I read the manuscript entitled "Sleep disorders in children with moderate to severe persistent allergic rhinitis" by Loekmanwidjaja, et al.11 Loekmanwidjaja J, Carneiro ACF, Nishinaka MLT, Munhoes DA, Benezoli G, Wandalsen GF, et al. Sleep disorders in children with moderate to severe persistent allergic rhinitis. Braz J Otorhinolaryngol. 2018;84:178-84. The manuscript is so valuable, it is about the evaluation of the interference of allergic rhinitis on sleep disorders in children. In sleep disorders, diseases causing nasal congestion and upper airway obstruction are always important. Besides allergic rhinitis, infectious diseases and hypertrophy of adenoid and tonsillar tissues are also conditions that affect sleep disorders.22 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. Allergic rhinitis has also effect on adenotonsillar hypertrophy.33 Eren E, Arslanoğlu S, Erdem SB, Nacaroğlu T, Can D, et al. Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy. Rhinology. 2015;53:154-9.,44 Evcimik MF, Dogru M, Cirik AA, Nepesov MI. Adenoid hypertrophy in children with allergic disease and influential factors. Int J Pediatr Otorhinolaryngol. 2015;79:694-7. Tonsillar hypertrophy has a great role in obstructing upper airway, and consequently in sleep disorders.55 Balbani AP, Weber SA, Montovani JC. Update in obstructive sleep apnea syndrome in children. Braz J Otorhinolaryngol. 2005;71:74-80. This manuscript discussed allergic rhinitis in children with sleep disorders, but we cannot omit adenotonsillar hypertrophy and other obstructive conditions. When speaking about sleep disorders in children, it would be better to bring also up some discussion regarding adenotonsillar hypertrophy and other obstructive diseases, not only allergic rhinitis.
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Please cite this article as: Caylakli F. The effect of adenotonsillar hypertrophy and other obstructive diseases on sleep disorders in children. Braz J Otorhinolaryngol. 2018;84:805.
References
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1Loekmanwidjaja J, Carneiro ACF, Nishinaka MLT, Munhoes DA, Benezoli G, Wandalsen GF, et al. Sleep disorders in children with moderate to severe persistent allergic rhinitis. Braz J Otorhinolaryngol. 2018;84:178-84.
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2Gomes 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.
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3Eren E, Arslanoğlu S, Erdem SB, Nacaroğlu T, Can D, et al. Chicken or the egg: the dilemma of allergic rhinitis versus adenoid hypertrophy. Rhinology. 2015;53:154-9.
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4Evcimik MF, Dogru M, Cirik AA, Nepesov MI. Adenoid hypertrophy in children with allergic disease and influential factors. Int J Pediatr Otorhinolaryngol. 2015;79:694-7.
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5Balbani AP, Weber SA, Montovani JC. Update in obstructive sleep apnea syndrome in children. Braz J Otorhinolaryngol. 2005;71:74-80.
Publication Dates
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Publication in this collection
Nov-Dec 2018