Prognosis

Obstructive sleep apnea (OSA)

While removal of the adenoids and tonsils resolves OSA in 79% to 92% of children, it is less efficacious in obese children, those with Down syndrome, and children with underlying craniofacial abnormalities.​[97]​[98]​​[141][142] In the general population, one study has shown a recurrence rate of 8.5% 3 years after surgery.[62]

Chronic insomnia disorder

According to a meta-analysis reviewing 52 behavioral treatment studies, 94% of respondents reported improvement with behavioral interventions, with 80% of children treated demonstrating sustained improvement for 3 to 6 months.[116]

Delayed sleep-wake phase disorder

There are very few objective data delineating success rates of the various treatment strategies. Enlisting the cooperation of the patient is critical; without it there is little if any chance of success.

Use of this content is subject to our disclaimer