| Objective: Obstructive sleep apnea-hypopnea syndrome(OSAHS)in children is one of most common pediatric problem. The main causes are allergic rhinitis and adenotonsillar hypertrophy. The correlation between them has been investigated by few studies. The study aimed at investigating the correlation between allergy and the size of adenoid and tonsil.Methods:92 cases of children who were diagnosed as having OSAHS in ENT dept in the Dalian Central Hospital from January 2013 to December 2014,aged 2 to 16.They were all evaluated for their tonsil size. All patients underwent digital lateral soft tissue radiographs. Assessment of nasopharyngeal obstruction in radiographs was done according to the A/N method. Skin prick tests were carried out to investigate their allergy.Results: There is a statistically significant correlation between tonsil size and skin prick tests(P<0.01). On the other hand,we also found a statistically significant correlation between the adenoid size and skin prick test results(P<0.05).Meanwhile,there is a strong correlation between adenoid and tonsil size.(γ=0.558 p<0.001)Conclusions: Allergic sensitivity may play an vital role in children with tonsil hypertrophy. therefore, systemic anti-allergy is still crucial to children who are diagnosed as having OSAHS. Tonsil hypertrophy maybe frequently associated with adenoid hypertrophy. |
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