Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 50-54.doi: 10.6040/j.issn.1673-3770.1.2020.093

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Partial tonsillectomy for 86 cases of obstructive sleep apnea syndrome in children

LIU Shaofeng, HUANG Guiliang, HUANG Zhenyun, SUN Changzhi, LUO Renzhong   

  1. Department of Otorhinolaryngology, Guangzhou Women and Children's Medical Center, Guangzhou 510180, Guangdong, China
  • Published:2021-04-20

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Abstract: Objective To investigate the complications of partial tonsillectomy in children with obstructive sleep apnea(OSA). Methods In this study, a total of 172 children with OSA who underwent surgery at our hospital from June 2018 to December 2018 were enrolled. The children were divided into a control group(n=86)and an observation group(n=86). The control group underwent tonsillectomy and the observation group underwent partial tonsillectomy. The effects of treatment were compared between the groups. Result There was no statistically significant difference in the occurrence of postoperative primary bleeding between the two groups(χ2=0.000, P>0.999). The proportion of secondary bleeding was higher in the control group than that in the observation group(χ2=4.317, P<0.038). The pseudomembrane shedding time in the observation group was earlier than that in the control group(t=7.393, P<0.001). The pain scores of the control group at 1 d and 3 d after operation were higher than those of the observation group(t=5.376, 8.881, P<0.001). There were no significant differences in the recurrence rate and infection rate between the two groups(χ2=0.506, 0.256, P=0.613). Conclusion Partial tonsillectomy may reduce postoperative secondary hemorrhage and postoperative pain, and promote postoperative recovery in children with OSA. It can be considered a valid alternative to conventional tonsillectomy in pediatric OSA syndrome.

Key words: Sleep apnea syndrome, Obstructive, Tonsil, Tonsillectomy, Tonsillotomy, Children

CLC Number: 

  • R766.7
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