Comparison of Postoperative Upper Airway Morphology and Sleep Apnea Improvement between Low Temperature Plasma Ablation and Traditional Adenoid Curettage in Children with Severe Adenoid Hypertrophy
10.13241/j.cnki.pmb.2025.17.016
- VernacularTitle:低温等离子消融术与传统腺样体刮除术治疗重度腺样体肥大儿童术后疗效比较
- Author:
Chao GUAN
1
;
Bo KOU
;
Wei LIU
;
Qian ZHAO
;
Zi-qi YAN
;
Meng-yang KANG
Author Information
1. 西安交通大学第一附属医院耳鼻咽喉头颈外科 陕西西安 710061
- Publication Type:Journal Article
- Keywords:
Adenoid hypertrophy;
Low-temperature plasma ablation;
Traditional adenoid curettage;
Upper airway morphology;
Sleep-disordered breathing;
Children
- From:
Progress in Modern Biomedicine
2025;25(17):2843-2850
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the differences in postoperative upper airway morphology and sleep apnea improvement between low temperature plasma ablation(LTPA)and traditional adenoidectomy(TAC)for severe adenoid hypertrophy in children.Methods:A total of 80 children with severe adenoid hypertrophy combined with obstructive sleep apnea-hypopnea syndrome(OSAHS)admitted to our hospital from January 2021 to January 2024 were randomly divided into two groups:LTPA group and TAC group,each with 40 cases.The study compared the upper airway morphological parameters(nasopharyngeal transverse diameter,sagittal diameter,nasopharyngeal airway volume,etc.),degree of OSAHS symptom improvement(apnea-hypopnea index,lowest blood oxygen saturation,etc.),intraoperative bleeding volume,surgical time,postoperative pain score,and incidence of postoperative complications in both groups before surgery,one week after surgery,one month after surgery,and three months after surgery.Results:The intraoperative blood loss in the LTPA group was significantly less than that in the TAC group,and the operation time was shorter(P＜0.05).Follow-up at 1 week,1 month,and 3 months postoperatively showed that both groups had significant improvements in upper airway morphology parameters compared to preoperative conditions.The increase in transverse diameter,sagittal diameter,and nasopharyngeal airway volume in the LTPA group was greater than in the TAC group(P＜0.05).Both groups also showed significant improvements in sleep-related breathing disorders,with a greater reduction in apnea-hypopnea index in the LTPA group compared to the TAC group(P＜0.05).Postoperative pain scores were lower in the LTPA group than in the TAC group(P＜0.05).The incidence of postoperative complications such as bleeding and nasopharyngeal stenosis was significantly lower in the LTPA group than in the TAC group(P＜0.05).Conclusions:Compared with traditional adenoid curettage,low temperature plasma ablation has the advantages of less surgical trauma,less intraoperative bleeding,less postoperative pain,better recovery of upper airway morphology and more significant improvement of sleep apnea in children with severe adenoid hypertrophy,and can be used as the preferred surgical mode for treating severe adenoid hypertrophy.
