Related Experiment Video

Updated: Jul 10, 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

Improved behavior and sleep after adenotonsillectomy in children with sleep-disordered breathing

Julie L Wei1, Matthew S Mayo, Holly J Smith

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, and Medical Center, 3901 Rainbow Blvd, Mail Stop 3010, Kansas City, KS 66160, USA. jwei@kumc.edu

Archives of Otolaryngology--Head & Neck Surgery
|October 17, 2007
PubMed

Insights

Adenotonsillectomy significantly improves sleep and behavior in children with sleep-disordered breathing (SDB). Post-surgery, validated questionnaires show reduced symptoms, indicating better outcomes for children undergoing this procedure.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Child Psychology

Background:

  • Sleep-disordered breathing (SDB) in children is associated with significant behavioral and sleep disturbances.
  • Adenotonsillectomy is a common treatment for SDB in pediatric populations.
  • Validated questionnaires are crucial for assessing the impact of SDB and its treatment on children's well-being.

Purpose of the Study:

  • To evaluate the effects of adenotonsillectomy on sleep and behavior in children diagnosed with SDB.
  • To utilize the Pediatric Sleep Questionnaire (PSQ) and Conners' Parent Rating Scale-Revised Short Form (CPRS-RS) to quantify these changes.
  • To establish the clinical significance of observed improvements post-surgery.

Main Methods:

  • A prospective, nonrandomized study involving 117 children with SDB undergoing adenotonsillectomy.
  • Parents completed the PSQ and CPRS-RS pre-operatively and at 6-month follow-up.
  • Analysis focused on changes in age- and sex-adjusted T scores for behavior categories and PSQ sleep-related breathing disorder subscale scores.

Main Results:

  • Post-adenotonsillectomy, statistically and clinically significant reductions in oppositional behavior, cognitive problems/inattention, hyperactivity, and ADHD index scores were observed (P<.001).
  • Pediatric Sleep Questionnaire scores significantly improved, indicating a reduction in SDB symptoms (P<.001).
  • Preoperative behavioral and sleep scores correlated significantly, and higher baseline behavioral scores predicted greater post-operative improvement.

Conclusions:

  • Adenotonsillectomy leads to substantial improvements in both sleep quality and behavioral issues for children with SDB.
  • The PSQ and CPRS-RS are valuable tools for screening and monitoring children undergoing adenotonsillectomy for SDB.
  • The findings support adenotonsillectomy as an effective intervention for improving the overall health and development of children with SDB.
Abstract

More Related Videos

CO2-Lasertonsillotomy Under Local Anesthesia in Adults05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease04:53

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Published on: October 18, 2024

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...