Treatment Outcomes of Adenotonsillectomy for Children with Osa
نویسندگان
چکیده
71 AT Outcomes of Pediatric OSA—Huang et al INTRODUCTION Obstructive sleep apnea (OSA) syndrome is a highly prevalent condition in children and characterized by snoring, witnessed apnea, unrefreshing sleep, and excessive daytime sleepiness.1,2 Children with OSA experience recurrent periods of elevated upper airway resistance during sleep due to partial or complete upper airway obstruction, which results in snoring, episodic oxyhemoglobin desaturation, hypercapnia, and repeated arousals.3,4 The respiratory disturbance of recurrent hypoxia-reoxygenation episodes during the night is associated with an increased risk of suboptimal growth, poor sleep quality, neurocognitive dysfunction, behavioral problems, overweight status, and cardiovascular disease in childhood.5-8 The prevalence of OSA is approximately 2-3% in children,9,10 and current studies have evaluated the influence of OSA on various associated morbidities5-8,11 and tried to identify the factors predicting poor treatment outcome.12 TREATMENT OUTCOMES OF ADENOTONSILLECTOMY FOR CHILDREN WITH OSA
منابع مشابه
Rationale for and design of the "POSTA" study: Evaluation of neurocognitive outcomes after immediate adenotonsillectomy compared to watchful waiting in preschool children
BACKGROUND IQ deficits are linked to even mild obstructive sleep apnoea (OSA) in children. Although OSA is commonly first diagnosed in the pre-school age group, a randomised trial is still needed to assess IQ outcomes after adenotonsillectomy in the pre-school age-group. This randomised control trial (RCT) will primarily determine whether adenotonsillectomy improves IQ compared to no adenotonsi...
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Childhood obstructive sleep apnoea (OSA) is relatively common, occurring in at least 2% of children with other studies estimating a much higher prevalence. Part of the reason for the controversy regarding the prevalence of OSA is the lack of a standardised definition. In children with OSA, clinical symptoms during wakefulness tend to be vague and non-specific (eg, behavioural issues) and are of...
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BACKGROUND Adenotonsillectomy (ATE) is a well-established and effective treatment of pediatric obstructive sleep apnea (OSA). In recent years, a more conservative method, adenotonsillotomy (ATT), has gained popularity because it is associated with less postoperative morbidity. Yet no previous randomized study has compared these 2 methods regarding their effectiveness in treating pediatric OSA i...
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