Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea and Snoring
Tonsillectomy and adenoidectomy are surgeries to remove the tonsils or adenoids. They are:
What To Expect After SurgeryYou may need to be watched closely after surgery. Your doctor or surgeon will watch:
Why It Is DoneYour doctor may suggest these surgeries to treat sleep apnea if you have swollen tonsils and adenoids that block your airway during sleep. This is often the first treatment choice for children. That's because swollen tonsils and adenoids are often the cause of their sleep apnea.
How Well It WorksIn children with sleep apnea, symptoms almost always improve within 6 months of surgery. Parents report a decrease in:
RisksYour throat will be sore after surgery. You may find it hard to eat and swallow for a few days. Other possible problems after surgery include:
- Used to treat obstructive sleep apnea (OSA) in children.
- Rarely used to treat snoring in adults.
- Not used to treat snoring in children.
What To Expect After SurgeryYou may need to be watched closely after surgery. Your doctor or surgeon will watch:
- Your blood oxygen levels for the first 2 to 3 nights after surgery.
- For throat swelling, nerve injury, and sleepiness. Both the surgery itself and the medicines used can cause this.
Why It Is DoneYour doctor may suggest these surgeries to treat sleep apnea if you have swollen tonsils and adenoids that block your airway during sleep. This is often the first treatment choice for children. That's because swollen tonsils and adenoids are often the cause of their sleep apnea.
How Well It WorksIn children with sleep apnea, symptoms almost always improve within 6 months of surgery. Parents report a decrease in:
- Snoring, coughing, and colds.
- Hyperactivity and other behavior problems.
- Restless sleep.
RisksYour throat will be sore after surgery. You may find it hard to eat and swallow for a few days. Other possible problems after surgery include:
- Infection.
- A lot of bleeding. (Some bleeding is expected.)
- Snoring is not always thought to be a medical problem. Your insurance may not pay to treat it.
- You can't predict if you will have snoring or breathing problems by simply looking at the size of your tonsils and adenoids.
- If you have other health problems, your doctor may have to treat them before you have this surgery.
- Tonsillectomy and adenoidectomy are the most common treatments for children who have obstructive sleep apnea.
- Some children may need to be watched closely before surgery. This includes those who have certain health problems that cause bony deformities of the face and head. These problems include dwarfism and Down syndrome. It also includes children who have had a head injury or who have nervous and muscular disorders, such as cerebral palsy.
- Children who have other conditions, such as asthma, upper respiratory infections, and heart problems, need to be treated for those problems before and after surgery. This can help reduce the chance of problems from surgery.