Effects of an adenotonsillectomy on the cognitive and behavioural function of children who snore : a naturalistic observational study

• Published in: Sultan Qaboos University medical journal 2018-11, Vol.18 (4), p.455-460
• Main Authors: Jaju, Sanjay, al-Adawi, Samir, al-Abri, Rashid, al-Zaabi, Khalid, Jeyaseelan, Lakshmanan, al-Sibani, Nasir, al-Alawi, Muhammad, al-Abri, Muhammad
• Format: Article
• Language: English
• Subjects: Adenoidectomy - methods; Adolescent; Attention deficit hyperactivity disorder; Child; Children & youth; Clinical & Basic Research; Cognitive ability; Female; Humans; Hyperactivity; Male; Observational studies; Oman; Pediatrics; Polysomnography - methods; Research Design; Sleep apnea; Snoring - complications; Snoring - epidemiology; Studies; Systematic review; Tonsillectomy - methods
• ISSN: 2075-051X; 2075-0528
• DOI: 10.18295/squmj.2018.18.04.005

Objectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-yearold Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT). Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014. Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT. Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards. Results: A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female. The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years. Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P