Sleep apnoea and snoring.
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There is marked enlargement of the adenoids on this lateral film with narrowing of the posterior nasopharynx.
Obstructive sleep apnoea has a wide variety of causes. In children, adenoidal overgrowth can cause complete or partial obstruction of the posterior nasopharynx and result in obstructive symptoms, sleep disturbance, problems at school and generalised tiredness and lethargy.