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Who may participate?

• Children ages 3-12 years with snoring during sleep.
• Children who have not been diagnosed with obstructive sleep apnea.
• Children who have not had their tonsils and adenoid removed.

What is involved?

Children in the study will be randomly placed in one of two groups:

• Early removal of tonsils and adenoid about 1 month after sleep study
• Watchful Waiting with Supportive Care for 12 months. Re-evaluation by the Ear, Nose, and Throat (ENT) doctor for treatment at 12 months for those in the Watchful Waiting with Supportive Care group.

All children in the study will receive:

• 2 overnight sleep studies
• 3 daytime study visits which will include:
  • Behavioral testing
  • Blood pressure monitoring
  • Body measurements
  • Blood and urine tests
  • Parent questionnaires
• Monthly telephone calls
• Actigraphy: A wrist watch-like device to wear at home for 7 days that measures your child's wake and sleep at home
• Teacher questionnaires

Please keep in mind:

• Participation is voluntary.
• You are free to withdraw from this study at any time.
• We encourage you to ask questions, and express all of your concerns.
• Your child's health is important to us.
• We will reimburse you for your time and expenses.