The Utility of Adenotonsillectomy to Treat Snoring in Children: Acoustic Evaluation Using Smartphones
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Background and Objectives Adenotonsillectomy is a highly effective treatment for obstructivesleep apnea symptoms in children. In this study, to investigate the effects of adenotonsillectomyon snoring in children, we analyzed and compared snoring sounds recorded usinga smartphone before and after adenotonsillectomy. We also determined whether it is possibleto use acoustic analysis to monitor snoring in children. Subjects and Method A total of 20 children diagnosed with snoring and had undergoneadenotonsillectomy performed by the same surgeon were enrolled for the study. Snoring wasrecorded by patients’ caregivers using smartphones before and after the surgery (mean of 8.5days) and analyzed. Questionnaires were conducted by telephone survey at 3 months and 12months after the surgery to determine snoring status. Results Snoring completely ceased in 25% of patients and decreased in the remaining 75%during the immediate follow-up period (mean of 8.5 days; from 58.07±9.35 dB to 42.59±7.89dB, p＜0.001), and disappeared in all of the patients by 3 months after adenotonsillectomy. Snoring recurred only in one patient after 1 year. A frequency analysis offered no evident statisticallysignificant changes during the immediate follow-up period, indicating that althoughsnoring volume had decreased, no anatomical change had developed in the patient. Spectrographywas useful in investigating the snoring patterns before and after adenotonsillectomy. Conclusion The results showed that acoustic analysis of snoring sounds obtained using asmartphone may be useful for monitoring snoring during follow-up after adenotonsillectomyin pediatric snoring patients.
Abstract
Background and Objectives Adenotonsillectomy is a highly effective treatment for obstructivesleep apnea symptoms in children. In this study, to investigate the effects of adenotonsillectomyon snoring in children, we analyzed and compared snoring sounds recorded usinga smartphone before and after adenotonsillectomy. We also determined whether it is possibleto use acoustic analysis to monitor snoring in children. Subjects and Method A total of 20 children diagnosed with snoring and had undergoneadenotonsillectomy performed by the same surgeon were enrolled for the study. Snoring wasrecorded by patients’ caregivers using smartphones before and after the surgery (mean of 8.5days) and analyzed. Questionnaires were conducted by telephone survey at 3 months and 12months after the surgery to determine snoring status. Results Snoring completely ceased in 25% of patients and decreased in the remaining 75%during the immediate follow-up period (mean of 8.5 days; from 58.07±9.35 dB to 42.59±7.89dB, p＜0.001), and disappeared in all of the patients by 3 months after adenotonsillectomy. Snoring recurred only in one patient after 1 year. A frequency analysis offered no evident statisticallysignificant changes during the immediate follow-up period, indicating that althoughsnoring volume had decreased, no anatomical change had developed in the patient. Spectrographywas useful in investigating the snoring patterns before and after adenotonsillectomy. Conclusion The results showed that acoustic analysis of snoring sounds obtained using asmartphone may be useful for monitoring snoring during follow-up after adenotonsillectomyin pediatric snoring patients.
