Table 1

 Causes of obstructive sleep apnoea

*Obstruction may evolve in very early infancy.
• Adenotonsillar hypertrophy
• Obesity
• Down syndrome*
• Craniofacial abnormalities*
‐ poorly formed jaw (e.g. Pierre Robin sequence, Treacher Collins syndrome)
‐ midfacial hypoplasia (e.g. Apert syndrome, Crouzon syndrome)
• Achondroplasia
• Mucopolysaccharidoses
• Prader-Willi syndrome
• Neuromuscular disease*
• Cerebral palsy