Shintani T, Asakura K, Kataura A
Department of Otolaryngology, Sapporo Medical University, Japan.
Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):51-8. doi: 10.1016/s0165-5876(98)00047-0.
Adenotonsillar hypertrophy and abnormal facial morphology are thought to be important for the occurrence of obstructive sleep apnea syndrome (OSA). We evaluated the effects of adenidectomy and/or tonsillectomy and the relationship between the treatment results and facial morphology in 134 children with OSA. Significant improvements in apnea-hypopnea indes (AHI) and lowest blood oxygen saturation (SaO2) were noted and 78.5% of the patients improved after adenoidectomy and/or tonsillectomy. Additional operations were needed in two out of 13 cases of the adenoidectomy group and two out of four cases of the adeno-monotonsillectomy group. In the adenotonsillectomy group, the unimproved children tended to have smaller tonsils, narrower epipharyngeal airspace, and more poorly-developed maxillary and mandibular protrusion than the improved children.
腺样体扁桃体肥大和异常面部形态被认为对阻塞性睡眠呼吸暂停综合征（OSA）的发生很重要。我们评估了134例OSA患儿行腺样体切除术和/或扁桃体切除术的效果以及治疗结果与面部形态之间的关系。观察到呼吸暂停低通气指数（AHI）和最低血氧饱和度（SaO2）有显著改善，78.5%的患者在腺样体切除术和/或扁桃体切除术后病情好转。腺样体切除组13例中有2例需要额外手术，腺样体-单扁桃体切除组4例中有2例需要额外手术。在腺样体扁桃体切除组中，未改善的患儿与改善的患儿相比，往往扁桃体较小、咽上气道较窄、上颌和下颌前突发育较差。
