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Sleep related quality of life before and after adenotonsillar surgery in pediatric population

Naraghi Mohsen1, Adil Susan2, Bastaninejad Shahin3

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran; Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran; Rhinology Research Society, Iran.

International Journal of Pediatric Otorhinolaryngology
|January 1, 2014
PubMed

Insights

Adenotonsillectomy significantly improves quality of life in children with adenotonsillar problems. This surgical treatment effectively addresses sleep disordered breathing and recurrent throat infections, enhancing children's well-being.

Area of Science:

  • Pediatric Otolaryngology
  • Quality of Life Research
  • Surgical Outcomes

Background:

  • Adenotonsillar problems, including sleep disordered breathing and recurrent throat infections, negatively impact children's quality of life.
  • Adenotonsillectomy is a common surgical intervention for these conditions, but its impact on quality of life requires thorough assessment.

Purpose of the Study:

  • To evaluate the short-term changes in quality of life for pediatric patients undergoing adenotonsillectomy.
  • To compare quality of life metrics before and after surgical intervention for adenotonsillar disease.

Main Methods:

  • A quasi-experimental, before-and-after study was conducted with 86 pediatric patients (ages 3-13) undergoing adenotonsillectomy.
  • Quality of life was assessed using the OSA-18 survey and the Brouillette score questionnaire, administered preoperatively and one month postoperatively.
  • Reliability of the assessment tools was confirmed using Cronbach's alpha, yielding values of 0.70 for the Brouillette score and 0.88 for the OSA-18 survey.

Main Results:

  • Preoperative OSA-18 scores were high (mean±SD; 61.65±20.78), indicating significantly impaired quality of life.
  • Postoperative OSA-18 scores showed a marked improvement (mean±SD; 28.01±9.09, P<0.001) across all domains.
  • The Brouillette score also demonstrated significant improvement after surgery (mean±SD; -3.57±0.91, P<0.001).

Conclusions:

  • Adenotonsillectomy leads to a substantial improvement in the quality of life for children suffering from obstructive and infective adenotonsillar diseases.
  • The OSA-18 survey and Brouillette score confirm the positive impact of surgical treatment on pediatric patients' well-being.
Abstract

Keywords:
AdenotonsillectomyBrouillette scoreOSA-18 surveySleep related quality of life

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