Links and risks associated with adenotonsillectomy and obesity

Adenotonsillectomy (A&T) is a very common surgical procedure in children. Over the past 20 years the principal indication for A&T in children has changed from recurrent adenotonsillitis to obstructive sleep apnea. The physiopathology of obstructive sleep apnea syndrome (OSAS) is multifactori...

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Bibliographic Details
Published in:Pediatric health, medicine and therapeutics medicine and therapeutics, 2015-01, Vol.6 (default), p.123-127
Main Authors: Tatlipinar, Arzu, Kinal, Emrah
Format: Article
Language:English
Subjects:
Airway management
Airway systems
Body mass index
Care and treatment
Childhood obesity
Complications and side effects
Development and progression
Inflammation
Obesity
Patient outcomes
Pediatrics
Quality of life
Review
Risk factors
Sleep apnea
Surgery
Throat surgery
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Summary:Adenotonsillectomy (A&T) is a very common surgical procedure in children. Over the past 20 years the principal indication for A&T in children has changed from recurrent adenotonsillitis to obstructive sleep apnea. The physiopathology of obstructive sleep apnea syndrome (OSAS) is multifactorial and obesity has been shown to be one of the main factors correlated with its occurrence. On the other hand, the prevalence and severity of childhood obesity have become a veritable epidemic problem in the past 30 years. So the increasing prevalence of obesity in children and high prevalence of obstructive sleep apnea in obese children implies that an increasing number of these children will present for A&T. Due to more prevalent anatomical alterations of the oronasopharyngeal airways, it is often difficult to predict operation success in obese children. However, previous studies supports that although the risk of presence of residual symptoms of OSAS and airway-related perioperative complication in obese may be more than nonobese group, A&T is effective to reduce obstructive symptoms and improve quality of life in obese children with OSAS.
ISSN:1179-9927
1179-9927
DOI:10.2147/PHMT.S66730