Saju Sunena, Bharathi M B, Prakash B G, Rakesh B S
Department of Otorhinolaryngology, JSS Medical College, JSSAHER, Sri Shivarathreeshwara Nagara, Mysore, 570015 Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1453-1458. doi: 10.1007/s12070-021-02588-8. Epub 2021 May 6.
This study aims to assess the improvement in quality of life and symptoms in paediatric obstructive sleep apnoea patients before and after adenotonsillectomy. From all paediatric patients who presented to our OPD with complaints of mouth breathing and snoring, a subset of patients fulfilling our inclusion criteria were selected and evaluated with PSQSRBD scale, quality of life (QoL) inventory and PSG level-III. Later37 patients who had moderate to severe OSA were selected for study and underwent adenotonsillectomy. They were further followed up postoperatively at 3 months and 7 months with PSQSRBD Scale and QoL inventory. The study cohort had 37 patients with moderate to severe OSA, with a mean age of 8yrs.The postoperative (mean of 3rd and 7th month) values of PSQSRBD Scale and QoL inventory values was significantly ( < 0.001) reduced compared to preoperative Values after adenotonsillectomy. There is statistically significant correlation between adenoid and tonsil size to the relief of symptoms (PSQSRBD SCALE values) and improvement of quality of life. In our study, surgical (adenotonsillectomy) intervention has significant effect in management of moderate to severe non syndromic paediatric OSA patients.
本研究旨在评估小儿阻塞性睡眠呼吸暂停患者在腺样体扁桃体切除术前和术后生活质量及症状的改善情况。从所有因张口呼吸和打鼾前来我院门诊就诊的儿科患者中,选取符合纳入标准的一部分患者,用儿童睡眠呼吸障碍问卷(PSQSRBD)量表、生活质量(QoL)量表和三级多导睡眠图(PSG)进行评估。之后,选择37例中重度阻塞性睡眠呼吸暂停(OSA)患者进行研究并接受腺样体扁桃体切除术。术后3个月和7个月,用PSQSRBD量表和QoL量表对他们进行进一步随访。研究队列中有37例中重度OSA患者,平均年龄8岁。腺样体扁桃体切除术后,PSQSRBD量表和QoL量表的术后值(第3个月和第7个月的平均值)与术前值相比显著降低(<0.001)。腺样体和扁桃体大小与症状缓解(PSQSRBD量表值)及生活质量改善之间存在统计学显著相关性。在我们的研究中,手术(腺样体扁桃体切除术)干预对中重度非综合征性小儿OSA患者的治疗有显著效果。