Central and mixed apneas in children with obstructive sleep apnea: effect of adenotonsillectomy.

Autor: Antunes J; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal. Joselina.antunes@hff.min-saude.pt., Carvalho J; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal., Marinho C; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal., Vanderpoorten S; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal., Adónis C; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal., Freire F; Otorhinolaryngology, Head and Neck Surgery Department, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Jun; Vol. 281 (6), pp. 3125-3130. Date of Electronic Publication: 2024 Jan 16.
DOI: 10.1007/s00405-023-08442-7
Abstrakt: Purpose: Investigate the effect of adenotonsillectomy on mixed apnea index (MAI) and central apnea index (CAI) in children with moderate-to-severe obstructive sleep apnea syndrome (OSAS).
Methods: Observational retrospective analysis of polysomnographic data in children diagnosed with moderate-to-severe OSAS and without comorbidity, submitted to adenotonsillectomy.
Results: Data were available for 80 children, 55 boys and 25 girls, with a median age of 3.6 years (2.1-5.9). Before surgery AHI was 14.1 (11.0-18.4) per hour, with a median preoperative OAI of 7.1 (4.1-10.6), MAI of 1.2 (0.6-1.6) and CAI of 1.0 (0.4-2.0). Adenotonsillectomy caused significant improvements in MAI, from 1.2 (0.6-1.6) to 0.5 (0.1-0.8) (p < 0.001) and CAI from 1.0 (0.4-2.0) to 0.5 (0.1-0.9) (p < 0.001). This represents a normalization of MAI in 91.7% and CAI in 75.6% of children that had an abnormal value prior surgery.
Conclusion: Non obstructive apneas are common in children with OSAS. Adenotonsillectomy caused significant decrease not only in OAI, but also in MAI and CAI in children with moderate-to-severe OSAS.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: