Clin Pediatr (Phila). 1988 Jul;27(7):350-2. Sleep apnea in children without hypertrophy of the tonsils.Hultcrantz E, Svanholm H, Ahlqvist-Rastad J. Two 12-year-old boys with severe sleep apnea syndrome but normal-sized tonsils were satisfactorily corrected by tonsillectomy and uvulopalatopharyngoplasty. One of the boys had muscular hypotony as contributing cause of the condition. The other had mandibular hypoplasia in combination with a long soft palate. Thorough preoperative anamnesis and examination in a sleep laboratory are necessary to determine which cases will benefit from surgery in spite of normal-sized tonsils and which surgical procedure will be most helpful.
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