mother reported that he had lost and then regained weight between the two evaluations. The characteristics of the remaining subjects are shown in Table I. One child was completing a course of antibiotic therapy for otitis media at the time of the initial study; two children were completing
DISCUSSION
In this study, we showed that the SEE in children with OSAS decreased after resolution of the OSAS. This decrease in SEE was accompanied by an increase in weight. Our data therefore confirm the results of several other studies that show catch-up growth after tonsillectomy and adenoidectomy.1, 2, 3, 4, 5, 6 Caloric intake, as assessed by dietary records, remained constant before and after tonsillectomy and adenoidectomy. Therefore it is unlikely that anorexia or dysphagia are major factors
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Cited by (0)
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From the Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland
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Supported by a grant (No. RR-00052) from the Pediatric Clinical Research Center, Johns Hopkins Hospital, Baltimore, Md.
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Reprint requests: Carole L. Marcus, MBBCh, Johns Hopkins Hospital, Division of Pediatric Pulmonology, Park 316, 600 North Wolfe St., Baltimore, MD 21287-2533.
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0022-3476/94/$3.00 + 0 9/20/56912