To the Editor.—I would like to compliment Gates and Folbre1 on their very timely commentary on adenotonsillectomy in the May 1986 issue of the Archives. It fills a definite need for a current establishment on indications for these procedures. I would, however, like to have seen more elaboration on chronic upper airway obstruction as an indication for adenotonsillectomy.
Each year we see a number of children between the ages of 4 and 9 years with symptoms of loud snoring at night and oral breathing. The parents will often state that the child is also somewhat irritable and has a short attention span. On physical examination, these children are often pale, rather small for their age, and thin. They are usually oral breathers; their tonsils approach the midline; and some have high-arched palates and elongated faces.
Adenotonsillectomy in these patients is one of the most gratifying procedures we have
PARELL GJ, CAMPBELL J, CLAUSSEN P. Adenotonsillectomy. Arch Otolaryngol Head Neck Surg. 1986;112(12):1300. doi:10.1001/archotol.1986.03780120064013
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