JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2010, Vol. 24 ›› Issue (5): 21-23.

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Efficacy of adenoidectomy and tonsillectomy for the children with   obstructive sleep apnea syndrome  

XIE Li-sheng, HUANG Qun   

  1. Department of Otorhinolaryngology, Nanjing Children′s Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China
  • Received:2010-06-30 Revised:2010-09-16 Online:2010-10-16 Published:2010-10-16

Abstract:

Objective     To observe the efficacy of adenoidectomy and tonsillectomy in children  with obstructive sleep apnea syndrome (OSAS). Methods      Sixty children with OSAS were selected after a PSG(polysomnography) test. The children were randomily divided into group A (30 cases) or group B ( 30 cases). In group A, adenoids and/or tonsils were ablated, while vitamin C (0.1mg) was administered orally in group B. Apnea-hypopnea index (AHI) and lowest blood oxygen saturation (SaO2), before and after 3month treatment in the two groups, were tested.  Clinical outcomes, in light of  the language evaluation form(VRS)furnished by the parents,  were also compared. Results     No obvious difference of AHI and the lowest SaO2  before the treatment was found between the groups. However, after three months of treatment, AHI reduced to 2.6±1.8, and the lowest SaO2 increased to 92.9±2.5 in group A, in which  all improved significantly compared with those before the treatment (P<0.05). Also,  AHI and lowest SaO2 in group B did not significantly change after the therapy (from 18.4±7.8 to 17.1 ±8.2, 79.2 ±11.4 to 81.4±9.1, respectively). According to the clinical outcomes, 86.7%, 93.3% and 86.7% of the children in group A improved in snore,  and suffocation or mouth breathing which were all better than those in group B (6.7%,13.3%, and 13.3%,respectively;all P<0.05). Conclusion      Adenoidectomy and tonsillectomy are effective  procedures to treat OSAS in children.

Key words: Sleep apnea, obstructive; Tonsil; Adenoidectomy; Polysomnography; Child

CLC Number: 

  • R766.7
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