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Otolaryngol Head Neck Surg. 2006 Jun;134(6):979-84.

The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a meta-analysis.

Author information

  • 1Department of Otolaryngology, Walter Reed Army Medical Center, Washington, DC 20307, USA. sbrietzke@msn.com

Abstract

OBJECTIVE:

Present and evaluate the currently available literature reporting on the effectiveness of adenotonsillectomy (T/A) in treating obstructive sleep apnea/hypopnea syndrome (OSAHS) in uncomplicated pediatric patients.

STUDY DESIGN AND SETTING:

Systematic review of the literature and meta-analysis of the reduction of the polysomnogram (PSG)-measured Apnea Hypopnea Index (AHI events/hour) resulting from T/A and the overall success rate of T/A in normalizing PSG measurements (%).

RESULTS:

Fourteen studies met the inclusion criteria. Mean sample size was 28. All were case series (level 4 evidence). The summary change in AHI was a reduction of 13.92 events per hour (random effects model 95% CI 10.05-17.79, P < 0.001) from T/A. The summary success rate of T/A in normalizing PSG was 82.9% (random effects model 95% CI 76.2%-89.5%, P < 0.001).

CONCLUSION/SIGNIFICANCE:

T/A is effective in the treatment of OSAHS. However, success rates are far below 100%, which could have far-reaching pediatric public health consequences.

EBM RATING:

B-2a.

PMID:
16730542
[PubMed - indexed for MEDLINE]
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