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Case Reports in Pediatrics
Volume 2012, Article ID 514514, 3 pages
http://dx.doi.org/10.1155/2012/514514
Case Report

Life-Threatening Obstructive Sleep Apnea Caused by Adenoid Hypertrophy in an Infant with Noonan Syndrome

1S2A Santé, 94200 Ivry sur Seine, France
2Pediatric Pulmonary Department, AP-HP, Hôpital Armand Trousseau, 75012 Paris, France
3Pediatric Head and Neck Surgery Department, AP-HP, Hôpital Armand Trousseau, 75012 Paris, France
4Université Pierre et Marie Curie-Paris 6, 75012 Paris, France
5ADEP Assistance, 92150 Suresnes, France
6Université Pierre et Marie Curie-Paris 6 and INSERM U 955, 94000 Créteil, France

Received 19 September 2012; Accepted 3 October 2012

Academic Editors: F. Cachat, K. L. Chan, and N. L. Shapiro

Copyright © 2012 Sonia Khirani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Adenoidectomy is a commonly performed surgery in children, even though its effectiveness is still under investigation. However, in children with risk factors such as age under 3 years old, associated comorbidities, or severe obstructive sleep apneas, a high postoperative respiratory morbidity is possible. We report the case of a 15-month-old boy with Noonan syndrome and a complex clinical history, who presented with a life-threatening obstructive sleep apnea due to hypertrophy of the adenoids which resolved completely after adenoidectomy.