Persistent sleep apnea after adenotonsillectomy in pediatric patients with head and neck burns

To determine if face, head, or neck burns increases risk of persistent sleep disordered breathing (SDB) or obstructive sleep apnea (OSA) after adenotonsillectomy. The TriNetX database was used to gather data for patients who had face, head, or neck burn including mouth and pharynx and history of sle...

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Bibliographic Details
Published in:American journal of otolaryngology 2025-01, Vol.46 (1), p.104546, Article 104546
Main Authors: Africa, Robert E., Dunmire, Amber M., Johnson, Austin L., Quadri, Nadia Z., Pine, Harold S., Hughes, Charles A., McKinnon, Brian J., Hajiyev, Yusif
Format: Article
Language:English
Subjects:
Adenotonsillectomy
Burn
Corrosion
Obstructive sleep apnea
Pediatric otolaryngology
Sleep disordered breathing
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Summary:To determine if face, head, or neck burns increases risk of persistent sleep disordered breathing (SDB) or obstructive sleep apnea (OSA) after adenotonsillectomy. The TriNetX database was used to gather data for patients who had face, head, or neck burn including mouth and pharynx and history of sleep study with adenotonsillectomy. A comparison of persistent SDB or OSA was done between cohort 1, a group with sleep study and adenotonsillectomy after burn injury, and cohort 2, a group with treatment before a burn. Risk of persistence was evaluated as relative risk (RR) with 95 % confidence interval (CI). Eighty-three pediatric patients were included. Fifty-one patients were in cohort 1, and 32 in cohort 2. Forty-three patients in cohort 1 had persistent SDB or OSA as compared to 11 in cohort 2, which was statistically significant (RR: 2.45; 95 % CI: 1.50–4.02; p-value
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2024.104546