Related Experiment Video

Updated: Aug 20, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Child behavior and quality of life in pediatric obstructive sleep apnea

Khoa D Tran1, Cuong D Nguyen, Jeremy Weedon

  • 1Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA.

Archives of Otolaryngology--Head & Neck Surgery
|January 19, 2005
PubMed

Insights

Children with obstructive sleep apnea (OSA) experience behavioral issues that improve after tonsillectomy and adenoidectomy. Quality of life also significantly improves post-surgery in these pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Child Psychology

Background:

  • Obstructive sleep apnea (OSA) in children is associated with behavioral and emotional difficulties.
  • Tonsillectomy and adenoidectomy are common surgical interventions for pediatric OSA.
  • The impact of OSA treatment on behavior and quality of life requires further investigation.

Purpose of the Study:

  • To compare behavioral outcomes and quality of life in children with OSA undergoing tonsillectomy and adenoidectomy versus control children.
  • To evaluate the effectiveness of surgical intervention for OSA on child behavior.
  • To assess changes in disease-specific quality of life following OSA treatment.

Main Methods:

  • Prospective controlled study conducted in a pediatric otolaryngology setting.
  • Participants included children diagnosed with OSA undergoing tonsillectomy/adenoidectomy and a control group undergoing unrelated surgery.
  • Child Behavior Checklist and a pediatric OSA quality-of-life survey were administered pre- and post-operatively.

Main Results:

  • Children with OSA showed significant improvement in Child Behavior Checklist T scores compared to controls (P = .03).
  • Behavioral classification significantly improved in the OSA group post-surgery (P = .009).
  • Pediatric OSA patients experienced substantial gains in quality of life across all domains (P<.001).

Conclusions:

  • Documented OSA in children is linked to behavioral and emotional challenges that are ameliorated by treatment.
  • Tonsillectomy and adenoidectomy lead to significant improvements in both behavior and disease-specific quality of life for children with OSA.
  • Behavioral assessment scores correlate with quality-of-life measures in children with OSA.
Abstract

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