The Effectiveness of Tonsillectomy and Adenoidectomy in the Treatment of Pediatric Obstructive Sleep Apnea/Hypopnea Syndrome: A Meta‐Analysis

Brietzke, Scott E.; Gallagher, Daniel L.

doi:10.1016/j.otohns.2006.02.033

Cited by 358 publications

(277 citation statements)

References 19 publications

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“…Polysomnographic findings improved markedly after adenotonsillectomy, with more children in the earlyadenotonsillectomy group than in the watchful-waiting group having normalization of polysomnographic findings (79% vs. 46%). Normalization of the polysomnographic findings in the large majority of children randomly assigned to early adenotonsillectomy is consistent with some, 34,35 but not all, 36,37 studies. Previous nonrandomized studies may have been limited by differential follow-up of more symptomatic children.…”

Section: Discussionsupporting

confidence: 81%

A Randomized Trial of Adenotonsillectomy for Childhood Sleep Apnea

Marcus

Moore

Rosen

et al. 2014

Survey of Anesthesiology

228

438

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BACKGROUND-Adenotonsillectomy is commonly performed in children with the obstructive sleep apnea syndrome, yet its usefulness in reducing symptoms and improving cognition, behavior, quality of life, and polysomnographic findings has not been rigorously evaluated. We hypothesized that, in children with the obstructive sleep apnea syndrome without prolonged oxyhemoglobin desaturation, early adenotonsillectomy, as compared with watchful waiting with supportive care, would result in improved outcomes.

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Section: Discussionsupporting

confidence: 81%

A Randomized Trial of Adenotonsillectomy for Childhood Sleep Apnea

Marcus

Moore

Rosen

et al. 2014

Survey of Anesthesiology

228

438

View full text Add to dashboard Cite

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“…They are already mature in the sixmonth embryo [21,24]. There are differences between reports about the maximum volume of the adenoids.…”

Section: Discussionmentioning

confidence: 90%

“…One study reported that the maximum weight was seen in individuals of 4 or 5 years old [25]. In another study, the maximum weight was seen in individuals of 6 or 7 years old [21]. The volume of the adenoids decreases after 11 years of age.…”

Section: Discussionmentioning

confidence: 99%

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Vicissitude of Curetted Adenoid Vegetations

Mukai¹

2013

IJCM

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Weights of curetted adenoid were measured and were compared with both weights of tonsils and the rate of adenoidectomy among the tonsillectomized cases. This study included 603 patients whose adenoids were curetted during the 11-year period. 90% of patients were 2 to 9 years old. The rate of curetted adenoid vegetation among the tonsillectomized cases was 80% among patients from 1 to 6 years old and 70% among patients of 7 and 8 years old. The rate remarkably decreased from 9 years of age. The average weight of the curetted adenoids in each age group ranged from 0.7 g to 1.9 g. There was no statistical correlation in the distribution of the average weight of the curetted adenoids between males and females as well as between the weight of the tonsils and the weight of the curetted adenoids. A hypothesis on the cause of adenoid hypertrophy was presented in this study.

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“…The risk factors include obesity, adenotonsillar hypertrophy, neuromuscular disorders, and craniofacial anomalies 6 . The incidence of OSAS is elevated during the early childhood period (3 to 8 years old), and at the same time, adenotonsillar tissue enlargement occurs during this period 18 . Snoring is the most common symptom in 19,20 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of choroidal thickness measurements in pediatric obstructive sleep apnea syndrome patients

Bayraktar

Şimşek

2017

Turk J Pediatr

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Choroidal vascular impairment and obstructive sleep apnea syndrome (OSAS) related disorders have been shown in adults, but there have been no investigations with regard to the choroidal thickness measurements in children with OSAS. Our aim was to investigate this relationship in the early childhood period, which correlates with OSAS peak incidence due to adenotonsillar enlargement. One-hundred and nine pediatric OSAS patients and 42 age-sex matched controls were enrolled in this study. Nocturnal pulse oximetry was used to define the OSAS patients. Demographic data like age, sex and body-mass index were recorded. All of the subjects underwent complete otolaryngologic and ophthalmologic examination including visual acuity, intraocular pressure, central corneal thickness, axial length and choroidal thickness measurements. Overall, the 1,000 µm and 1,500 µm nasal choroid measurements were found to be significantly lower in the patient group (p<0.05). However, only a poor inverse correlation emerged between the body-mass index (BMI) and the foveal center measurements in the patients. Observed alterations in the choroid may signify the initial impairment of known OSAS-related eye disorders, like glaucoma, floppy eyelid syndrome, and non-arteritic ischemic optic neuropathy. Ophthalmologists, otolaryngologists and pediatricians working together as a team may be able to prevent future eye diseases.

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The Effectiveness of Tonsillectomy and Adenoidectomy in the Treatment of Pediatric Obstructive Sleep Apnea/Hypopnea Syndrome: A Meta‐Analysis

Abstract: B-2a.

Cited by 358 publications

References 19 publications

A Randomized Trial of Adenotonsillectomy for Childhood Sleep Apnea

A Randomized Trial of Adenotonsillectomy for Childhood Sleep Apnea

Vicissitude of Curetted Adenoid Vegetations

Evaluation of choroidal thickness measurements in pediatric obstructive sleep apnea syndrome patients

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