OSAS in children

Mora, Renzo; Salami, Angelo; Passali, Fm; Mora, Francesco; Cordone, M; Ottoboni, Stefano; Barbieri, Marco

doi:10.1016/j.ijporl.2003.08.034

Cited by 24 publications

(17 citation statements)

References 17 publications

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“…These are absolute indications for tonsillectomy and correspond to the findings in other series (Darrow and Siemens, 2002;Jurado Ramos et al, 2006;Mora et al, 2003). Snoring ranks next to OSA as an associated indication in our study.…”

Section: Discussionsupporting

confidence: 92%

Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline

Adoga¹,

Okeke²

2011

J. Clin. Med. Res.

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Various hemostatic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage in tonsillectomy. This study aims to compare the effect of using adrenaline and normal saline in maintaining hemostasis during cold dissection tonsillectomy. This is a prospective randomized single-blind study spanning fifty seven months in a private hospital setting in Jos, Plateau State, Nigeria. Thirty seven patients aged between 2 and 31 years had tonsillectomy consisting of 22 (59.5%) males and 15 (40.5%) females. The mean age of patients was 15.6 years (SD= ± 8.97). Recurrent tonsillitis (45.9%) was the commonest indication for surgery and obstructive sleep apnea was the commonest associated indication in 12 (32.4%) patients. In 12 (32.4%) patients, there was no associated indication for surgery. The mean time required to achieve hemostasis with the use of adrenaline soaked gauze compress was 3.84 min. (SD= ± 0.92) and with the normal saline soaked gauze compress was 4.15 min. (SD=± 0.81) with a difference of 0.31 min. There was no incidence of primary, reactionary or secondary hemorrhage. The local application of adrenaline as a topical hemostatic agent during tonsillectomies is effective in reducing intraoperative and postoperative hemorrhage and invariably reducing operative time with no significant side effects or complications.

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Section: Discussionsupporting

confidence: 92%

Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline

Adoga¹,

Okeke²

2011

J. Clin. Med. Res.

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“…Several studies have shown improvement in the apnea scores and desaturation index when the patient is evaluated by PSG after AT [25,[29][30][31][32] . In our patient group, the preoperative severity of snoring was mild in 20 patients, moderate in 8 patients, and severe in 1 patient according to our snoring scale.…”

Section: Discussionmentioning

confidence: 99%

Effect of Adenoidectomy and/or Tonsillectomy on Cardiac Functions in Children with Obstructive Sleep Apnea

Uğur¹,

Dogan

Söğüt

et al. 2008

ORL

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Background/Aims: We aimed to determine the effects of adenoidectomy and/or tonsillectomy (AT) on cardiac functions in children with adenoid and/or tonsillary hypertrophy and obstructive sleep apnea syndrome (OSAS) by using echocardiography with tissue Doppler imaging facility (TDI). Methods: Twenty-nine children with adenoid and/or tonsillary hypertrophy and OSAS and 26 children with primary snoring entered the study. Cardiac functions were assessed by echocardiography with TDI in both groups. Tests were repeated in the OSAS group 6 months after treatment with AT. Results: Echocardiography showed a decrease in estimated pulmonary artery systolic pressure from 31 ± 4.2 to 13.1 ± 2.3 (p < 0.001). In TDI, tricuspid E_m and E_m/A_m increased from 11.0 ± 2.7 to 13.5 ± 2.7 cm/s (p < 0.001), and 1.46 ± 0.52 to 1.82 ± 0.53 (p = 0.004), respectively, following AT, indicating improvement in right ventricular diastolic dysfunction. Similarly, mitral E_mand E_m/A_m increased from 12.3 ± 2.1 to 16.3 ± 2.7 cm/s, and from 1.65 ± 0.51 to 2.30 ± 0.54, respectively (p < 0.001). There was no significant difference between postoperative values and control group values. Conclusion: TDI is a technique able to detect diastolic dysfunction unnoticeable by conventional echocardiography. Following AT, we observed improvement in both left and right ventricular diastolic functions using TDI.

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“…Until a few years ago, adenotonsillectomy was considered the golden standard therapy, as it cured OSAS in most cases [3]. This could be confirmed by polysomnographic results in numerous studies [4][5][6][7][8]. Tonsillectomy as a stand-alone procedure, however, proved to be less effective than adenotonsillectomy [7,9].…”

Section: Introductionmentioning

confidence: 99%

Tonsillotomy in the treatment of obstructive sleep apnea syndrome in children: Polysomnographic results

Chaux

Klemens

Patscheider

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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OSAS in children

Cited by 24 publications

References 17 publications

Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline

Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline

Effect of Adenoidectomy and/or Tonsillectomy on Cardiac Functions in Children with Obstructive Sleep Apnea

Tonsillotomy in the treatment of obstructive sleep apnea syndrome in children: Polysomnographic results

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