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  9. Infant And Child Health
  11. Growth And Sleep Outcomes After Adenotonsillectomy In Pediatric Mild Sleep-disordered Breathing

Growth and sleep outcomes after adenotonsillectomy in pediatric mild sleep-disordered breathing

Wendan Gong1,2, Kuanen Huang1,2, Ioannis Psychogios3

  • 1Department of Otolaryngology-Head & Neck Surgery, First Affiliated Hospital of Guangxi Medical University, 6# Shuangyong Road, Nanning, 530021, Guangxi, China.

Scientific Reports
|December 5, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Adenotonsillectomy improved growth and sleep in children with mild sleep-disordered breathing (SDB). This surgery offers benefits beyond symptom relief, especially for younger children with enlarged tonsils.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Pulmonology

Background:

  • Adenotonsillectomy promotes catch-up growth in children with obstructive sleep apnea.
  • The impact of adenotonsillectomy on children with mild sleep-disordered breathing (SDB) is not well understood.
  • Mild SDB includes habitual snoring without frequent obstructive breathing events.

Purpose of the Study:

  • To evaluate the effect of adenotonsillectomy on growth and sleep parameters in children with mild SDB.
  • To compare outcomes between children undergoing adenotonsillectomy and those managed with watchful waiting.

Main Methods:

  • Secondary analysis of the Pediatric Adenotonsillectomy Trial for Snoring (PATS) study.
  • Included 330 children aged 3-12 years with mild SDB (OAHI ≤ 3).
Keywords:
AdenotonsillectomyChildrenGrowthSleep-disordered breathing

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  • Randomized to adenotonsillectomy or watchful waiting, with 12-month follow-up.

    • Main Results:

    • Adenotonsillectomy group showed significantly increased height and weight percentiles compared to watchful waiting.
    • Improvements observed in sleep parameters: reduced OAHI, respiratory disturbance index, and oxygen desaturation index.
    • Adenotonsillectomy led to better sleep architecture, with decreased Stage 1 and increased Stage 2 sleep.

    Conclusions:

    • Adenotonsillectomy improves both growth and sleep outcomes in children with mild SDB.
    • Surgical intervention provides benefits beyond symptom relief, particularly for younger children with tonsillar hypertrophy.
    • Subgroup analyses showed greater benefits in younger children (3-5 years), boys, and those with significant tonsillar hypertrophy.