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Obstructive sleep disordered breathing (SDB) ranges from simple snoring to obstructive sleep apnoea syndrome (OSAS). In the paediatric population, reported incidence ranges from 1% to 11% worldwide.1 Untreated disease has been associated with cardiovascular and neurocognitive morbidity.2 ,3 Surgical removal of the tonsils and adenoids is widely endorsed as the first-line treatment for otherwise healthy children with adenotonsillar hypertrophy.4 ,5 Non-surgical treatment options include observation, continuous positive airway pressure (CPAP), medical therapy and orthodontic procedures or devices.6 As with any surgical procedure, risk of complications mandates careful consideration …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.
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