Sandra Imodo A., 6

Sandra is a 6-year-old girl attending a local public primary school. She is respectful, kind, responsible, and hardworking. She enjoys helping those around her and is admired for her caring nature and good manners. Sandra lives with her mother in a rural village, where her mother operates a small-scale business to support the family. The income generated is modest and often insufficient to meet basic household needs, including food, clothing, school expenses, and healthcare. Despite these financial challenges, Sandra remains cheerful, eager to learn, and hopeful for a brighter future. Sandra was brought to Kory Family Hospital with a history of persistent snoring, mouth breathing, blocked nose, recurrent sore throats, and poor-quality sleep. Following a thorough clinical assessment and preoperative evaluation, she was found to have significantly enlarged tonsils and adenoids causing obstruction of her upper airway. She was diagnosed with symptomatic adenotonsillar hypertrophy, and an adenotonsillectomy was recommended to relieve the airway obstruction, improve her breathing and sleep quality, reduce recurrent throat infections, and enhance her overall health and well-being.

Sandra was diagnosed with significant adenotonsillar hypertrophy causing upper airway obstruction, resulting in persistent snoring, mouth breathing, nasal blockage, recurrent sore throats, and disturbed sleep. In my opinion, these symptoms are unlikely to improve with medication alone, making adenotonsillectomy the most appropriate treatment. The prognosis is excellent following surgery, with most children experiencing marked improvement in breathing, sleep quality, swallowing, and overall well-being, as well as a reduced frequency of throat infections. Regular follow-up is recommended to monitor her recovery and long-term progress.