BrazJOtorhinolaryngol.2018;84(6):805
www.bjorl.org
Brazilian
Journal
of
OTORHINOLARYNGOLOGY
LETTER
TO
THE
EDITOR
The
effect
of
adenotonsillar
hypertrophy
and
other
obstructive
diseases
on
sleep
disorders
in
children
夽Efeito
da
hipertrofia
adenotonsilar
e
de
outras
doenc
¸as
obstrutivas
nos
distúrbios
do
sono
em
crianc
¸as
DearEditor,
Ireadthemanuscriptentitled‘‘Sleepdisordersinchildren with moderate to severe persistent allergic rhinitis’’ by Loekmanwidjaja,et al.1 The manuscriptis sovaluable,it isabouttheevaluationoftheinterferenceofallergic rhini-tisonsleepdisordersinchildren.Insleepdisorders,diseases causingnasalcongestionandupperairwayobstructionare always important. Besides allergicrhinitis, infectious dis-easesandhypertrophy ofadenoidandtonsillar tissuesare alsoconditionsthataffect sleepdisorders.2 Allergic rhini-tishasalsoeffectonadenotonsillarhypertrophy.3,4Tonsillar hypertrophyhasagreatroleinobstructingupperairway,and consequentlyinsleepdisorders.5Thismanuscriptdiscussed allergicrhinitisinchildrenwithsleepdisorders,butwe can-notomitadenotonsillarhypertrophyandother obstructive conditions.Whenspeakingaboutsleepdisordersinchildren, itwouldbebettertobringalsoupsomediscussionregarding adenotonsillarhypertrophyandotherobstructivediseases, notonlyallergicrhinitis.
夽 Pleasecitethisarticleas:CaylakliF.Theeffectofadenotonsillar
hypertrophyand otherobstructivediseaseson sleepdisordersin children.BrazJOtorhinolaryngol.2018;84:805.
Conflicts
of
interest
Theauthordeclaresnoconflictsofinterest.
References
1.Loekmanwidjaja J,Carneiro ACF,Nishinaka MLT,MunhoesDA, BenezoliG,WandalsenGF,etal.Sleepdisordersinchildrenwith moderatetoseverepersistentallergicrhinitis.BrazJ Otorhino-laryngol.2018;84:178---84.
2.Gomes AM, Santos OM, Pimentel K, Marambaia PP, Gomes LM, Pradella HM, et al. Quality of life in children with sleep-disordered breathing. Braz J Otorhinolaryngol. 2012;78: 12---21.
3.Eren E, Arslano˘glu S, Erdem SB, Nacaro˘glu T, Karkıner CS¸, Can D, et al. Chicken or the egg: the dilemma of aller-gic rhinitis versus adenoid hypertrophy. Rhinology. 2015;53: 154---9.
4.EvcimikMF,DogruM,CirikAA, NepesovMI.Adenoid hypertro-phyinchildrenwithallergicdiseaseandinfluentialfactors.IntJ PediatrOtorhinolaryngol.2015;79:694---7.
5.Balbani AP, Weber SA, Montovani JC. Update in obstructive sleep apnea syndrome in children. Braz J Otorhinolaryngol. 2005;71:74---80.
FatmaCaylakli
BaskentUniversitySchoolofMedicine,
OtorhinolaryngologyHeadandNeckSurgeryDepartment, Ankara,Turkey
E-mail:fcaylakli@yahoo.com
https://doi.org/10.1016/j.bjorl.2018.06.004
1808-8694/©2018Associac¸˜aoBrasileiradeOtorrinolaringologiaeCirurgiaC´ervico-Facial.PublishedbyElsevierEditoraLtda.Thisisanopen accessarticleundertheCCBYlicense(http://creativecommons.org/licenses/by/4.0/).
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