TY - JOUR T1 - Severe Obstructive Sleep Apnea Syndrome in a Toddler JO - Archivos de Bronconeumología T2 - AU - Miranda,Virginia León AU - Armengol,Ángeles Sánchez AU - García,Aránzazu Ruiz AU - Bernal,Carmen Carmona AU - Benhamou,Georgina Botebol AU - Gil,Francisco Capote SN - 15792129 M3 - 10.1016/S1579-2129(07)60069-X DO - 10.1016/S1579-2129(07)60069-X UR - https://www.archbronconeumol.org/en-severe-obstructive-sleep-apnea-syndrome-articulo-S157921290760069X AB - We report the case of a 3-year-old boy who had experienced intense snoring, frequent awakenings, intense respiratory effort during sleep, and delayed growth starting at the age of 15 months. He underwent adenoidectomy at 18 months. Symptoms initially improved but reappeared 3 months after surgery. He underwent a second adenoidectomy, this time with tonsillectomy, but there was no significant clinical improvement. Polysomnography revealed severe sleep apnea-hypopnea with an apnea-hypopnea index of 45. Continuous positive airway pressure improved sleep quality, although some symptoms, mainly snoring, persisted. A third adenoidectomy was necessary to normalize his breathing pattern during sleep. ER -