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Adenotonsillectomy for obstructive sleep apnoea in children
1Ear, Nose and Throat department, Great Ormond Street Hospital for Sick Children, Great Ormond Street, London, UK, WC1N 3JH. jeromelim@doctors.org.uk
The Cochrane Database of Systematic Reviews
|January 22, 2003
Summary
Adenotonsillectomy is a common treatment for childhood obstructive sleep apnoea. However, current evidence lacks randomized controlled trials, preventing definitive conclusions on its effectiveness.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Respiratory Medicine
Background:
- Obstructive sleep apnoea (OSA) in children is primarily managed with surgical interventions.
- Adenotonsillectomy is the most frequent surgical approach for pediatric OSA.
Purpose of the Study:
- To evaluate the effectiveness of adenotonsillectomy in treating obstructive sleep apnoea in pediatric patients.
Main Methods:
- A systematic search of the Cochrane Airways group specialized register was conducted.
- Inclusion criteria focused on randomized trials involving children diagnosed with obstructive sleep apnoea.
Main Results:
- Despite identifying 196 references, only 20 studies were retrieved.
- No studies met the inclusion criteria, resulting in an absence of data to ascertain treatment efficacy.
Conclusions:
- There is ongoing debate regarding diagnostic criteria for pediatric OSA.
- The natural history of pediatric OSA is not fully understood.
- A significant lack of randomized controlled trials on adenotonsillectomy efficacy necessitates further research for treatment recommendations.