If your child has sleep disordered breathing or obstructive sleep apnea with a history of restless sleep, snoring, gasping and sleep pauses your child will be referred to an ENT for a tonsillectomy and adenoidectomy evaluation. A sleep study is usually not needed. Adenoid enlargement alone may be the cause of obstructive symptoms. Often a trial of nasal steroid spray is pursued if the tonsils are not enlarged. In cases of severe tonsillar enlargement do to infection that does not respond to antibiotics and systemic steroid treatment ENT referral may be needed. Another uncommon condition is a retropharyngeal or peritonsillar abscess that would require surgical drainage.
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