Effect of Adenotonsillectomy on Symptoms and Growth in Children with Sleep Disordered Breathing : Long-Term Results.
10.3342/kjorl-hns.2009.52.4.344
- Author:
Young Hoon JOO
1
;
Byung Guk KIM
;
Soo Whan KIM
;
Young Ha KIM
;
Jin Ho KOOK
;
Sun Young JIN
;
Jun Myung KANG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. entkjm@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Sleep disorders;
Adenoidectomy;
Tonsillectomy;
Growth
- MeSH:
Adenoidectomy;
Airway Obstruction;
Child;
Humans;
Hypertrophy;
Physical Examination;
Respiration;
Sleep Apnea Syndromes;
Sleep Wake Disorders;
Tonsillectomy;
Weights and Measures
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2009;52(4):344-348
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Chronic upper airway obstruction attributable to adenotonsillar hypertrophy is the most common cause of sleep disordered breathing (SDB) in children. The objective of this study was to evaluate the long-term effects of adenotonsillectomy on the degree of SDB and growth in children with SDB. SUBJECTS AND METHOD: Forty-three children (mean age, 6.1+/-2.4 years) clinically diagnosed as SDB were enrolled, and they were scheduled for adenotonsillectomy (T&A ) based on their response to the validated, 22-item sleep related breathing disorder (SRBD) scale and a physical examination that showed adenotonsillar hypertrophy. Weight, height, and BMI (body mass index) were evaluated before and three years after T&A. RESULTS: SRBD scales decreased significantly after T&A(p<0.001). Their Z scores (standard deviation scores) for weight, height, and BMI of 43 children were significantly higher three years after T&A compared with before T&A (p<0.01). CONCLUSION: Children with SDB who underwent adenotonsillectomy showed significant long-term increases in weight, height, and BMI as well as a significant long-term improvement in quality of the sleep.
