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Updated: May 16, 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

Impacts of body weight after surgery for obstructive sleep apnea in children

W-C Hsu1, K-T Kang, W-C Weng

  • 1Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. hsuwc@ntu.edu.tw

International Journal of Obesity (2005)
|November 28, 2012
PubMed

Insights

Obese children with obstructive sleep apnea (OSA) have higher residual OSA after adenotonsillectomy (T&A). Underweight children often achieve normal weight status post-surgery, improving sleep apnea outcomes.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Obesity

Background:

  • Obstructive sleep apnea (OSA) is a common condition in children.
  • Adenotonsillectomy (T&A) is a primary treatment for pediatric OSA.
  • The impact of body weight status on T&A outcomes requires further investigation.

Purpose of the Study:

  • To assess the influence of preoperative body weight status on surgical outcomes after T&A in children with OSA.
  • To evaluate changes in body weight status post-T&A in relation to OSA treatment effectiveness.

Main Methods:

  • A cohort of 161 children diagnosed with OSA via polysomnography was studied.
  • Children were categorized into four weight groups: underweight, normal, overweight, and obese based on BMI.
  • Surgical outcomes, including apnea/hypopnea index (AHI) and oxygen saturation, were compared across weight groups.

Main Results:

  • All weight groups showed significant improvements in AHI and oxygen saturation post-T&A.
  • Obese children exhibited a significantly higher incidence of residual OSA (75%) compared to other groups.
  • Over half (54%) of underweight children transitioned to normal weight status within six months post-surgery.

Conclusions:

  • While T&A improves sleep parameters for all weight statuses, obese children face a higher risk of persistent OSA.
  • Adenotonsillectomy can positively impact weight status, particularly for underweight children, leading to normal weight.
Abstract

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