For pediatric obstructive sleep apnea (OSA), adenotonsillectomy (T&A) considerably improves sleep structure and respiratory outcomes, in response to a research printed on-line Oct. 24 in Laryngoscope.
Basir S. Mansoor, from UT Southwestern Medical Heart in Dallas, and colleagues examined the affect of pediatric T&A on sleep structure, associated sleep elements, and respiratory parameters in a cohort of 233 kids (imply age, 6.85 years) with extreme and really extreme OSA (78% extreme).
The researchers discovered a big discount within the imply apnea-hypopnea index with T&A, from 23.51 to six.25. Twenty-three p.c of sufferers had persistent extreme OSA; in contrast with these with out persistent extreme OSA, that they had considerably shorter complete sleep time (TST; 350.54 versus 413.73 minutes), much less stage N3 sleep (89.54 versus 109.63 minutes), much less stage R sleep (69.56 versus 91.43 minutes), and the next arousal index (15.65 versus 10.34). There was a robust correlation between adjustments in TST and adjustments in stage N2 sleep and stage R sleep (r = 0.74 and 0.68, respectively).
“Although T&A is effective for most patients, 23% of our cohort maintained severe OSA postoperatively,” the authors write. “These findings suggest that certain patients may require more intensive postoperative monitoring or additional interventions beyond T&A alone.”
Extra info:
Basir S. Mansoor et al, The Impact of Tonsillectomy on Sleep Structure in Pediatric Sufferers With Obstructive Sleep Apnea, The Laryngoscope (2025). DOI: 10.1002/lary.70219
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Adenotonsillectomy improves sleep structure, respiratory outcomes in pediatric obstructive sleep apnea (2025, November 2)
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