Evaluating the impact of adenotonsillectomy for pediatric sleep‐disordered breathing on parental sleep

Ernst, Hannah; Dzioba, A; Glicksman, Jordan T.; Paradis, Josée; Rotenberg, Brian; Strychowsky, Julie E.

doi:10.1002/lary.27806

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…Moreover, parents would ideally be involved in the decision making regarding the optimal medical or surgical management of sleep disorders . Finally, OSA should not be overlooked in this population because treatment has proven to improve patient and family quality of life in both typical children and those with syndromes; the same conclusion could reasonably be extrapolated to this population …”

Section: Discussionmentioning

confidence: 99%

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Cornelia de lange manifestations in otolaryngology: A systematic review and meta‐analysis

2019

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Objectives Cornelia de Lange syndrome (CdLS) is a rare genetic disorder. Our goal was to systematically review the literature regarding otolaryngology manifestations of CdLS. Methods We systematically reviewed the PubMed, Embase, CINAHL, Scopus, and Google Scholar databases for original articles of otolaryngology manifestations for patients with CdLS. These articles were analyzed, and pooled prevalence was calculated. Results We analyzed 1,310 patients included in 35 case series and 34 case reports. Hearing loss was present for many patients (27 studies), with sensorineural hearing loss affecting 40.3% (95% confidence interval [CI]: 17.3–63.4) and conductive affecting 22.7% (95% CI: 5.7–39.7). Recurrent acute otitis media was the most frequent infectious manifestation, with 56.5% (95% CI: 34.1–78.4) in seven studies, followed by recurrent airway infections with 44.1% (95% CI: 11.0–87.1) in five studies. Forty‐nine (49.7%) percent of patients (95% CI: 25.9–73.6) in nine studies had dysphagia, and 76.6% (95% CI: 59.8–93.3) in four studies had some degree of dysphonia. Craniofacial anomalies were reported in 30 studies, with micrognathia (53.1%; 95% CI: 34.1–72.1) and high arched palate (70.6%; 95% CI: 56.5–84.8) commonly reported. Additional physical exam abnormalities reported included those involving: lips (76.8%; 95% CI: 65.3–88.4), dentition (65.1%; 95% CI: 27.2–100), mouth (85.5%; 95% CI: 76.2–93.8), and eyelashes (87.1%; 95% CI: 77.2–96.9). Sleep‐disordered breathing or obstructive sleep apnea affected 25.8% (95% CI: 11.4–40.2) of patients (7 studies). Airway anomalies were reported in 11 case reports. Conclusion This is the first comprehensive evaluation of otolaryngologic manifestations in the CdLS literature. Most reported hearing loss and craniofacial anomalies. Sleep disorders occurred in a minority of patients, whereas airway disorders were primarily reported in case reports. These conditions should be further examined given their potential life‐threatening implications. Level of Evidence 3a Laryngoscope, 130:E122–E133, 2020

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Section: Discussionmentioning

confidence: 99%

“…79,80 Finally, OSA should not be overlooked in this population because treatment has proven to improve patient and family quality of life in both typical children and those with syndromes; the same conclusion could reasonably be extrapolated to this population. 81,82…”

Section: Sleep Disordersmentioning

confidence: 99%

Cornelia de lange manifestations in otolaryngology: A systematic review and meta‐analysis

2019

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“…However, the difficulty in implementing this exam on a large scale leads to use other exams or clinical evaluation alone to diagnose and treat these patients. 30 38 52 Finally, considering that SDB is a prevalent condition, a large, diverse subject population must be surveyed to determine whether AT leads to improvement in the QoL of children,.…”

Section: Discussionmentioning

confidence: 99%

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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“…Penyebab utama terjadinya OSA pada anakanak adalah hipertrofi dari adenoid dan tonsil sehingga rencana perawatan yang paling utama adalah "adenotonsillectomy", tetapi pilihan perawatan ini tidak selalu memperoleh hasil yang baik dikarenakan perawatan OSA sangat tergantung pada penegakan diagnosis OSA berdasarkan pemeriksaan lengkap dan penunjang (10)(11)(12)(13).…”

Section: Latar Belakangunclassified

Alih Bahasa Dan Reliabilitas Paediatric Sleep Questionnaire Terhadap Anak Usia 6-18 Tahun (Laporan Penelitian)

Dwidjayanti

Hayati

Marpaung

2021

JKGT

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Background: Obstructive Sleep Apnea (OSA) is a common type of Sleep-Related Breathing Disorder (SRBD) defined as a cessation of airflow at the nose and mouth enduring for a minimum of ten seconds. The awareness absences of this condition particularly in children will contribute to the growth and development abnormality which effected their adulthood. The difficulty in diagnosing SRBD/OSA’s children with Polysomnography (PSG) as a Gold Standard is another challenging issue due to the inconvenience and the high cost. Recent studies have reported the possibility of screening this condition with Questionnaires contains items of SRBD signs. Pediatric Sleep Questionnaire (PSQ) was one of the most frequently used questionnaire in this screening processed. Purpose: The study aims were to translate PSQ into the Indonesian language and measuring the reliability of the questionnaire. Methods: PSQ translated with a forward-backward translation technique and analytic observational with the cross-sectional design was conducted at school placed in Tangerang City with 154 respondents age 6-18 years old who fulfilled inclusion and exclusion criteria. Cronbach’s alpha was used to measure the reliability of each item question. Results: The Cronbach’s alpha for this study was 0,714 which was reliable for this questionnaire to be used for screening patients with SRBD. Conclusion: This study showed that the PSQ has good reliability which can be more optimized to diagnosed SRBD in children together with PSG.

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Evaluating the impact of adenotonsillectomy for pediatric sleep‐disordered breathing on parental sleep

Cited by 3 publications

References 26 publications

Cornelia de lange manifestations in otolaryngology: A systematic review and meta‐analysis

Cornelia de lange manifestations in otolaryngology: A systematic review and meta‐analysis

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Alih Bahasa Dan Reliabilitas Paediatric Sleep Questionnaire Terhadap Anak Usia 6-18 Tahun (Laporan Penelitian)

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