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[Neurocognitive and behavioral disturbances after adenotonsillectomy in obstructive sleep apnea syndrome]

E Esteller1, M Barceló2, F Segarra3

  • 1Servicio de Otorrinolaringología, Hospital General de Catalunya, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España.

Anales De Pediatria (Barcelona, Spain : 2003)
|October 10, 2013
PubMed

Insights

Adenotonsillectomy partially resolves cognitive and behavioral issues in children with sleep apnea. However, improvements were similar to natural development and not linked to breathing improvements.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Neuropsychology
  • Otolaryngology

Context:

  • Sleep-disordered breathing (SDB) in children is common and impacts neurodevelopment.
  • Adenotonsillectomy is a primary treatment for SDB, but its effect on cognitive and behavioral outcomes requires clarification.

Purpose:

  • To evaluate the one-year impact of adenotonsillectomy on cognitive and behavioral disorders in children with obstructive sleep apnea (OSA).

Summary:

  • A study compared 45 children with OSA to 30 controls (ages 3-13) using psychological tests at baseline and 12 months post-surgery.
  • Preoperatively, children with OSA showed significantly higher rates of attention, memory, spatial structuring, hyperactivity, and attention deficit issues.
  • One year post-adenotonsillectomy, while some disturbances decreased, significant differences persisted in spatial structuring and attention deficit compared to controls. Improvement rates did not differ significantly between groups.

Impact:

  • Adenotonsillectomy offers partial resolution of neurocognitive deficits associated with pediatric sleep apnea.
  • Observed improvements appear to align with normal developmental trajectories rather than direct consequences of respiratory improvement.
Abstract

Keywords:
AdenoamigdalectomíaAdenotonsillectomyAlteraciones cognitivasAlteraciones de conductaBehavioral disordersCognitive impairmentSleep apnea syndrome in childrenSíndrome de apnea del sueño en la infancia

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