Related Experiment Video
Updated: Jun 24, 2026
07:54
Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Adenotonsillectomy for obstructive sleep apnoea in children
1Ear, Nose and Throat Department , Medway Maritime Hospital, Windmill Road, Gillingham , Kent, UK, ME7 5NY. jeromelim@doctors.org.uk
The Cochrane Database of Systematic Reviews
|April 17, 2009
Summary
Adenotonsillectomy is a common treatment for pediatric obstructive sleep apnea (OSA). One study found no significant difference between two surgical techniques, though one allowed faster return to normal diet.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Surgical Interventions
Background:
- Obstructive sleep apnea (OSA) in children is primarily treated with surgery.
- Adenotonsillectomy is the most frequent surgical intervention for pediatric OSA.
Purpose of the Study:
- To evaluate the effectiveness of adenotonsillectomy in treating pediatric obstructive sleep apnea (OSA).
Main Methods:
- Searched the Cochrane Airways Group Specialised Register for randomized trials up to August 2008.
- Included randomized trials involving children diagnosed with obstructive sleep apnea (OSA).
- Two reviewers assessed search results and extracted data from eligible studies.
Main Results:
- One study met inclusion criteria, comparing temperature-controlled radiofrequency (TCFR&A) adenoidectomy/tonsillectomy with complete adenoidectomy/tonsillectomy (T&A).
- No significant differences were found in symptoms or respiratory disturbance index between the two surgical methods.
- Children in the TCFR&A group showed a quicker return to a normal diet at 7 days post-surgery.
Conclusions:
- A single study found no significant difference between TCFR&A and T&A for pediatric OSA, though TCFR&A facilitated faster dietary recovery.
- There is a lack of high-quality randomized controlled trials (RCTs) on adenotonsillectomy efficacy for pediatric OSA.
- Further research, including baseline sleep studies and long-term follow-up, is needed to establish treatment guidelines for pediatric OSA.
Related Concept Videos
01:21Sleep 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...
The condition is more prevalent among...
01:23Chronic 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,...
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,...
01:30Tonsillitis 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.
Etiology
Three primary contributing factors have been identified.
01:26Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
01:25Suctioning the Oropharyngeal Airway
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...