The effect of adenotonsillectomy on pulmonary hypertension in pediatric obstructive sleep apnea

Abstract Background In a majority of OSA children with adenotonsillar hypertrophy, very mild symptoms or no at all are related to the cardiopulmonary system, but symptomless chronic changes may slowly occur in these children. Therefore, it is wise monitor patients by an easy, noninvasive cost-effective method; this can easily be done monitoring mean pulmonary artery pressure (mPAP) Doppler echocardiography. echocardiography has been demonstrated have perfect correlation cardiac catheterization. This study aims determine arterial systolic (PASP) hypertrophied tonsils and adenoid clarify whether adenotonsillectomy any effect on Methods Study was conducted 50 both sexes aged from 4 15 years. Children complain loud snoring obstructive sleep apnea due adenoids. fit for general anesthesia adenotonsillectomy. subjects, before after Results Comparison between preoperative PASP 2 months showed that normal were found 25 (50.0%) (100.0%) respectively. There statistically significant difference months. However, there age, sex, duration symptoms. Conclusion From study, we conclude hypertrophy causes higher children, worse neglected cases long symptoms, effective therapeutic measure such patients.