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Persistent Obstructive Sleep Apnea Post-adenotonsillectomy in Children
Ola Alhalabi1, Amal R Al-Naimi1, Faisal Abdulkader2
1Pediatric Pulmonology, Sidra Medicine, Doha, QAT.
Cureus
|August 5, 2024
Summary
Persistent obstructive sleep apnea (POSA) affects 15.4% of children after adenotonsillectomy, particularly those with genetic syndromes and allergic rhinitis. Identifying these risk factors is crucial for better pediatric sleep apnea management.
Area of Science:
- Pediatric Otolaryngology
- Sleep Medicine
- Pediatric Pulmonology
Background:
- Childhood obstructive sleep apnea (OSA) is commonly treated with adenotonsillectomy.
- Persistent OSA (POSA) remains a challenge in a subset of pediatric patients post-surgery.
Purpose of the Study:
- To determine the prevalence of POSA in children in Qatar.
- To identify risk factors associated with POSA.
- To explore treatment outcomes for POSA.
Main Methods:
- Retrospective review of medical records for patients aged 1-18 years undergoing adenotonsillectomy.
- Data collection included demographics, clinical history, and polysomnography (PSG).
- POSA defined by persistent symptoms or post-surgical OSA diagnosis; prevalence calculated, and risk factors analyzed via regression.
Main Results:
- Adenotonsillectomy was performed on 410 children (mean age 3.6 years).
- POSA prevalence was estimated at 15.4% (52 patients).
- Significant risk factors included young age, asthma, allergic rhinitis, GERD, and genetic syndromes; syndromic disorders and allergic rhinitis showed strong correlation.
Conclusions:
- POSA is a notable condition in children following adenotonsillectomy.
- Genetic syndromes and allergic rhinitis are key risk factors for persistent pediatric OSA.
- Further research is needed for evidence-based diagnostic and therapeutic strategies for POSA.
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