Establishing diagnostic criteria for infantile obstructive sleep apnea syndrome, elucidating the pathology, and assessing the therapeutic effects

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Obstructive sleep apnea syndrome in infants below the schooling age considerably affects the parameter of pulse rate and oxygen saturation. An apnea-hypopnea index >=5 in portable polysomnography is considered an indication for therapy (Adenotonsillectomy). Though there has been a concern that Adenotonsillectomy for infants could lead to immunological vulnerability, no immunological abnormality was observed during the observation period of 1 year after surgery; instead, improvements were observed in the sleeping pulse rate and oxygen saturation, as well as reduction in risk of infection. Further, caregivers reported high postoperative satisfaction