폐쇄성 수면무호흡증후군 소아에서 편도 및 아데노이드 절제술의 효과
Effect of Adenotonsillectomy on Pediatric Obstructive Sleep Apnea
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Abstract
Background and Objectives：Adenotonsilar hypertrophy is the leading cause for obstructive sleep apnea (OSA) in children. However, clinical improvement after adenotonsillectomy has not ben confirmed objectively in Korean children. We evaluated the efects of adenotonsillectomy on polysomnography (PSG) in children with OSA. Subjects and Method：Fifteen children (age range 3 to 13) who had macroscopic adenotonsilar hypertrophy and a respiratory disturbance index (RDI)preoperative PSG were enrolled in this study and underwent adenotonsillectomy. All children underwent preoperative and post-operative PSG at 10 weeks after adenotonsilectomy. In addition, the care-givers of each child were asked to check the deficit hyperactivity disorder rating scale-IV (ADHD RS-IV) before and 8 weeks after surgery. Scores from the preoperative and post-operative PSG and ADHD RS-IV were compared using the paired samples t-test. Results：The improvements in RDI, apnea-hypoapnea index, apnea index, arousal index, lowest O2 (p< 0.05). About 67% (10 of 15) patients were successfully treated with surgery, but 33% (5 of 15) children had RDI greater than 1 after surgery. ADHD RS-IV score showed significant improvement (p<0.05). Conclusion：This study sugests that adenoton-sillectomy is efective in the treatment of childhod OSA, but dose not have perfect results. The presence of residual OSA after surgery in a large number of patients is a significant probability that deserves more studies and intervention. (Korean J Otorhino -laryngol-Head Neck Surg 2007 ;50 :667-71)
참고문헌 (17)
- "Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6 years old", 107(4), pp.963~966 (1995)
- "Inattention, hyperactivity, and symptoms of sleep-disordered breathing", 109(3), pp.449~456 (2002)
- "of adenotonsillectomy on quality of life in children with obstructive sleep disorders", 128(5), pp.489~496 (2002)
- "Normative data on the Korean ADHD rating scales(K-ARS) for parents and teacher", 42(3), pp.352~359 (2003)
- "Management of Obstructive Sleep Apnea-Hypopnea Syndrome", pp.1111~1114 (2005), Philadelphia: Elsevier saunders
- "Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children", 108(3), pp.610~618 (1995)
- "Monitoring sleep and breathing: Methodology Part I: Monitoring breathing", 19(1), pp.203~212 (1998)
- "Polysomnographic values in children 2-9 years old: Additional data and review of the lecture", 40(1), pp.22~30 (2005)
- "Normal polysomnographic respiratory values in children and adolescents", 125(3), pp.872~878 (2004)
- "The effect of adenotonsillectomy on serum insulin-like growth factor-1 and growth in children with obstructive sleep apnea syndrome", 135(1), pp.76~80 (1999)
- "Sleep disordered breathing: Surgical outcomes in prepubertal children", 114(1), pp.132~137 (2004)
- "Sleep characteristics following adenotonsillectomy in children with obstructive sleep apnea syndrome", 124(3), pp.948~953 (2003)
- "Impact of adenotonsillar hypertrophy on child personality and behavior", 46(11), pp.959~964 (2003)
- "Sleep disordered breathing: Effects of adenotonsillectomy on behavior and psychological functioning", 155(1), pp.56~62 (1996)
- "The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea", hypopnea syndrome: A meta-analysis, 2006, pp.134(6), 979~984
- "The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome", 19(2), pp.156~177 (1996)
- "Use of nasal continuous positive airway pressure astreatment of childhood obstructive sleep apnea", 127(1), pp.88~94 (1995)