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Int J Pediatr Otorhinolaryngol. 2007 Jan;71(1):1-6. Epub 2006 Sep 25.

Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing.

Author information

1
Department of Otorhinolaryngology, Keio University School of Medicine, 160-8582, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan. hsaitorl@sc.itc.keio.ac.jp

Abstract

OBJECTIVE:

Although first line therapy of sleep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB.

METHOD:

Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during sleep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls.

RESULTS:

Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (ODI4) of more than 1.5 and/or ODI3 of more than 3.5 should undergo surgery.

CONCLUSION:

Pulse-oximetry is useful in determining the indications for adeno-tonsillectomy.

PMID:
16997385
DOI:
10.1016/j.ijporl.2006.08.009
[Indexed for MEDLINE]

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