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Adenotonsillectomy and obstructive sleep apnea in children: A prospective survey
Prospective survey of children up to 14 years of age with OSA submitted to adenotonsillectomy. Clinical evaluation, with questionnaires and clinical scales evaluating facial structures including tonsils and Mallampati scales and otolaryngologic evaluation; nocturnal polysomnography and repeat evalua...
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| Published in: | Otolaryngology-head and neck surgery 2007-02, Vol.136 (2), p.169-175 |
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| Main Authors: | , , , , |
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| cites | cdi_FETCH-LOGICAL-c4551-79edf4aea4da4af93c487a61d0e386c3b353090fe61a9a6cbb319bb013c5f7aa3 |
| container_end_page | 175 |
| container_issue | 2 |
| container_start_page | 169 |
| container_title | Otolaryngology-head and neck surgery |
| container_volume | 136 |
| creator | Guilleminault, Christian Huang, Yu-shu Glamann, Christine Li, Kasey Chan, Allison |
| description | Prospective survey of children up to 14 years of age with OSA submitted to adenotonsillectomy.
Clinical evaluation, with questionnaires and clinical scales evaluating facial structures including tonsils and Mallampati scales and otolaryngologic evaluation; nocturnal polysomnography and repeat evaluation three to five months postsurgery.
Of 207 successively seen children, 199 had follow-up polysomnography, and 94 had still abnormal sleep recording. Multivariate analysis indicates that Mallampati scale score 3 and 4, retro-position of mandible, enlargement of nasal inferior turbinates at +3 (subjective scale 1 to 3), and deviated septum were significantly associated with persistence of abnormal polysomnography (with high 95% CI for Mallampati scale and deviated septum).
Mallampati scale scores are resultant of several facial factors involving maxilla, mandible, and oral versus oral breathing but add information on risk of partial response to adenotonsillectomy.
Adenotonsillectomy may not resolve obstructive sleep apnea in children. |
| doi_str_mv | 10.1016/j.otohns.2006.09.021 |
| format | article |
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Clinical evaluation, with questionnaires and clinical scales evaluating facial structures including tonsils and Mallampati scales and otolaryngologic evaluation; nocturnal polysomnography and repeat evaluation three to five months postsurgery.
Of 207 successively seen children, 199 had follow-up polysomnography, and 94 had still abnormal sleep recording. Multivariate analysis indicates that Mallampati scale score 3 and 4, retro-position of mandible, enlargement of nasal inferior turbinates at +3 (subjective scale 1 to 3), and deviated septum were significantly associated with persistence of abnormal polysomnography (with high 95% CI for Mallampati scale and deviated septum).
Mallampati scale scores are resultant of several facial factors involving maxilla, mandible, and oral versus oral breathing but add information on risk of partial response to adenotonsillectomy.
Adenotonsillectomy may not resolve obstructive sleep apnea in children.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/j.otohns.2006.09.021</identifier><identifier>PMID: 17275534</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Adenoids - surgery ; Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Oxygen Consumption ; Polysomnography ; Prospective Studies ; Regression Analysis ; Sleep Apnea, Obstructive - physiopathology ; Sleep Apnea, Obstructive - surgery ; Tonsillectomy</subject><ispartof>Otolaryngology-head and neck surgery, 2007-02, Vol.136 (2), p.169-175</ispartof><rights>2007 American Academy of Otolaryngology–Head and Neck Surgery Foundation</rights><rights>2007 SAGE Publications</rights><rights>2007 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4551-79edf4aea4da4af93c487a61d0e386c3b353090fe61a9a6cbb319bb013c5f7aa3</citedby><cites>FETCH-LOGICAL-c4551-79edf4aea4da4af93c487a61d0e386c3b353090fe61a9a6cbb319bb013c5f7aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17275534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guilleminault, Christian</creatorcontrib><creatorcontrib>Huang, Yu-shu</creatorcontrib><creatorcontrib>Glamann, Christine</creatorcontrib><creatorcontrib>Li, Kasey</creatorcontrib><creatorcontrib>Chan, Allison</creatorcontrib><title>Adenotonsillectomy and obstructive sleep apnea in children: A prospective survey</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Prospective survey of children up to 14 years of age with OSA submitted to adenotonsillectomy.
Clinical evaluation, with questionnaires and clinical scales evaluating facial structures including tonsils and Mallampati scales and otolaryngologic evaluation; nocturnal polysomnography and repeat evaluation three to five months postsurgery.
Of 207 successively seen children, 199 had follow-up polysomnography, and 94 had still abnormal sleep recording. Multivariate analysis indicates that Mallampati scale score 3 and 4, retro-position of mandible, enlargement of nasal inferior turbinates at +3 (subjective scale 1 to 3), and deviated septum were significantly associated with persistence of abnormal polysomnography (with high 95% CI for Mallampati scale and deviated septum).
