[Effectiveness of adeno(tonsillo)tomy for obstructive sleep apnea in preschool children].

Abstract

In order to assess the effectiveness of adeno(tonsillo)tomy in relation to obstructive sleep apnea syndrome, OSAS-specific symptoms were prospectively recorded in this study.The total collective consisted of n = 111 children (3-6 years, ♂ 55% ♀ 45%) who underwent adenotomy (77%) or adenotonsillotomy (23%) at ENT University Hospital Ulm. OSAS-specific symptoms were assessed using a questionnaire (day of surgery, follow-up: 3 months) and results were presented using box-whisker plots for the overall collective and the AT and ATT surgical techniques (significance level α=5%). Bar charts were used to illustrate the pre- and postoperative risk stratification.On average, the postoperative Brouillette score (-3.41 AT: -3.33 ATT: -3.68) was significantly lower for the overall collective and the individual surgical techniques than preoperatively (-0.22 AT: -0.49 ATT: 0.7). The average OSA-18 score was significantly lower postoperatively for the overall collective and the individual surgical techniques (33.2 AT: 33.5 ATT: 31.9) than preoperatively (61.2 AT: 59.1 ATT: 68.6).In the presence of obstructive sleep apnea syndrome, AT and ATT surgical techniques are effective treatment methods for reducing symptoms.