Changes of Sleep Disordered Breathing and Quality of Life after Adenotonsillectomy in Pediatric Obstructive Sleep Apnea

Seon, Sang Woo; Jung, Jae Hyun; Lee, Sang Kuk; Lee, Se A; Lee, Eunsang; Lee, Seungjae; Lee, Jun Young; Lee, Jae Yong; Choi, Ji Ho

doi:10.3342/kjorl-hns.2016.17279

Cited by 4 publications

(2 citation statements)

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“…Results of PSG and KOSA-18 survey in children with OSA have revealed significant improvements in OSA and related QOL after adenotonsillectomy. 25 Based on the analysis of 37 articles on quantitative assessment of QOL in pediatric sleep apnea syndrome, a systematic review by Todd et al demonstrated that QOL improved in the shortterm follow-up, with a strong indication of improvement in long-term follow-up after adenotonsillectomy. 18 Mitchell et al administered the OSA-18 to 34 children with OSA before and at 9 and 24 months after adenotonsillectomy and reported significant improvements in QOL, which were prominent in the short-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Results of PSG and KOSA‐18 survey in children with OSA have revealed significant improvements in OSA and related QOL after adenotonsillectomy . Based on the analysis of 37 articles on quantitative assessment of QOL in pediatric sleep apnea syndrome, a systematic review by Todd et al demonstrated that QOL improved in the short‐term follow‐up, with a strong indication of improvement in long‐term follow‐up after adenotonsillectomy .…”

Section: Discussionmentioning

confidence: 99%

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Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

et al. 2019

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Objectives Improvements in sleep‐related quality of life (QOL) and behavioral problems have been observed in children with obstructive sleep apnea (OSA) during a short‐term follow‐up after adenotonsillectomy. Whether this trend continues beyond the short term remains unclear. Therefore, we aimed to evaluate the long‐term effects of surgery in children with OSA. Methods The study participants comprised 20 children with OSA who underwent adenotonsillectomy. We used the scores from the Attention Deficit and Hyperactivity Disorder Rating Scale (ADHD‐RS) and total scores from the Korean OSA‐18 Survey (KOSA‐18) before and after adenotonsillectomy to compare and analyze behavioral problems and OSA‐specific health‐related QOL, respectively, during a long‐term follow‐up. Respiratory disturbance parameters from standard polysomnography and subjective symptom scores for snoring and apnea were also investigated. Results The mean patient age was 6.6 ± 3.4 years (range, 3–13), and the male‐to‐female ratio was 15:5. The mean follow‐up period was 54.5 months (range, 27–98). The total scores for both ADHD‐RS (from 17.6 to 10.5; P = 0.006) and KOSA‐18 (from 74.3 to 40.7; P = 0.001) decreased significantly from before to after surgery. Significant decreases were also observed in the subjective symptom scores for snoring (from 5.4 to 2.4; P = 0.000) and apnea (from 3.3 to 0.8; P = 0.002). Conclusion Significant improvement was observed in sleep‐related QOL and behavioral problems in children with OSA during long‐term follow‐up after adenotonsillectomy. Level of Evidence 4 Laryngoscope, 130:546–550, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

et al. 2019

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Comparison of the Postoperative Outcome for Pediatric Obstructive Sleep Apnea According to the Type of the Tonsillectomy

Cho¹,

Sohn²

2019

Korean J Otorhinolaryngol-Head Neck Surg

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Background and Objectives Partial intracapsular tonsillectomy and adenoidectomy (PITA) has become a well-recognized technique for tonsillectomy in children. Several studies have reported that PITA shows better postoperative morbidity compared to the conventional technique. However, there is still concern about the regrowth of remnant tonsil tissues. The authors evaluated the postoperative results of PITA, combined extracapsular and intracapsular tonsillectomy, and conventional tonsillectomy. Subjects and Method The authors studied 97 children (male: 62, female: 35) aged 2 to 13 years old, who underwent tonsillectomy and adenoidectomy (PITA, combined extracapsular and intracapsular tonsillectomy, and conventional tonsillectomy). The degree of adenotonsillar hypertrophy, apnea-hypopnea index and lowest oxygen saturation was confirmed for all subjects. Operation time, quality of life, scale for postoperative pain, frequency of postoperative bleeding, and recurrence with tonsillar regrowth were compared after surgery performed by different surgical procedures. Results Regardless of the surgical technique, all the cases presented significant improvement in the quality of life before and after surgery. On the day of surgery and four days after surgery, PITA showed superior results in terms of postoperative pain level compared to the conventional technique. There were no statistically significant results with respect to the operation time and postoperative bleeding. Six months after the surgery, the recurrence of sleep apnea due to the regrowth of remaining tonsil was not obvious. Conclusion Tonsillectomy technique preserving tonsillar capsule may show better results on early postoperative pain. It can be a good alternative to the conventional technique in surgical treatment for pediatric obstructive sleep apnea in terms of early postoperative pain control.

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Cephalometric Evaluation for Upper Airway and Facial Skeletal in Sleep-Disordered Children after Adenotonsillectomy

Cho,

Park,

Park

et al. 2023

J Clin Otolaryngol Head Neck Surg

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Background and Objectives: Prolonged sleep apnea in children can lead to learning difficulty, behavioral disorder, and growth impairment. The most common cause for pediatric sleep apnea is tonsillar hypertrophy, therefore, tonsillectomy has been the choice of treatment for long time. In this study, we investigated subjective and objective improvements in sleep breathing disturbance after adenotonsillectomy. Materials and Methods: We examined medical records of 32 children aged from 3 to 9 years old who took adenotonsillectomy. After collecting demographical data and endoscopic finding, we compared sleep-disturbance questionnaire and cephalometry before and after the surgery. Results: Patients with breathing symptom showed younger age and more hypertrophied tonsil. Berlin questionnaire score significantly improved after adenotonsillectomy, especially in symptomatic group. However, there was no significant change in cephalometric parameters through follow-up period. Conclusion: Although adenotonsillectomy could not reposit craniofacial change due to sleep breathing disorder, it delayed further deterioration. Furthermore, there was much improvement in subjective symptoms after adenotonsillectomy.

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Changes of Sleep Disordered Breathing and Quality of Life after Adenotonsillectomy in Pediatric Obstructive Sleep Apnea

Cited by 4 publications

References 10 publications

Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy

Comparison of the Postoperative Outcome for Pediatric Obstructive Sleep Apnea According to the Type of the Tonsillectomy

Cephalometric Evaluation for Upper Airway and Facial Skeletal in Sleep-Disordered Children after Adenotonsillectomy

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