Relationship between Drug‐Induced Sleep Endoscopy Findings, Tonsil Size, and Polysomnographic Outcomes of Adenotonsillectomy in Children
| العنوان: | Relationship between Drug‐Induced Sleep Endoscopy Findings, Tonsil Size, and Polysomnographic Outcomes of Adenotonsillectomy in Children |
|---|---|
| المؤلفون: | Ron B. Mitchell, Derek J. Lam, Natalie A. Krane |
| المصدر: | Otolaryngology–Head and Neck Surgery. 161:507-513 |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Adolescent, Polysomnography, Palatine Tonsil, Tonsil size, Article, Adenoidectomy, medicine, Humans, Child, Retrospective Studies, Tonsillectomy, medicine.diagnostic_test, business.industry, Infant, Endoscopy, Organ Size, medicine.disease, Obstructive sleep apnea, Treatment Outcome, medicine.anatomical_structure, Otorhinolaryngology, Sleep endoscopy, Child, Preschool, Anesthesia, Tonsil, Female, Surgery, Sleep, business |
| الوصف: | OBJECTIVE: 1) Determine the correlation of awake tonsil scores and pre-adenotonsillectomy sleep endoscopy findings and 2) Assess the relationship between polysomnographic adenotonsillectomy outcomes with awake tonsil scores and sleep endoscopy ratings of tonsil and adenoid obstruction. STUDY DESIGN: Retrospective case series with chart review SETTING: Tertiary care children’s hospital SUBJECTS AND METHODS: Children ages 1–18 years who underwent sleep endoscopy and adenotonsillectomy from 1/1/2013 to 8/30/2016 were included. Pre-adenotonsillectomy sleep endoscopy findings were scored with the Sleep Endoscopy Rating Scale. Awake tonsil scores and sleep endoscopy ratings were compared using Spearman correlation. Associations between changes in pre- and post-adenotonsillectomy polysomnography parameters and a) awake tonsil scoring and b) sleep endoscopy scoring were assessed using one-way analysis-of-variance and linear regression. RESULTS: N = 36, mean age 6.8 ± 4.3 years, 68% male, 44% obese. Awake tonsil scores and sleep endoscopy ratings were strongly correlated (R = 0.58, P=0.003). Awake tonsil scores were not associated with changes in any polysomnography parameters after adenotonsillectomy (all p > 0.05) while sleep endoscopy ratings of adenotonsillar obstruction were significantly associated (all p < 0.05, R-squared 0.16–0.35). Patients with minimal adenotonsillar obstruction during sleep endoscopy had less improvement than those with partial or complete obstruction (mean obstructive apnea-hypopnea index change −8.2 ± 11.5 vs. −15.9 ± 14.3 and −46.8 ± 31.3, respectively, p |
| تدمد: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599819860777 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60a41ecec54008825105c66b04be4c39 https://doi.org/10.1177/0194599819860777 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....60a41ecec54008825105c66b04be4c39 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10976817 01945998 |
|---|---|
| DOI: | 10.1177/0194599819860777 |