Association of Adenotonsillectomy with Asthma Outcomes in Children: A Longitudinal Database Analysis

Abstract

Rakesh Bhattacharjee and colleagues use data from a US private health insurance database to compare asthma severity measures in children one year before and one year after they underwent adenotonsillectomy with asthma measures in those who did not undergo adenotonsillectomy. Please see later in the article for the Editors' Summary

Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea

“…While individual response to ETA or ITA is likely mul- 31 Several studies [32][33][34][35] have confirmed that patients with asthma are more likely to develop symptoms of OSAS. A recent study 36 also found that after adenotonsillectomy, children with asthma had a significant reduction in asthma exacerbation, hospitalization, and emergency department visits. Based on our results, it would be relevant to identify if there was any variance in resolution of asthma symptoms according to the specific type of surgical technique for adenotonsillectomy that was performed.…”

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

“…In a class III report, SDB was a predictor of asthma severity, and in two retrospective cohort studies, adenotonsillectomy was accompanied by improved asthma outcomes (class II and IV) [116][117][118].…”

The Bidirectional Relationship Between Asthma and Obstructive Sleep Apnea: Which Came First?

“…18 Furthermore, improvements in nocturnal asthma symptoms and asthma-specific quality of life also have been reported in adults with asthma treated with continuous positive airway pressure therapy for coexistent OSA. 19 Even though the foregoing studies were observational in nature, the findings suggest that the treatment of OSA may help improve asthma control in some children.…”