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Quality of Life and Behavioural Assessment in Post-adenotonsillectomy Cases of Paediatric Age Group

Utpal Sarmah1, Shantanu Mandal1, Manaswita Roy1

  • 1Department of Otorhinolaryngology, Vardhman Mahavir Medical College and Safdarjung Hospital, Arjun Nagar, Safdarjung Enclave, New Delhi, 110029 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 20, 2019
PubMed

Insights

Adenotonsillectomy significantly improves quality of life and behavior in children with obstructive sleep apnea syndrome (OSAS). Post-surgery, key QoL and behavior scores showed marked reductions, indicating positive outcomes.

Area of Science:

  • Otolaryngology
  • Pediatric Sleep Medicine
  • Surgical Outcomes

Background:

  • Obstructive sleep apnea syndrome (OSAS) in children is often managed with adenotonsillectomy.
  • Adenotonsillar hypertrophy is a common cause of pediatric OSAS.

Purpose of the Study:

  • To evaluate the impact of adenotonsillectomy on the quality of life (QoL) and behavior of pediatric patients with OSAS.
  • To assess changes in QoL and behavior using validated questionnaires before and after surgery.

Main Methods:

  • Prospective, non-randomized interventional study involving 40 pediatric patients (2-18 years) with OSAS.
  • Patients underwent adenotonsillectomy based on established criteria.
  • Caregivers completed the Obstructive Sleep Apnea 18 (OSA 18) QoL survey and Rutter Children's Behaviour Questionnaire (RCBQ) pre-operatively and 6 months post-operatively.

Main Results:

  • Significant reductions were observed in mean OSA 18 scores (4.12 to 1.19) and total RCBQ scores (20.5 to 7.4) 6 months after surgery (p < 0.0001).
  • All domains of the OSA 18 score, including sleep disturbance, physical suffering, emotional distress, daytime problems, and caregiver concerns, showed significant improvement.
  • Improvements in QoL and behavior were independent of patient age and gender.

Conclusions:

  • Adenotonsillectomy is an effective treatment for improving QoL and behavior in properly selected pediatric patients with OSAS.
  • The study supports the consideration of adenotonsillectomy for managing pediatric OSAS.
  • Significant improvements across all measured domains highlight the positive impact of the surgical intervention.

Keywords:
Adenotonsillar hypertrophyObstructive sleep apnoea syndromeQuality of life

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