Long-term impact of adenotonsillectomy on the quality of life of children with sleep-disordered breathing

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dc.contributor.authorSousa Caixeta, Juliana Alves
dc.contributor.authorSilva Sampaio, Jessica Caixeta
dc.contributor.authorCosta, Vanessa Vaz
dc.contributor.authorBruno da Silveira, Isadora Milhomem
dc.contributor.authorFernandes de Oliveira, Carolina Ribeiro
dc.contributor.authorAlves Sousa Caixeta, Luiz Claudio [UNESP]
dc.contributor.authorGomes Avelino, Melissa Ameloti
dc.contributor.institutionUniversidade Federal de Goiás (UFG)
dc.contributor.institutionUniEVANGÉLICA
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2021-06-25T10:22:00Z
dc.date.available2021-06-25T10:22:00Z
dc.date.issued2021-01-01
dc.description.abstractIntroduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children’s QoL.en
dc.description.affiliationUniversidade Federal de Goiás, Av universitaria, s/N
dc.description.affiliationUniEVANGÉLICA
dc.description.affiliationUniversidade Estadual Paulista (UNESP)
dc.description.affiliationUnespUniversidade Estadual Paulista (UNESP)
dc.format.extent123-128
dc.identifierhttp://dx.doi.org/10.1055/s-0040-1709195
dc.identifier.citationInternational Archives of Otorhinolaryngology, v. 25, n. 1, p. 123-128, 2021.
dc.identifier.doi10.1055/s-0040-1709195
dc.identifier.fileS1809-48642021000100123.pdf
dc.identifier.issn1809-4864
dc.identifier.issn1809-9777
dc.identifier.scieloS1809-48642021000100123
dc.identifier.scopus2-s2.0-85100328774
dc.identifier.urihttp://hdl.handle.net/11449/205831
dc.language.isoeng
dc.relation.ispartofInternational Archives of Otorhinolaryngology
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAdenoidectomy
dc.subjectChild
dc.subjectOSA-18
dc.subjectQuality of life
dc.subjectSleep-disordered breathing
dc.subjectTonsillectomy
dc.titleLong-term impact of adenotonsillectomy on the quality of life of children with sleep-disordered breathingen
dc.typeArtigo

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