This study presents the results of our experience with 115 children between the ages of 3 and 19 years who have had symptoms of upper airway obstruction and nocturnal enuresis. Twelve children had secondary enuresis, and 103 children had primary enuresis. Surgical removal of upper airway obstruction led to a significant decrease in or complete cure of nocturnal enuresis in 87 (76%) of the children studied. Eleven children were also studied with polysomnographic tracings in an attempt to determine a relationship between their sleep patterns and nocturnal enuresis.
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References
1.
SimmonsFBGuilleminaultCDementWCTikiamAGHillM. Surgical management of airway obstructions during sleep. Laryngoscope1977; 87: 326–38.
2.
GuilleminaultCDementWC. Sleep apnea syndromes and related disorders. In: GuilleminaultCDementWC, eds. Sleep disorders: Diagnosis and treatment. New York: John Wiley and Sons, 1978: 9–28.
3.
BiardWP. Sleep apnea: A non-technical presentation. The American Narcolepsy Association, Santa Ynez, California, 1977.
4.
RichardsonMASeidABCottonRTBentonCBKramerM. Evaluation of tonsils and adenoids in the sleep apnea syndrome. Laryngoscope1980; 90: 1106–10.
5.
AndersonOOPetersonKE. Enuresis: An attempt at classification by genesis. Acta Paediat Scand1974; 63: 512–6.
6.
PetersonKEAndersonOOHansenT. Mode of action and relative value of imipramine and similar drugs in the treatment of nocturnal enuresis. Eur J Clin Pharmacol1974; 7: 187–94.
7.
WeiderDJHauriPJ. Nocturnal enuresis in children with upper airway obstruction. Int J Pediatr Otolaryngol1985; 9: 173–82.
8.
MabryRL. Surgery of the inferior turbinates: How much and when?Otolaryngol Head Neck Surg1984; 92: 571–6.
9.
FujitaS. UPPP for sleep apnea and snoring. Ear Nose Throat J1984; 63: 227–35.
10.
NørgaardJPRittigSDjurhuusJC. Nocturnal enuresis: An approach to treatment based on pathogenesis. J Pediatrics (supplement) 1989; 114: 705–10.
11.
GeorgeCPLMesserliFHGenestJ, Diurnal variation of plasma-vasopressin in man. J Clin Endocrinol Metab1975; 41: 332.
