Is it possible to remove the adenoids in a child with obstructive sleep apnea and there is high possibility of submucosal cleft palate?

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Ezzat Saleh

It is better to remove central part only aided by sinoscopy and microdebrider . Alernative CPAP.

Raid M. Al-Ani

Dear Professor Ezzat Saleh,

Thank you for your valuable answer.

Regards, Raid

Miguel Coutinho

I agree with partial horizontal lower adenoidectomy with endoscopic control with either microdebrider or coblation. We must do anything to preserve velopharyngeal valve function in patients with submucous cleft palate.

Thank you Professor Miguel Coutinho for your valuable answer.