Mallampati scale scores are resultant of several facial factors involving maxilla, mandible, and oral versus oral breathing but add information on risk of partial response to adenotonsillectomy.
Adenotonsillectomy may not resolve obstructive sleep apnea in children.</description><subject>Adenoids - surgery</subject><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Oxygen Consumption</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Tonsillectomy</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqNkUGL1DAYhoMo7uzqPxDpyVvrlyZNGhFhXNxdYXE96DmkyVc3QyetSTsy_94MHfCmnnJ53oePJ4S8olBRoOLtrhrn8TGkqgYQFagKavqEbCgoWYqWyqdkA1TxslGqvSCXKe0gg0LK5-SCylo2DeMb8nXrMGRRSH4Y0M7j_liY4IqxS3Nc7OwPWKQBcSrMFNAUPhT20Q8uYnhXbIspjmnCM7bEAx5fkGe9GRK-PL9X5PvNp2_Xd-X9w-3n6-19aXnT0FIqdD03aLgz3PSKWd5KI6gDZK2wrGMNAwU9CmqUEbbrGFVdB5TZppfGsCvyZvXmE34umGa998niMJiA45K0aJVUNYcM8hW0-dYUsddT9HsTj5qCPpXUO72W1KeSGpTOJfPs9dm_dHt0f0bndBl4vwK__IDH_5Lqh7svH29qkHDy03WezA_Uu3GJIef6100f1g3msAePUSfrMVh0PuZP0G70fxf8Btviq3s</recordid><startdate>200702</startdate><enddate>200702</enddate><creator>Guilleminault, Christian</creator><creator>Huang, Yu-shu</creator><creator>Glamann, Christine</creator><creator>Li, Kasey</creator><creator>Chan, Allison</creator><general>Mosby, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200702</creationdate><title>Adenotonsillectomy and obstructive sleep apnea in children: A prospective survey</title><author>Guilleminault, Christian ; Huang, Yu-shu ; Glamann, Christine ; Li, Kasey ; Chan, Allison</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4551-79edf4aea4da4af93c487a61d0e386c3b353090fe61a9a6cbb319bb013c5f7aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adenoids - surgery</topic><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Oxygen Consumption</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Sleep Apnea, Obstructive - physiopathology</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Tonsillectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guilleminault, Christian</creatorcontrib><creatorcontrib>Huang, Yu-shu</creatorcontrib><creatorcontrib>Glamann, Christine</creatorcontrib><creatorcontrib>Li, Kasey</creatorcontrib><creatorcontrib>Chan, Allison</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guilleminault, Christian</au><au>Huang, Yu-shu</au><au>Glamann, Christine</au><au>Li, Kasey</au><au>Chan, Allison</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adenotonsillectomy and obstructive sleep apnea in children: A prospective survey</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2007-02</date><risdate>2007</risdate><volume>136</volume><issue>2</issue><spage>169</spage><epage>175</epage><pages>169-175</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Prospective survey of children up to 14 years of age with OSA submitted to adenotonsillectomy.
Clinical evaluation, with questionnaires and clinical scales evaluating facial structures including tonsils and Mallampati scales and otolaryngologic evaluation; nocturnal polysomnography and repeat evaluation three to five months postsurgery.
Of 207 successively seen children, 199 had follow-up polysomnography, and 94 had still abnormal sleep recording. Multivariate analysis indicates that Mallampati scale score 3 and 4, retro-position of mandible, enlargement of nasal inferior turbinates at +3 (subjective scale 1 to 3), and deviated septum were significantly associated with persistence of abnormal polysomnography (with high 95% CI for Mallampati scale and deviated septum).
Mallampati scale scores are resultant of several facial factors involving maxilla, mandible, and oral versus oral breathing but add information on risk of partial response to adenotonsillectomy.
Adenotonsillectomy may not resolve obstructive sleep apnea in children.</abstract><cop>Los Angeles, CA</cop><pub>Mosby, Inc</pub><pmid>17275534</pmid><doi>10.1016/j.otohns.2006.09.021</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2007-02, Vol.136 (2), p.169-175 |
| issn | 0194-5998 1097-6817 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68979240 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adenoids - surgery Adolescent Child Child, Preschool Female Humans Infant Male Oxygen Consumption Polysomnography Prospective Studies Regression Analysis Sleep Apnea, Obstructive - physiopathology Sleep Apnea, Obstructive - surgery Tonsillectomy |
| title | Adenotonsillectomy and obstructive sleep apnea in children: A prospective survey |
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