Open AccessTreatment of Pediatric Obstructive Sleep Apnea beyond Tonsillectomy and Adenoidectomy
Author(s) -
Friedman Michael,
Maley Alex,
Taylor David,
Kelley Kanwar,
PearsonChauhan Kristine,
Hoehne Colleen
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a232
Subject(s) - medicine , tonsillectomy , adenoidectomy , obstructive sleep apnea , polysomnogram , randomized controlled trial , quality of life (healthcare) , anesthesia , polysomnography , sleep apnea , significant difference , surgery , apnea , nursing
Objective 1) Compare the efficacy of adenotonsillectomy with pharyngoplasty vs adenotonsillectomy alone in the treatment of pediatric OSAHS. 2) Compare the morbidity of adenotonsillectomy with pharyngoplasty vs adenotonsillectomy alone. Method Randomized single‐blind controlled study of 60 pediatric patients treated between January 2009 to January 2010 at a tertiary care center. Patients were randomized into 2 groups: adenotonsillectomy alone (group I) and adenotonsillectomy with pharyngoplasty (group II). Endpoints included: pre‐ and postsurgical AHI, number of cures, pain levels, and change in OSA‐18. Results Sixty patients were enrolled and 52 patients completed the study (group I n = 27, group II n = 25). The mean age, BMI, and baseline AHI did not differ significantly between the two groups. The change in AHI from pre‐ to postsurgery was not found to be significant between the 2 groups ( P =. 337). No significant differences were found in the number of cures ( P =. 709). There was no significant difference between groups for OSA‐18 score ( P =. 478). Pain outcomes measured on postoperative days 1 to 7 using VAS did not reveal a significant difference in pain levels. Conclusion With short‐term follow‐up, the addition of pillar closure to traditional adenotonsillectomy did not significantly improve sleep parameters as measured by polysomnogram or in quality of life as measured using the OSA‐18. It is unknown if pharyngoplasty will have long‐term benefits in preventing progression of OSA.