Kids with sleep apnoea may not require surgery

In a randomised trial, US children aged five to nine years sent for surgery performed no better on neuropsychological tests after seven months compared to children receiving medical management only.

However, children receiving early adenotonsillectomy demonstrated significantly greater improvements in behaviour and quality of life, with 80% showing normalisation of the apnoea-hypopnoea index compared to 46% of controls. Obese children might benefit most from early surgery, the authors said.

N Eng J Med 368:2366-76

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