The effects of adeno/tonsillectomy on cardiopulmonary function based on echocardiography indices in children with primary snoring and mild obstructive sleep apnea

Nemati, Shadman; Aghajankhah, Mohammad-Reza; Banan, Rahmatollah; Haddadi, Soudabeh; Mehri, Mostafa; Aghsaghloo, Vahid; Leili, Ehsan Kazemnezhad

doi:10.1016/j.amjoto.2021.103317

Cited by 3 publications

(10 citation statements)

References 28 publications

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“…Tables 1 and 2 show studies conducted over the past 20 years, each with a different research purpose and study methods. The available studies can be classified as observational studies (n.2) [16,17], retrospective studies (n.3) [18][19][20], cross-sectional studies (n.4) [21][22][23][24], comparative studies (n.2) [25,26], prospective studies (n.8) [27][28][29][30][31][32][33][34], and clinical trial (n.1) [35].…”

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

“…The authors of these studies used various methods to assess OSA and its effects on the cardiovascular system in children. The diagnosis of OSA was obtained by PSG [18][19][20][21]26,28,35], oximetry [34], and questionnaire OSA-18 [16,17,22,23,32]. Diagnosis of adenoid/tonsillar hypertrophy was obtained using Brodsky's Scale in three studies [22][23][24] and by taking X-rays in four studies [22,30,32,35].…”

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

“…The diagnosis of OSA was obtained by PSG [18][19][20][21]26,28,35], oximetry [34], and questionnaire OSA-18 [16,17,22,23,32]. Diagnosis of adenoid/tonsillar hypertrophy was obtained using Brodsky's Scale in three studies [22][23][24] and by taking X-rays in four studies [22,30,32,35]. ENT surgery was reported as adenoidectomy [16,17,[20][21][22]25,[27][28][29][30][31][32][33]35], tonsillectomy [29,32], and A&T [16,17,[20][21][22]25,[28][29][30][31][32][33]35].…”

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

“…Diagnosis of adenoid/tonsillar hypertrophy was obtained using Brodsky's Scale in three studies [22][23][24] and by taking X-rays in four studies [22,30,32,35]. ENT surgery was reported as adenoidectomy [16,17,[20][21][22]25,[27][28][29][30][31][32][33]35], tonsillectomy [29,32], and A&T [16,17,[20][21][22]25,[28][29][30][31][32][33]35]. A cardiac evaluation was performed by Doppler echocardiography [16,17,22,24,[27][28][29][30] and the analysis of various cardiac parameters [16,17,25,27,…”

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

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Cardiac Implications of Adenotonsillar Hypertrophy and Obstructive Sleep Apnea in Pediatric Patients: A Comprehensive Systematic Review

Zaffanello,

Ersu,

Nosetti

et al. 2024

Children

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This review investigates the relationship between pediatric obstructive sleep apnea, often associated with adenotonsillar hypertrophy, and cardiovascular health, particularly pulmonary hypertension. We conducted a comprehensive literature search using electronic databases, including Medline Pub-Med, Scopus, and the Web of Science. The study analyzed a total of 230 articles and screened 48 articles, with 20 included in the final analysis, involving 2429 children. The PRISMA flowchart visually illustrates the selection process, and the ROBINS-E and –I tools help ensure the reliability and validity of the evidence produced by these studies. These studies explored various aspects, including the severity of obstructive sleep apnea, cardiac anomalies, cardiac stress markers, risk factors for pulmonary hypertension, and the impact of adenoidectomy and tonsillectomy on cardiac function. The research found that adenotonsillar hypertrophy and obstructive sleep apnea are significant risk factors for cardiovascular complications, especially pulmonary hypertension, in children. Adenoidectomy and tonsillectomy may provide effective treatments. Following adenoidectomy in relation to obstructive sleep apnea, there appears to be a reduction in mean pulmonary artery pressure during echocardiographic examination. However, the efficacy of these procedures can vary based on the severity of obstructive sleep apnea and individual cardiac conditions. The study also identified concerns regarding data bias. The authors emphasize the need for well-designed clinical studies, including both healthy patients with adenotonsillar hypertrophy and vulnerable children with genetic disorders, to ensure that clinical decisions are based on solid scientific evidence.

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Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

Section: Marangu D Et Al (2014) [24]mentioning

confidence: 99%

See 2 more Smart Citations

Cardiac Implications of Adenotonsillar Hypertrophy and Obstructive Sleep Apnea in Pediatric Patients: A Comprehensive Systematic Review

Zaffanello,

Ersu,

Nosetti

et al. 2024

Children

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“…Observing the BP of children with OSA is essential to identifying those at risk for developing clinically significant elevated BP in adulthood [ 32 ]. There is an independent effect of OSA on cardiopulmonary function, which improves after the disorder is adequately treated [ 33 , 34 , 35 ]. Finally, these children may develop an early metabolic syndrome [ 10 , 36 ], this risk being six-times higher than in healthy subjects in adolescents with OSA [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed

Solano-Pérez,

Coso,

Castillo-García

et al. 2023

Biomedicines

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Obstructive sleep apnea (OSA) in children is a prevalent, but still, today, underdiagnosed illness, which consists of repetitive episodes of upper airway obstruction during sleep with important repercussions for sleep quality. OSA has relevant consequences in the pediatric population, mainly in the metabolic, cardiovascular (CV), and neurological spheres. However, contrary to adults, advances in diagnostic and therapeutic management have been scarce in the last few years despite the increasing scientific evidence of the deleterious consequences of pediatric OSA. The problem of underdiagnosis and the lack of response to treatment in some groups make an update to the management of OSA in children necessary. Probably, the heterogeneity of OSA is not well represented by the classical clinical presentation and severity parameters (apnea/hypopnea index (AHI)), and new strategies are required. A specific and consensus definition should be established. Additionally, the role of simplified methods in the diagnosis algorithm should be considered. Finally, the search for new biomarkers for risk stratification is needed in this population. In conclusion, new paradigms based on personalized medicine should be implemented in this population.

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Impact of obstructive sleep apnea in cardiovascular risk in the pediatric population: A systematic review

Castillo-García,

Solano-Pérez,

Coso

et al. 2023

Sleep Medicine Reviews

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The effects of adeno/tonsillectomy on cardiopulmonary function based on echocardiography indices in children with primary snoring and mild obstructive sleep apnea

Cited by 3 publications

References 28 publications

Cardiac Implications of Adenotonsillar Hypertrophy and Obstructive Sleep Apnea in Pediatric Patients: A Comprehensive Systematic Review

Cardiac Implications of Adenotonsillar Hypertrophy and Obstructive Sleep Apnea in Pediatric Patients: A Comprehensive Systematic Review

Diagnosis and Treatment of Sleep Apnea in Children: A Future Perspective Is Needed

Impact of obstructive sleep apnea in cardiovascular risk in the pediatric population: A systematic review

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