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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Published on: December 6, 2016

Adenotonsillectomy for obstructive sleep apnea in obese children: effects on respiratory parameters and clinical

Neville P Shine1, Francis J Lannigan, Harvey L Coates

  • 1Department of Pediatric Otolaryngology, Princess Margaret Hospital, Perth, Western Australia. shiner1@gmail.com

Archives of Otolaryngology--Head & Neck Surgery
|October 18, 2006
PubMed

Insights

Adenotonsillar surgery improved sleep apnea in obese children, but most still require further treatment. This study assessed surgery

Area of Science:

  • Pediatric Sleep Medicine
  • Otolaryngology
  • Obesity Research

Background:

  • Obstructive sleep apnea syndrome (OSAS) is prevalent in morbidly obese children.
  • Continuous positive airway pressure (CPAP) is a common treatment for OSAS.
  • The efficacy of adenotonsillar surgery in this population requires further investigation.

Purpose of the Study:

  • To evaluate adenotonsillar surgery's impact on respiratory sleep parameters in morbidly obese children with OSAS.
  • To determine if surgery can obviate the need for CPAP treatment.

Main Methods:

  • Retrospective study at a tertiary referral institution.
  • Included children aged 2-18 years with BMI at or above the 95th percentile undergoing adenotonsillectomy for OSAS.
  • Assessed preoperative and postoperative respiratory disturbance index, oxygen saturation, and OSAS severity.

Main Results:

  • Surgery significantly reduced the respiratory disturbance index (P<.001) and improved oxygen saturation nadir (P<.01).
  • Only 37% of patients were cured by surgery; 53% still required CPAP.
  • Surgery avoided further treatment in 44% of patients who initially warranted CPAP.

Conclusions:

  • Adenotonsillar surgery offers benefits for respiratory sleep parameters in morbidly obese children with OSAS.
  • However, a significant proportion of patients experience residual OSAS, necessitating further management, often including CPAP.
Abstract

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