ABSTRACT
Adeno-tonsillar hypertrophy, with signs of upper airway obstruction is a common presentation in ENT clinics. Recently it is identified as a major cause of sleep apnea syndrome. Several isolated case reports of pulmonary hypertension and corpulmonale appeared in the literature. The authors report two such children aged less than 2 years with cardio-pulmonary changes occurring secondary to chronic adeno-tonsillar hypertrophy that were successfully treated with the surgical removal.
Subject(s)
Adenoids/pathology , Adenoids/surgery , Hypertension, Pulmonary/etiology , Pharyngitis/complications , Pulmonary Heart Disease/etiology , Adenoidectomy , Child, Preschool , Follow-Up Studies , Humans , Hypertension, Pulmonary/physiopathology , Hypertrophy/complications , Hypertrophy/surgery , Infant , Male , Pulmonary Heart Disease/physiopathology , Treatment OutcomeABSTRACT
Treacher Collins syndrome presents with cranio-facial deformities of variable expressions and severity, but rarely is it associated with acute airway obstruction of such severity that it necessitates surgical intervention. The authors describe their experience with such a neonate, who presented with acute airway obstruction successfully managed with a tracheostomy. The relevant English literature is reviewed.
