Analysis of poor-responding sleep apnea children to adenoidtonsillectomy and further treatment.
- Author:
Ya-Mei ZHANG
1
;
Jing ZHAO
;
Jia-Qing AN
;
Juan GAO
;
Gui-Xiang WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adenoidectomy; Adolescent; Child; Child, Preschool; Female; Humans; Infant; Male; Sleep Apnea, Obstructive; surgery; Tonsillectomy; Treatment Outcome
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2007;42(2):90-94
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze factors on sleep apnea children's poor responding to adenoid tonsillectomy, and discuss the further treatment.
METHODSTwo hundred and forty three obstructive sleep apnea hypopnea syndrome (OSAHS) children who had adenoid tonsillectomy or adenoidectomy were reviewed, all cases had follow-up sleep study (polysomnogram, PSG) after surgery.
RESULTSAccording to the results obtained in 3 to 12 months after surgery with PSG, 221 cases (90.9%) were cured (apnea and hypopnea index, AHI, < 5/h), while the remaining 22 cases AHI > 5.0/h. In the latter group, 2 cases who only had adenoidectomy received tonsillectomy afterwards, 7 cases who have nasal congestion were treated with medication, 5 overweight cases and 3 cases with cerebral palsy, pectus excavatum or hyperplastic tori were treated with CPAP.
CONCLUSIONSAdenoid tonsillectomy is effective for OSAHS children. For the poor responding cases, suitable treatment should be selected accordingly.
