폐쇄성 수면무호흡증후군 소아에서 편도 및 아데노이드 절제술의 효과에 대한 장기 추적관찰 결과
Long Term Follow-up Results of Adenotonsillectomy on Pediatric Obstructive Sleep Apnea
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Abstract
Background and Objectives：Adenotonsillecotmy is the most comonly recommended for pediatiric obstructive slep apnea (OSA). The clinical improvement after surgery had been suggested on previous studies, which looked at only very short time (PSG) after adenotonsilectomy for OSA in children. Subjects and Method：Nine children (age range 3 to 13) who had macroscopic adenotonsilar hypertrophy and a respiratory disturbance index (RDI) greater than 1 on preoperative PSG were enroled in this study and underwent adenotonsillectomy. Al children underwent preoperative and postoperative PSG at 3 months and 12 months after surgery. In addition, the caregivers for (ADHD RS-IV) before, 3 months and 12 months after surgery. Scores from preoperative and postoperative PSG and ADHD RS-IV were compared using the paired sample t-test. Results：Mean of RDI and apnea index improved significantly in postoperative 3 months and 12 months (p<0.05). About 67% (6 of 9) patients had RDI leser than 1 in postoperative 3 months. However, 12 months later, 44% (4 of 9) children had (p<0.05). Conclusion：This study sugests that adenotonsillectomy is efective in the treatment of childhood OSA. And the efects of adenotonsillecotmy on pediatric OSA are maintained at least 12 months. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ; 50 :1114-7)
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