Tonsil removal for improvement in behaviour of children,Dr Deo Kumar Jha,MD.Pediatrician and Pulmonologist,Delhi-NCR

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Tonsil removal for improvement in behaviour of children,Dr Deo Kumar Jha,MD.Pediatrician and Pulmonologist,Delhi-NCR

Pediatrician and Pediatric Pulmonologist Dr.Dev Kumar Jha,Formerly at AIIMS,New Delhi - 08 Dec, 2023 - Child Health Guides,Common Childhood Disease,Parents’ Guide,Professionals Guide, - 0 Comment

Sleep disordered breathing(SDB) is a common problem in children.

It has been ignored for years till there has been a facility to diagnose it.

Now,there is a facility for early detection of this common problem by a test called polysomnography.

Enlargement of tonsils and adenoid are the main cause of this disorder in children

The main cause of enlargement of tonsil and adenoids for a prolonged period of time is ALLERGY.

Parents are usually not aware of this problem in their children.

The common symptom is snoring in child with frequent disturbances of sleep.

It is graded by hypoapnea/apnea index(HPI) on polysomnography.

The child gradually develops behavioral changes,attention deficit,cognitive problems,day time sleepiness and later on hypertension.

There are two modes of treatment ,one is watchful observation and second is removal of tonsil.

Study  was done on 458 children of the mean age of 6 years.

At the end of 12 months of follow up 394(86%),children were available.

It was observed that there was no significant difference between the two groups for the cognitive function.

There was a significant improvement in day time sleepiness and behavioral problems in the group who underwent adenotonsillectomy(surgical removal of adenoid and tonsil) ,moreover,the quality of life were better in the group who opted for the surgical removal of adenoid and tonsil.

CONCLUSION: In case of mild sleep disorderd breathing ,adenotonsillectomy is not advisable for improvement in attention deficit or cognitive problem.

REFERENCES:

Tonsil, adenoid removal improved sleep quality, some behavioral problems in children with mild sleep apnea. https://www.newswise.com/articles/tonsil-adenoid-removal-improved-sleep-quality-some-behavioral-problems-in-children-with-mild-sleep-apnea. Published Dec. 5, 2023. Accessed Dec. 5, 2023.

Five signs of disturbed sleep in children,Dr.Dev,M.D.,Pediatrician and Pediatric Pulmonologist,Sahibabad,Ghaziabad,Delhi NCR

Pediatrician and Pediatric Pulmonologist Dr.Dev Kumar Jha,Formerly at AIIMS,New Delhi - 23 Oct, 2020 - Child Health Guides,Medical Guide,Parents’ Guide,Professionals Guide, - 0 Comment

Sleep is very important state of health.

Sleep is a state in which body and mind repares itself.

Adequate sleep is related to time and quality of sleep.

Either less time of sleep or poor quality of sleep ,may affect the body and mind adversely.

Children require more hours of sleep in comparision to adults.

A newborn,less than 4 weeks of age,require 16-18 hours of sleep per day.

A school going children,6-12 years of age require 9-10 hours of sleep per day.

Sleep is essential for the smooth functioning of body and mind.

Following are the 5 signs of disturbed sleep.

1.MORNING HEADACHE:

This is a very important sign of inadequate sleep.It is caused by CO2 retention due to sleep apnea(stoppage of breathing for more than 20 seconds)

2.HYPERACTIVITY:

This is a separate disease entity in children due to many causes,but sleep disturbances is an important cause.

3.ATTENTION DEFICIT:

Excessive sleepiness during day time and poor academic performances is an important sign of inadequate sleep but the child may become inattentive with less capacity to concentrate on anything due to less and bad quality of sleep.

4.RESTLESSNESS AND FRAGMENTED SLEEP:

Frequent arousal during sleep and excessive movement of any part of body is an important sign of disturbed sleep.

5.SOUND DURING SLEEP:

Sleep should ideally be soundless.Any audible sound during sleep is a sign of sleep disordered breathing.

Noisy breathing in the form of snoring is an important sign of upper airway obstruction,which leads to poor growth of body and mind of child and in long term ,it may cause heart disease in children.

 

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