Abstract:frequent and very severe reductions in blood oxygen saturation (SpO 2 , lowest at 55%). Persistent, large-range variations in heart rate (70-140 beats/min) were associated with frequent OSA events and occurred throughout the night. The radiograph showed nasopharyngeal stenosis with tonsil and adenoid hypertrophy (adenoidal nasopharyngeal ratio (A/N): 0.92; normal range < 0.5-0.6).The patient's parents did not want to consider surgery and preferred medication as a first treatment. Therefore, montelukast (oral, … Show more
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