However, in some children and adolescents, the adenoids/tonsils are severely enlarged or cannot shrink, leading to obstruction of the upper respiratory tract and causing sleep apnea, recurrent infections of the upper respiratory tract and open-mouth breathing, etc. For these patients, medical intervention is necessary to stop the negative consequences.
Sleep breathing disorders because of sleep deprivation not only lead to growth retardation and mental development disorders, but also to important organ diseases. Poor development, hyperactivity, difficulty concentrating, poor memory, and poor academic performance are common manifestations of children with sleep breathing disorders.
How can you tell your child has sleep apnea?
1.Does your child have severe snoring during sleep?
2.Is there snoring-interruption-snoring?
3.Is there any open-mouth breathing?
4.Does your child like to watch TV next to him/her or always turn up the sound (hearing impairment performance)?
5.Does the child have crowded teeth, misalignment, convex lips or upper and lower jaw deformity?
6.Is the child hyperactive, has difficulty concentrating, or has poor learning performance?
7.Is the child developmentally delayed (shorter than peers) or unresponsive (sluggish)?
What are the risks of adenoid/tonsil hypertrophy?
1.Complemented sleep and breathing disorders, resulting in: impact on physical development, intellectual development; appearance of important organs such as heart, lung, brain, kidney; official diseases; hyperactivity, behavioral/cognitive disorders, poor learning, lack of self-confidence.
2. otitis media, hearing loss.
3, open-mouth breathing, resulting in secondary craniofacial and dental malformations.
4. recurrent upper respiratory tract infections resulting in rheumatic heart disease/cardiomyopathy, nephropathy/nephritis, etc.
Which children need adenoids/tonsils removal?
1, those with recurrent upper respiratory tract infections
2.Those causing sleep breathing disorder.
3. Those causing open-mouth breathing.
4. those who cause craniofacial and dental malformations
5. Those who cause rheumatic heart disease or myocarditis, nephropathy/nephritis.
What treatment sequence is required?
Step 1: removal of enlarged tonsils/adenoids.
Step 2: Shut-up nasal breathing training to restore nasal breathing pattern.
Step 3: non-surgical orthodontic-based orthodontic correction of deformities in children and adolescents with craniofacial or dentofacial deformities.
Step 4: Near-adult or adult patients with orthognathic surgery combined with orthodontics for correction.