Snoring & Apnea

Snoring and sleep apnea are sleep disorders. Sleep disorders affect all age groups and can negatively impact health. In children, sleep disorders are often a sign of another problem that should be addressed by a doctor. Children who snore should receive medical attention, especially if their snoring is loud and regular as this could be a symptom of a respiratory illness or sleep apnea. If you are concerned your child has a sleep disorder, please contact our office at (503) 257-3204 to schedule an appointment.

Sleep Apnea: Overview

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Enlarged Adenoids: Overview

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Enlarged Adenoids / Tonsils Symptoms:

  • Nasal obstruction
  • Chronic mouth breathing
    • This can cause improper alignment of the teeth
    • Can affect development of the jaw and facial bones
  • Noisy breathing during the day (stertor)
  • Frequent ear infections or persistent middle ear fluid
  • Snoring at night
    • Nightly snoring in a child is not normal and is a relative indication for tonsillectomy and adenoidectomy
  • Stopping breathing at night – obstructive sleep apnea
    • Poor quality sleep can cause daytime sleepiness, irritability, poor concentration, hyperactivity, ADHD type symptoms and behavioral problems
    • Bed wetting, delayed growth, heart problems
    • Obstructive sleep apnea in children due to enlarged tonsils and adenoids is an absolute indication for tonsillectomy and adenoidectomy

Tonsillectomy: Overview

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  • Complete history and physical examination to obtain accurate diagnosis
  • Diagnostic testing if indicated:
    • In select cases, an overnight sleep study is indicated

Enlarged Tonsil and Adenoids Treatment Options Include:

  • Mild obstructive symptoms
    • Close observation
  • Chronic, severe upper airway obstructive symptoms

Dr. Barlow operates on pediatric and adult patients at:

  • Randall Children’s Hospital at Legacy Emanuel Hospital
  • Adventist Medical Center
  • Providence Milwaukie Hospital

If you have snoring and apnea problems, please call (503) 257-3204 or request a visit online with us.


American Academy of Otolaryngology−Head and Neck Surgery. One Prince St., Alexandria, VA 22314-3357, 1-703-836-4444. 2011 AAO-HNS/AAO-HNSF
Baugh, R. F., S. M. Archer, et al. (2011). “Clinical practice guideline: tonsillectomy in children.” Otolaryngology–head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery 144(1 Suppl): S1-30.
Mitchell, R.B. and J. Kelly, Behavioral Changes in Children with Mild Sleep-Disordered Breathing or Obstructive Sleep Apnea after Adenotonsillectomy. Laryngoscope, 2007.
Garetz, S. L. (2008). “Behavior, cognition, and quality of life after adenotonsillectomy for pediatric sleep-disordered breathing: summary of the literature.” Otolaryngol Head Neck Surg 138(1 Suppl): S19-26.
Goldstein, N. A., M. G. Stewart, et al. (2008). “Quality of life after tonsillectomy in children with recurrent tonsillitis.” Otolaryngol Head Neck Surg 138(1 Suppl): S9-S16.