Korean J Otorhinolaryngol-Head Neck Surg.  2009 Apr;52(4):344-348. 10.3342/kjorl-hns.2009.52.4.344.

Effect of Adenotonsillectomy on Symptoms and Growth in Children with Sleep Disordered Breathing : Long-Term Results

• Joo YH
• Kim BG
• Kim SW
• Kim YH
• Kook JH
• Jin SY
• Kang JM

• KMID: 2277035
• DOI: http://doi.org/10.3342/kjorl-hns.2009.52.4.344

Abstract

BACKGROUND AND OBJECTIVES: Chronic upper airway obstruction attributable to adenotonsillar hypertrophy is the most common cause of sleep disordered breathing (SDB) in children. The objective of this study was to evaluate the long-term effects of adenotonsillectomy on the degree of SDB and growth in children with SDB.
SUBJECTS AND METHOD
Forty-three children (mean age, 6.1+/-2.4 years) clinically diagnosed as SDB were enrolled, and they were scheduled for adenotonsillectomy (T&A ) based on their response to the validated, 22-item sleep related breathing disorder (SRBD) scale and a physical examination that showed adenotonsillar hypertrophy. Weight, height, and BMI (body mass index) were evaluated before and three years after T&A.
RESULTS
SRBD scales decreased significantly after T&A(p<0.001). Their Z scores (standard deviation scores) for weight, height, and BMI of 43 children were significantly higher three years after T&A compared with before T&A (p<0.01).
CONCLUSION
Children with SDB who underwent adenotonsillectomy showed significant long-term increases in weight, height, and BMI as well as a significant long-term improvement in quality of the sleep.

Keyword

Sleep disorders; Adenoidectomy; Tonsillectomy; Growth

MeSH Terms

Adenoidectomy
Airway Obstruction
Child
Humans
Hypertrophy
Physical Examination
Respiration
Sleep Apnea Syndromes
Sleep Wake Disorders
Tonsillectomy
Weights and Measures