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A Parent's Guide to Paediatric Sleep Apnoea

Paediatric Sleep Apnoea affects 1-4% of children, causing breathing interruptions during sleep that impact growth, behaviour, and learning. While concerning for parents, most cases respond excellently to treatment. Early recognition and appropriate care can completely restore your child's healthy sleep and development.

Could My Child's Sleep Problems Be Sleep Apnoea?

Key Warning Signs in Children

  • Loud snoring with breathing pauses witnessed by parents
  • Restless sleep with frequent position changes and sweating
  • Daytime behavioural issues including hyperactivity or aggression
  • Morning tiredness despite adequate time in bed
  • Difficulty concentrating at school or declining academic performance
  • Mouth breathing during day and night

Why Children's Sleep Apnoea Requires Attention

  • It impacts growth hormone release during deep sleep.
  • It affects brain development and learning capacity.
  • It can cause behavioural problems often mistaken for ADHD.
  • It may lead to heart strain if left untreated.

Treatment Success Rates in Children

  • Adeontonsillectomy Clinical Studies 
    show an 85-95% success rate for appropriate candidates.
  • Non-surgical options
    In our experience, these achieve a 70-80% improvement for mild cases.

Why Is My Child Always Tired Despite Sleeping?

Understanding Sleep Quality vs Sleep Quantity

Recognising the signs of paediatric sleep apnoea requires understanding how symptoms manifest differently in children compared to adults.
Nighttime Symptoms
  • Loud snoring that can be heard through closed doors
  • Breathing stops for 10+ seconds followed by gasping
  • Restless sleep with frequent tossing and turning
  • Night sweats despite a comfortable room temperature
  • Unusual sleep positions, like sleeping with their neck hyperextended or sitting up
Daytime Symptoms
  • Morning headaches or grogginess upon waking
  • Behavioural changes including hyperactivity, aggression, or mood swings
  • Difficulty concentrating at school or during homework
  • Slower growth compared to peers, as growth hormone is affected

Dr Nguyen's Expert Take

"Parents often tell me their child 'sleeps 10-12 hours but still seems exhausted.' This is the hallmark of sleep apnoea - quantity without quality. When breathing stops repeatedly during sleep, the brain never enters the deep, restorative phases crucial for growth and learning. In my years of paediatric ENT practice serving families across Sydney and Forster, I've seen dramatic improvements in both behaviour and academic performance after successful treatment."

Will My Child Need Surgery for Sleep Problems?

When Surgery Is the Best Option

Adenotonsillectomy
(Tonsil and Adenoid Removal)

Adenotonsillectomy remains the gold standard treatment for most children with sleep apnoea caused by enlarged tonsils and adenoids.

Ideal Candidates

  • Children with enlarged tonsils (grades 3-4) causing airway obstruction
  • Children with large adenoids blocking nasal breathing
  • Children with moderate to severe sleep apnoea confirmed by a sleep study

Non-Surgical Treatment Options

For mild cases, non-surgical approaches can be effective, especially when inflammation is the primary cause. These can include nasal steroid sprays to reduce tissue inflammation, weight management programs for overweight children, and comprehensive allergy management.

The Surgical Process: 
What Families Can Expect

  • Preparation

    The process begins with a complete medical evaluation and a family consultation to explain the procedure and recovery.
  • Surgery Day
    The procedure is brief (typically 30-45 minutes) and performed by an experienced paediatric team. Most children go home the same day.
  • Recovery

    The first week involves throat discomfort and requires a soft diet and family support. Most children return to normal activities after two weeks, with a dramatic improvement in sleep quality often noted immediately.

How Do I Know if My Child Has Sleep Apnoea?

Professional Evaluation Process

Dr Nguyen's assessment process is thorough yet child-friendly.

Initial Family Consultation with Dr Nguyen

  • Detailed sleep and medical history
  • Growth pattern and behavioural review
  • Physical examination focusing on airway anatomy in a comfortable environment

Diagnostic Testing for Children

  • Sleep studies in children require specialised protocols. The type of study recommended depends on the child's age and symptoms, and is always coordinated with a child-friendly sleep lab where a parent can stay.

Dr Nguyen's Expert Take

"One of the most important things I tell parents is that you know your child best. If you're concerned about their sleep or behaviour, trust your instincts. Early evaluation can prevent months or years of poor sleep affecting your child's development and your family's quality of life."

What Happens During Recovery from Surgery?

Immediate Post-Surgery Period (Days 1-3)

Your child can expect some throat discomfort (managed with pain medication), a reduced appetite, and low energy as their body heals. Cold foods and drinks like ice cream are welcomed. Your family should plan for quiet activities and adjust routines to support recovery.

Weeks 1-2: Early Family Recovery

You'll notice a steady improvement in physical recovery and sleep quality. Energy levels will increase, and mood often improves as sleep quality gets better. A return to school usually happens after 2 weeks, with strenuous activities avoided for the first two weeks.

When to Contact Dr Nguyen During Recovery

You should contact us for any excessive bleeding, severe pain not controlled with medication, a high fever (above 38°C), or any difficulty swallowing liquids.

Dr Nguyen's Expert Take

"The transformation I see in children and families after successful sleep apnoea treatment is remarkable. The recovery process requires some patience, but the long-term benefits for your child's health, development, and your entire family's quality of life are profound."

Frequently Asked Questions

Children as young as 2-3 years old can be evaluated if symptoms are present. Most diagnoses occur between ages 3-8 when tonsils and adenoids are largest relative to airway size.

Adenotonsillectomy is one of the most commonly performed paediatric surgeries with excellent safety records. Modern anaesthesia techniques and experienced paediatric surgical teams make the procedure very safe.

Sleep quality often improves within days. Behavioural and academic improvements typically become noticeable within 2-4 weeks as your child catches up on quality rest.

In most cases, successful treatment provides permanent resolution. However, factors like significant weight gain or severe allergies can sometimes cause recurrence, requiring re-evaluation.

A referral from your GP is necessary to claim a Medicare rebate for your consultation. While you can book an appointment without one, a referral ensures you receive the maximum benefit and provides me with your relevant medical history.

Adult Sleep Apnea

If parents also have sleep concerns.

General Paediatric ENT Care

Comprehensive children's ENT services.

Recurrent Tonsillitis

When throat infections are frequent.

Dr Nguyen's Profile

Paediatric ENT expertise and experience.

Patient Journey

Family consultation and treatment process.

Ready to Help Your Child Sleep Better?

Is your child's snoring, restless sleep, or daytime behaviour concerning you? Are you wondering if sleep problems might be affecting their growth, learning, or happiness?

Professional evaluation can determine if your child's symptoms indicate sleep apnoea and provide a clear path to better sleep and improved development for your entire family.

Next Steps

Schedule Your Child's Sleep Assessment.
Comprehensive family consultation including growth assessment, behavioural review, and treatment planning

Clinic Locations

  • Forster
Consultation, follow-up, and allergy coordination
  • Gledswood Hills
Full diagnostic and treatment services
  • Liverpool
Full diagnostic and treatment services
Full diagnostic and treatment services
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