TY - JOUR T1 - Limited data suggest that otherwise healthy school-aged children with obstructive sleep disordered breathing have some benefit from adenotonsillectomy compared with non-surgical treatment JF - Evidence Based Medicine JO - Evid Based Med SP - 95 LP - 95 DO - 10.1136/ebmed-2015-110363 VL - 21 IS - 3 AU - Susan L Garetz Y1 - 2016/06/01 UR - http://ebm.bmj.com/content/21/3/95.abstract N2 - Commentary on: Venekamp RP, Hearne BJ, Chandrasekharan D, et al. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Cochrane Database Syst Rev 2015;10:CD011165.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 … ER -