Sleep Respiratory Disorders Due to Enlarged Tonsils

Tonsillar hypertrophy, sleep problems, cardiovascular disease

Sleep Respiratory Disorders Due to Enlarged Tonsils - Kissing Tonsils

In the above photo, it is seen that the tonsils are in contact with each other (kissing tonsils) and there is little air gap between the tonsils.

Sleep breathing is characterized by insufficient breathing during sleep, including snoring and sleep apnea, including mouth breathing and respiratory pauses.

Especially in patients with hypertrophic tonsils, when lying on their back, during the relaxation phase of sleep, tonsils can block the airway due to mass effect. It has been shown that adenoid hypertrophy is also often accompanied in pediatric patients with sleep dysfunction due to tonsil growth. While tonsil and adenoidectomy operations are usually sufficient for sleep apnea syndrome in children, surgical procedures for sleep apnea syndrome in adult patients require different procedures besides tonsil surgery.

Baby Nurseries and Nursery Staff Need to be Informed About Sleep Apnea!

Baby Nurseries and Nursery Staff Need to be Informed About Sleep Apnea in Children!

In the latest tonsillectomy guide of American ENT Academy, it has been reported that children with tonsil and adenoid hypertrophy may have sleep disturbances during sleep, so that child caregivers, mothers and nursery teachers should be informed. It is recommended that children with symptoms such as snoring during sleep, respiratory arrest, sweating be brought to the doctor for examination.

Patients with enlarged tonsils can hardly sleep on their back!

Enlarged tonsils and sleep position

In patients with large tonsils, inability to sleep on the back and sweating in sleep is not a simple health problem. Unfortunately, this tissue, which should normally be present in our body, has been shown that, if it is larger than normal, it can cause severe constriction in the airway entry site and decrease in oxygen levels taken during sleep and increase the risk of hypertension and heart disease in a long time.

Tonsillary hypertrophy and cardiovascular diseases

Tonsillary hypertrophy and cardiovascular diseases

It has been emphasized that if there is a large tonsils called tonsillary hypertrophy, there may be an increased risk of sleep apnea syndrome and cardiovascular diseases over the years. If the airway cannot be seen with the mouth open, an ENT specialist should be consulted. Studies in small children and those with large tonsils have shown that blood pressure through the heart walls is the same as in elderly patients using blood pressure medication at an advanced age. In the article "Heart Failure Due to Enlarged Tonsils and Adenoids: The ..." published nearly 50 years ago (1969), the relationship between tonsil growth and hypertension and heart diseases was emphasized.

How can you understand the enlarged tonsils in children?

In children with tonsillary hypertrophy, the following symptoms may be exacerbated as the size of the tonsils increases:

- The occurrence of sleep apnea or the increase in the number of existing sleep apnea attacks
- Night sweating
- Bad breath
- Saliva flow during sleep (more pronounced in children with adenoid hypertrophy)
- Developmental and behavioral disorders

Enlarged Tonsils (Kissing Tonsils - Tonsil Hypertrophy)

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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