Department of Otorhinolaryngology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Am J Otolaryngol. 2020 Mar-Apr;41(2):102165. doi: 10.1016/j.amjoto.2019.01.008. Epub 2019 Jan 22.
Allergic rhinitis (AR) has been reported to worsen quality of life (QoL) after adenotonsillectomy. Although powered intracapsular tonsillectomy and adenoidectomy (PITA) has been widely performed, it is not clear whether comorbid AR may worsen QoL in patients who undergo PITA.
To evaluate QoL after PITA in relation to AR.
Children undergoing PITA for sleep-disordered breathing were enrolled and divided into AR and non-AR groups. QoL was evaluated using serial applications of the Obstructive Sleep Apnea-18 (OSA-18) questionnaire and compared between the two groups.
Of 151 enrolled patients, 73 were categorized into the AR and 78 into non-AR groups. After surgery, patients exhibited marked improvement in OSA-18 scores in both groups, with similar results at each follow-up. The degree of improvement in OSA-18 scores was less in the AR group 3 months after surgery; however, this difference was not significant 6 months after surgery.
Although comorbid AR may initially appear to impede improvement in QoL after PITA, QoL was improved similarly 6 months after PITA, irrespective of AR status. In children with comorbid AR, PITA could be safely performed to treat sleep-disordered breathing without concerns regarding worsening of QoL.
变应性鼻炎（AR）在腺样体扁桃体切除术后被报道会降低生活质量（QoL）。尽管广泛开展了经黏膜下扁桃体切除术和腺样体切除术（PITA），但对于伴或不伴 AR 的患者，PITA 是否会影响 QoL 尚不清楚。
评估与 AR 相关的 PITA 后的 QoL。
纳入因睡眠呼吸障碍而行 PITA 的患儿，并分为 AR 和非 AR 两组。使用阻塞性睡眠呼吸暂停-18（OSA-18）问卷连续评估 QoL，并比较两组间的差异。
在纳入的 151 例患儿中，73 例归入 AR 组，78 例归入非 AR 组。两组患者在手术后 OSA-18 评分均显著改善，且在每次随访中结果相似。术后 3 个月 AR 组 OSA-18 评分的改善程度较低，但术后 6 个月时差异无统计学意义。
尽管伴 AR 可能最初会影响 PITA 后 QoL 的改善，但 PITA 后 6 个月时 QoL 仍有相似的改善，而与 AR 状态无关。对于伴有 AR 的患儿，PITA 可安全用于治疗睡眠呼吸障碍，而不必担心 QoL 恶化。
