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[Quality of life in children with obstructive sleeping disorder after tonsillectomy, tonsillotomy or adenotomy]

E Smith1, S Wenzel, G Rettinger

  • 1Hals-Nasen-Ohren-Klinik Universität Ulm. elisabeth.smith@uniklinik-ulm.de

Laryngo- Rhino- Otologie
|April 15, 2008
PubMed

Insights

Adenotonsillectomy (ATE) and adenotonsillotomy (ATT) significantly improve quality of life for children with obstructive sleep disorders (OSD). Adenotomy (AT) is less effective, with ATE and ATT yielding results comparable to healthy children.

Area of Science:

  • Otolaryngology
  • Pediatric Sleep Medicine
  • Quality of Life Research

Context:

  • Obstructive sleep disorders (OSD) significantly impact children's quality of life.
  • Surgical interventions like adenotomy (AT), adenotonsillectomy (ATE), and adenotonsillotomy (ATT) are common treatments for pediatric OSD.
  • Evaluating the comparative effectiveness of these procedures is crucial for clinical decision-making.

Purpose:

  • To assess the effectiveness of adenotomy (AT), adenotonsillectomy (ATE), and adenotonsillotomy (ATT) in improving the quality of life for children diagnosed with obstructive sleep disorders (OSD).
  • To compare the outcomes of AT, ATE, and ATT using validated instruments such as the OSA 18 survey and Brouillette score.

Summary:

  • A prospective study involving 92 children (ages 2-6) with OSD compared outcomes after AT, ATE, or ATT.
  • Both OSA 18 and Brouillette scores showed significant improvements post-surgery across all groups (p < 0.001 for OSA 18, p < 0.002 for Brouillette).
  • Adenotonsillectomy (ATE) and adenotonsillotomy (ATT) demonstrated greater effectiveness in improving quality of life compared to adenotomy (AT) alone.

Impact:

  • Children undergoing ATE or ATT achieved a quality of life comparable to healthy controls (p ≈ 0.15).
  • Adenotomy (AT) resulted in a slightly lower quality of life post-operation compared to ATE and ATT.
  • Adenotonsillotomy (ATT) is recommended as an effective treatment for improving quality of life in pediatric OSD patients.
Abstract

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