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Does your child need a tonsillectomy?
- By: Claire McCarthy, MD,
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
While tonsillectomy and/or adenoidectomy can open airways when they are the obstructive culprit, it is important to note that for children with Sleep Disturbed Breathing, like Obstructive Sleep Apnea, or Upper Airway Resistance Syndrome, the recurrance of airway issues without dentofacial orthopedic procedures like palatal expansion (to open the nasal airway), along with Myofunctional Therapy to stabilize the results, is very high. According to research at Stanford, the relapse rates from the surgical procedures alone are around 70%. Research also demonstrates that CPAP in children (and probably adults too), while managing their OSA, will definitely reduce the skeletally mid face, which has been shown to actually make their Apnea worse. A more definitive treatment is to non-surgically make skeletal orthopedic changes that eliminate the skeletal issues that cause the Apnea in the first place. Dr. Christian Guilleminault from Stanford, probably the highest authority on OSA on the planet states that Craniofacial structural issues are THE cause of OSA in non morbidly obese children. He also states that the only demonstrated endpoint for curing OSA in Children is to create a patent nasal airway. Reducing systemic inflammation with dietary changes, along with some lifestyle changes can also be key in resolving the significant health and developmental problems.
wow, what a bad piece totally ignoring the function of the tonsols : no one in the right mind could make a informed decision with above information
(if it hurts just cut it off if the doctor says so)
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