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Int J Pediatr Otorhinolaryngol. 2004 Nov;68(11):1375-9.

Outcome of adenotonsillectomy for severe obstructive sleep apnea in children.

Author information

1
Department of Surgery, Health Sciences Center, University of New Mexico, USA. rbmitchell@vcu.edu

Abstract

OBJECTIVE:

To study changes in sleep behavior and quality of life in children after adenotonsillectomy for severe obstructive sleep apnea identified by a respiratory distress index > or = 30.

METHODS:

Children enrolled in the study underwent adenotonsillectomy and had both pre- and post-operative polysomnography. Caregivers also completed an OSA-18 quality of life survey prior to polysomnography and within 6 months of surgery. Paired Student's t-tests were used to compare pre- and post-operative scores.

RESULTS:

The study population included 29 children. The mean age was 7.1 years (range 1.4-17.0). The most common comorbidities were obesity, asthma and allergic disease. The mean pre-operative RDI was 63.9 and the mean post-operative RDI was 14.2 (P < .0001). The mean total OSA-18 score before surgery was 77.6 and after surgery was 33.2. The differences in pre- and post-operative OSA-18 total scores and domain scores were significant (P < .0001).

CONCLUSION:

Children with severe OSA who undergo adenotonsillectomy show a significant improvement in RDI and in quality of life over a period of several months after surgery. However, OSA does not resolve in the majority of these children and post-operative PSG is recommended to identify those who may require additional therapy.

PMID:
15488966
DOI:
10.1016/j.ijporl.2004.04.026
[Indexed for MEDLINE]

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