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Adenoidectomy can improve obstructive sleep apnoea in young children: systematic review and meta-analysis

L K Reckley1, S A Song1, E T Chang1

  • 1Otolaryngology - Head and Neck Surgery,Tripler Army Medical Center,Honolulu,Hawaii,USA.

The Journal of Laryngology and Otology
|October 7, 2016
PubMed

Insights

Adenoidectomy alone improves paediatric obstructive sleep apnoea, particularly in infants under 12 months. Further research is needed due to the limited number of studies analyzed.

Area of Science:

  • Otolaryngology
  • Pediatric Sleep Medicine
  • Surgical Outcomes Research

Background:

  • Obstructive sleep apnoea (OSA) is a common condition in children.
  • Adenoidectomy is a potential treatment, but its isolated efficacy for paediatric OSA requires systematic evaluation.
  • Understanding the impact of adenoidectomy alone is crucial for clinical decision-making.

Purpose of the Study:

  • To systematically review studies on adenoidectomy as a sole treatment for paediatric obstructive sleep apnoea.
  • To conduct a meta-analysis of available outcome data.
  • To assess the effectiveness of isolated adenoidectomy in improving OSA parameters in children.

Main Methods:

  • Systematic literature search across nine databases (PubMed, Medline, etc.) up to April 2016.
  • Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Meta-analysis of outcome data from included paediatric studies.

Main Results:

  • Three studies with 47 patients were included.
  • Adenoidectomy significantly reduced the apnoea-hypopnoea index (AHI) from 18.1 to 3.1 events/hour (mean difference -14.43, large effect size).
  • Lowest oxygen saturation improved from 80.0% to 85.5%; greatest AHI reduction observed in infants (<12 months).

Conclusions:

  • Adenoidectomy as a standalone procedure effectively improves obstructive sleep apnoea in children.
  • The most significant benefits were noted in infants under 12 months of age.
  • Limited study numbers highlight the need for further research into isolated adenoidectomy for paediatric OSA.
Abstract

Keywords:
SystematicAdenoidectomyMeta-AnalysisReviewSleep Apnea Syndromes

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