کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6213895 1606021 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Adenotonsillectomy for sleep-disordered breathing in a predominantly obese pediatric population
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Adenotonsillectomy for sleep-disordered breathing in a predominantly obese pediatric population
چکیده انگلیسی

ObjectivesTo determine the efficacy of adenotonsillectomy (T&A) in the treatment of pediatric sleep-disordered breathing, and to determine the natural history in untreated children.MethodsThe charts of children aged 1-12 who underwent polysomnography (PSG) between 1/2006 and 6/2009 were reviewed to identify children with positive studies. Children not treated by T&A were recruited and matched by age, time since initial PSG, and apnea-hypopnea index (AHI) to children who underwent T&A. All participants were evaluated by a clinical assessment score (CAS-15), follow-up PSG, and the Child Behavior Checklist (CBCL).ResultsSixteen matched pairs completed the study. Ten (63%) T&A patients were overweight or obese compared with 14 (88%) untreated patients. There was a greater median improvement in AHI in the surgical group compared to the nonsurgical group (10.3 vs. 6.5, p = 0.044). Although the T&A children were more likely to have a follow-up AHI < 5 (81% vs. 69%) and <1 (44% vs. 25%), these results were not significant. The T&A group had significantly lower mean (SD) scores on the CAS-15 [8.9(6.1) vs. 29.4(16.2), p < 0.001] and the CBCL total problem score [43.9(8.7) vs. 58.9(13.0), p < 0.001]. Younger age at presentation (rho = −0.76, p < 0.001), initial AHI (0.87, p < 0.001), and initial AI (0.63, p = 0.05) were correlated with change in AHI among T&A subjects.ConclusionsT&A was more effective in reducing AHI than no surgery. Median AHI improved in the nonsurgical group, and 4/16 (25%) untreated patients were cured (AHI < 1).

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 77, Issue 4, April 2013, Pages 525-529
نویسندگان
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