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Long‐term results of sleep‐related quality‐of‐life and behavioral problems after adenotonsillectomy
Author(s) -
Song In Sik,
Hong SeungNo,
Joo Jae Woo,
Han Mun Soo,
Hwang Sun Jin,
Seo Min Young,
Lee Seung Hoon
Publication year - 2020
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27951
Subject(s) - medicine , polysomnography , obstructive sleep apnea , tonsillectomy , quality of life (healthcare) , pediatrics , apnea , sleep apnea , sleep disordered breathing , sleep (system call) , adenoidectomy , rating scale , respiratory disturbance index , sleep quality , physical therapy , anesthesia , insomnia , psychology , psychiatry , developmental psychology , operating system , nursing , computer science
Objectives Improvements in sleep‐related quality of life (QOL) and behavioral problems have been observed in children with obstructive sleep apnea (OSA) during a short‐term follow‐up after adenotonsillectomy. Whether this trend continues beyond the short term remains unclear. Therefore, we aimed to evaluate the long‐term effects of surgery in children with OSA. Methods The study participants comprised 20 children with OSA who underwent adenotonsillectomy. We used the scores from the Attention Deficit and Hyperactivity Disorder Rating Scale (ADHD‐RS) and total scores from the Korean OSA‐18 Survey (KOSA‐18) before and after adenotonsillectomy to compare and analyze behavioral problems and OSA‐specific health‐related QOL, respectively, during a long‐term follow‐up. Respiratory disturbance parameters from standard polysomnography and subjective symptom scores for snoring and apnea were also investigated. Results The mean patient age was 6.6 ± 3.4 years (range, 3–13), and the male‐to‐female ratio was 15:5. The mean follow‐up period was 54.5 months (range, 27–98). The total scores for both ADHD‐RS (from 17.6 to 10.5; P = 0.006) and KOSA‐18 (from 74.3 to 40.7; P = 0.001) decreased significantly from before to after surgery. Significant decreases were also observed in the subjective symptom scores for snoring (from 5.4 to 2.4; P = 0.000) and apnea (from 3.3 to 0.8; P = 0.002). Conclusion Significant improvement was observed in sleep‐related QOL and behavioral problems in children with OSA during long‐term follow‐up after adenotonsillectomy. Level of Evidence 4 Laryngoscope , 130:546–550, 2020