Journal
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
Volume 68, Issue 11, Pages 1375-1379Publisher
ELSEVIER SCI IRELAND LTD
DOI: 10.1016/j.ijporl.2004.04.026
Keywords
sleep disorders; sleep apnea; obstructive; child; tonsillectomy; polysomnography
Categories
Ask authors/readers for more resources
Objective: To study changes in steep behavior and quality of life in children after adenotonsiltectomy for severe obstructive steep apnea identified by a respiratory distress index greater than or equal to 30. Methods: Children enrolled in the study underwent adenotonsiltectomy 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. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available