Delayed physical growth is a common complication of pediatric obstructive sleep apnea syndrome (OSAS). Adenotonsillectomy (AT) is the first-line treatment for pediatric OSAS. Only a few studies have performed time-course BMI evaluation in pediatric OSAS patients post-operatively. Thus, we aimed to evaluate the time-course changes in pediatric OSAS patients after AT. Thirty-three children with OSAS who underwent AT were included and divided into two groups on the basis of their BMI z-scores (delayed physical growth group, n = 15; non-delayed physical growth group, n = 18). Clinical records of height and weight were collected before AT and at 6, 12, 24, and 36 months after AT. Changes in the mean BMI z-scores of the two groups were assessed up to 36 months. The mean BMI z-score was significantly increased in the delayed physical growth group at 6 months after AT. In contrast, the increase in mean BMI z-score was not observed in the non-delayed physical growth group. Growth improvement was noted in pediatric OSAS patients with delayed physical growth after AT. Our results suggest that AT is a promising therapy for improving the physical growth of pediatric OSAS patients with such problems.
Congenital cholesteatoma of the external auditory canal is a rare disease. We report a 3-year-old male child with congenital cholesteatoma of the left external auditory canal. A white mass existed at 10-12 o'clock of the canal. In computed tomography (CT) of the temporal bone, a low-density lesion was located in contact with the tympanic membrane, but not clearly invaded the middle ear cavity. Treatment consisted of removal using an endoscope. At the 7-month postoperative follow-up there was no evidence of any relapses. We discuss herein the indication of surgery for congenital cholesteatoma of the external auditory canal.
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