참고문헌 (29)
- Redline S, "Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems", Am J Respir Crit Care Med, 159(5 Pt 1), pp.1527~1532 (1999)
- Marcus CL, "A randomized trial of adenotonsillectomy for childhood sleep apnea", N Engl J Med, 368(25), pp.2366~2376 (2013)
- Marcus CL, "Diagnosis and management of childhood obstructive sleep apnea syndrome", Pediatrics, 130(3), pp.576~584 (2012)
- Gysin C, "Indications of pediatric tonsillectomy", ORL J Otorhinolaryngol Relat Spec, 75(3), pp.193~202 (2013)
- Brietzke SE, "The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea", hypoapnea syndrome: a meta-analysis, 2006, pp.134(6), 979~984
- Mitchell RB, "Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography", Laryngoscope, 117(10), pp.1844~1854 (2007)
- Mitchell RB, "Long-term changes in quality of life after surgery for pediatric obstructive sleep apnea", Arch Otolaryngol Head Neck Surg, 130(4), pp.409~412 (2004)
- Kovacevic L, "Adenotonsillectomy improves quality of life in children with sleep-disordered breathing regardless of nocturnal enuresis outcome", J Pediatr Urol, 11(5), pp.269.e1~269.e5 (2015)
- Young T, "The occurrence of sleep-disordered breathing among middle-aged adults", N Engl J Med, 328(17), pp.1230~1235 (1993)
- Ohayon MM, "Snoring and breathing pauses during sleep: telephone interview survey of a United Kingdom population sample", BMJ, 314(7084), pp.860~863 (1997)
- Koo SK, "Acoustic analysis of snoring sounds recorded with a smartphone according to obstruction site in OSAS patients", Eur Arch Otorhinolaryngol, 274(3), pp.1735~1740 (2017)
- Shin H, "Unconstrained snoring detection using a smartphone during ordinary sleep", Biomed Eng Online, 13, pp.116~ (2014)
- Shin H, "Preliminary study for the personal handheld device based snoring detection in ordinary sleep situation", Conf Proc IEEE Eng Med Biol Soc, 2014, pp.3687~3690 (2014)
- Marcus CL, "Cardiorespiratory sleep studies in children: establishment of normative data and polysomnographic predictors of morbidity", Am J Respir Crit Care Med, 160(4), pp.1381~1387 (1999)
- Weatherly RA, "Identification and evaluation of obstructive sleep apnea prior to adenotonsillectomy in children: a survey of practice patterns", Sleep Med, 4(4), pp.297~307 (2003)
- Mitchell RB, "Sleep-disordered breathing in children: a survey of practice patterns", Laryngoscope, 116(6), pp.956~958 (2006)
- Ben-Israel N, "Obstructive apnea hypopnea index estimation by analysis of nocturnal snoring signals in adults", Sleep, 35(9), pp.1299~1305 (2012)
- Brietzke SE, "Acoustical analysis of pediatric snoring: what can we learn?", Otolaryngol Head Neck Surg, 136(4), pp.644~648 (2007)
- 김정훈, "Relationship Between Snoring Intensity and Severity of Obstructive Sleep Apnea", Clinical and Experimental Otorhinolaryngology, 8(4), pp.376~380 (2015), 대한이비인후과학회[DOI]
- Koo SK, "The role of the maxillary sinus on the voice", Eur Arch Otorhinolaryngol, 272(9), pp.2347~2350 (2015)
- Ng AK, "Could formant frequencies of snore signals be an alternative means for the diagnosis of obstructive sleep apnea?", Sleep Med, 9(8), pp.894~898 (2007)
- Nakano H, "Monitoring sound to quantify snoring and sleep apnea severity using a smartphone: proof of concept", J Clin Sleep Med, 10(1), pp.73~78 (2014)
- Borovich A, "The history of primary snoring in children: the effect of adenotonsillectomy", Sleep Med, 17, pp.13~17 (2016)
- Suen JS, "Adenotonsillectomy for treatment of obstructive sleep apnea in children", Arch Otolaryngol Head Neck Surg, 121(5), pp.525~530 (1995)
- Nolan J, "Systematic review of pediatric tonsil size and polysomnogram-measured obstructive sleep apnea severity", Otolaryngol Head Neck Surg, 144(6), pp.844~850 (2011)
- Hwang SH, "Usefulness of adenotonsillar size for prediction of severity of obstructive sleep apnea and flow limitation", Otolaryngol Head Neck Surg, 149(2), pp.326~334 (2013)
- Kang KT, "Associations between adenotonsillar hypertrophy, age, and obesity in children with obstructive sleep apnea", PLoS One, 8(10), pp.e78666~ (2013)
- Li AM, "Is a 2-night polysomnographic study necessary in childhood sleep-related disordered breathing?", Chest, 126(5), pp.1467~1472 (2004)
- Bhattacharjee R, "Adenotonsillectomy outcomes in children with obstructive sleep apnea in children: a multicenter retrospective study", Am J Respir Crit Care Med, 182(5), pp.676~683 (2010)