PEDIATRICS Vol. 59 No. 6 June 1977, pp. 865-871
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Hypoventilation During Sleep in Children Who Have Lymphoid Airway Obstruction Treated by Nasopharyngeal Tube and T and A

Richard E. Kravath M.D.1, Charles P. Pollak M.D.1, and Bernard Borowiecki M.D.1

1 Departments of Pediatrics, Neurology (Sleep-Wake Disorders Unit), and Surgery (Otolaryngology), Montefiore Hospital and Medical Center, and The Albert Einstein College of Medicine, Bronx, New York

Three children with sleep apnea, alveolar hypoventilation, apparent mental retardation, and poor growth associated with chronically enlarged tonsils and adenoids were treated with the use of a nasopharyngeal tube followed by tonsillectomy and adenoidectomy. The effectiveness of this therapy was documented by polygraphic recording of sleep stages and respirations, and by correlation with serial arterial blood gases and pH.

The nasopharyngeal tube was well tolerated, easy to use, and effective in diagnosis and treatment. We suggest that its use be further evaluated in patients with obstructive apnea.

Submitted on July 26, 1976
Accepted on October 26, 1976




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Arch Pediatr Adolesc MedHome page
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Effect of Treating Obstructive Sleep Apnea by Tonsillectomy and/or Adenoidectomy on Obesity in Children
Arch Pediatr Adolesc Med, January 1, 1999; 153(1): 33 - 37.
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