Department of Otolaryngology, Meir Medical Center, 59 Tchernichovsky St., 4428164, Kfar Saba, Israel.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eur Arch Otorhinolaryngol. 2020 Sep;277(9):2611-2617. doi: 10.1007/s00405-020-06047-y. Epub 2020 May 22.
To evaluate the safety and outcomes of adenoidectomy for the treatment of sleep disordered breathing (SDB) in infants up to 12 months of age as compared to children ages 13-72 months METHODS: A retrospective analysis was performed by reviewing the medical records of children who underwent adenoidectomy from 2005 to 2018. The data of older age groups were also collected for comparison. The patients were divided into three groups: up to 12 months (infants), 13-36 months (toddlers) and 37-72 months (preschool). The data were collected from electronic medical records and from a telephone survey based on a modified version of the OSA-18 questionnaire. Postoperative complications, and short and long-term outcomes were compared.
Twenty-one patients met the inclusion criteria for the main study group (infants). They were compared with forty-four toddlers and thirty-two preschoolers. Among the infants, four (19%) needed additional surgical intervention, none of the toddlers and four (12.5%) preschoolers. There were no differences in subjective outcomes between age groups (p = 0.365) in the first year after surgery. One year after surgery, outcomes remained similar in all age groups (p = 0.302) with regard to SDB, but subjective improvements in mouth breathing and nasal discharge were better among the older children (p = 0.011 and p = 0.012), respectively.
The outcomes of adenoidectomy for the treatment of SDB in infants up to 12 months of age is similar to children ages 13-72 months.
评估 12 个月以下婴儿腺样体切除术治疗睡眠呼吸障碍（SDB）的安全性和结果，并与 13-72 个月儿童进行比较。
通过回顾 2005 年至 2018 年期间接受腺样体切除术的儿童的病历，进行了回顾性分析。还收集了年龄较大组的数据进行比较。患者分为三组：12 个月以下（婴儿）、13-36 个月（幼儿）和 37-72 个月（学龄前儿童）。数据来自电子病历和基于 OSA-18 问卷修改版的电话调查。比较了术后并发症以及短期和长期结果。
21 名患者符合主要研究组（婴儿）的纳入标准。他们与 44 名幼儿和 32 名学龄前儿童进行了比较。在婴儿中，有 4 名（19%）需要额外的手术干预，幼儿中没有，学龄前儿童中有 4 名（12.5%）。手术后第一年，各年龄组之间的主观结果无差异（p=0.365）。手术后一年，所有年龄组的 SDB 结果仍然相似（p=0.302），但在年长儿童中，张口呼吸和鼻塞的主观改善情况更好（p=0.011 和 p=0.012）。
12 个月以下婴儿腺样体切除术治疗 SDB 的结果与 13-72 个月儿童相似。
