Adenotonsillectomy for Obstructive Sleep-Disordered Breathing in Childhood:The Chania Community Oximetry-Based Study

Exclusion Criteria

• •Recurrent tonsillitis defined as at least 3 episodes in each of the last 3 years or at least 5 episodes in each of the last 2 years or at least 7 episodes in the past year.
• •Apparent craniofacial anomalies (e.g. Crouzon syndrome or Pierre-Robin sequence)
• •Obstructive breathing while awake or any other clinical signs that merit prompt AT as recommended by the treating ENT physician.
• •History of clinically important cardiovascular disease or cardiac arrhythmia.
• •History of: sickle cell disease; symptomatic asthma; epilepsy; use of sedative medication
• •History of: genetic disorders; neurological or neuromuscular disorders
• •Use of: systemic or intranasal corticosteroids; montelukast
• •Footnote
• •Brodsky score Upon inspection of the oropharynx
• •grade 1 indicates that the tonsils are hidden in the pillars
• •grade 2 indicates that the tonsils are beyond the anterior pillar and occupy between 25 and 50% of the pharyngeal space
• •grade 3 indicates that the tonsils are beyond the pillars but not to the middle and occupy \>50% and up to 75% of the pharyngeal space
• •grade 4 indicates that the tonsils occupy \>75% of the pharyngeal space