Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-25T05:08:22.387Z Has data issue: false hasContentIssue false
  • English
  • Français

Quality of life assessment following adenotonsillectomy for obstructive sleep apnoea in children under three years of age

Published online by Cambridge University Press:  30 October 2012

R Mandavia ,
V Dhar ,
K Kapoor  and
A Rachmanidou
R Mandavia*
Affiliation:
Academic Surgery, North West Thames Foundation School, London, UK
V Dhar
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
K Kapoor
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
A Rachmanidou
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
*
Address for correspondence: Mr R Mandavia, Flat 114, St Mary's Mansions, St Mary's Terrace, London W2 1SZ, UK Fax: +44 (0)208 333 3188 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Aim:

To investigate the effects of adenotonsillectomy on the quality of life of children under three years of age with obstructive sleep apnoea. To our knowledge, there have been no previously published studies on this topic.

Method:

Thirty-nine children under three years of age and treated with adenotonsillectomy for obstructive sleep apnoea met the inclusion criteria. A quality of life questionnaire was adapted from the validated, six-item instrument developed by de Serres et al. (2000). The questionnaire assessed improvement in specific domains following adenotonsillectomy. Carers scored each domain on a point scale ranging from ‘none’ (0) to ‘couldn't be more’ (6).

Results:

The quality of life of all children improved after surgery. The greatest mean improvement scores were in the domains of care-giver concern, physical suffering and sleep disturbance. The modal questionnaire score was 4 and the overall mean questionnaire score was 4.2.

Conclusion:

Adenotonsillectomy provides measurable improvements in quality of life for children under three years of age with obstructive sleep apnoea.

Keywords

AdenoidectomyTonsillectomyQuality Of lifeObstructive Sleep ApnoeaChildren
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1241 - 1246
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1American Sleep Disorders Association. International Classification of Sleep Disorders, Revised: Diagnostic and Coding Manual. Chicago: American Academy of Sleep Medicine, 2001Google Scholar
2Mitchell, RB, Boss, EF. Pediatric obstructive sleep apnea in obese and normal-weight children: impact of adenotonsillectomy on quality-of-life and behavior. Dev Neuropsychol 2009;34:650–61CrossRefGoogle ScholarPubMed
3Ali, NJ, Pitson, DJ, Stradling, JR. Snoring, sleep disturbance, and behaviour in 4–5 year olds. Arch Dis Child 1993;68:360–6CrossRefGoogle Scholar
4Kwok, K, Ng, DK, Chan, C. Cardiovascular changes in children with snoring and obstructive sleep apnoea. Ann Acad Med Singapore 2008;37:715–21CrossRefGoogle ScholarPubMed
5Capdevila, OS, Crabtree, VM, Kheirandish-Gozal, L, Gozal, D. Increased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep-disordered breathing: a community-based study. Pediatrics 2008;21:1208–14CrossRefGoogle Scholar
6Suratt, PM, Barth, JT, Diamond, R. Reduced time in bed and obstructive sleep-disordered breathing in children are associated with cognitive impairment. Pediatrics 2007;119:320–9CrossRefGoogle ScholarPubMed
7Montgomery-Downs, HE, Crabtree, VM, Gozal, D. Cognition, sleep and respiration in at-risk children treated for obstructive sleep apnoea. Eur Resp J 2005;25:336–42CrossRefGoogle ScholarPubMed
8Beebe, DW. Neurobehavioral morbidity associated with disordered breathing during sleep in children: a comprehensive review. Sleep 2006;29:1115–34CrossRefGoogle ScholarPubMed
9Gozal, D. Sleep-disordered breathing and school performance in children. Pediatrics 1998;102:616–20CrossRefGoogle ScholarPubMed
10Chervin, RD, Archbold, KH, Dillon, JE. Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics 2002;109:449–56CrossRefGoogle ScholarPubMed
11de Serres, LM, Derkay, C, Astley, S, Deyo, RA, Rosenfeld, RM, Gates, GA. Measuring quality of life in children with obstructive sleep disorders. Arch Otolaryngol Head Neck Surg 2000;26:1423–9CrossRefGoogle Scholar
12Nimubona, L, Jokic, M, Moreau, S, Brouard, J, Guillois, B, Lecacheux, C. Obstructive sleep apnea syndrome and hypertrophic tonsils in infants. Arch Pediatr 2000;7:961–4CrossRefGoogle ScholarPubMed
13Hoban, TF, Friedman, NR. Polysomnography should be required both before and after adenotonsillectomy for childhood sleep disordered breathing. J Clin Sleep Med 2007;3:675–80CrossRefGoogle ScholarPubMed
14HES online: Trends in ENT admission rates. In: http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=410 [31 December 2010]Google Scholar
15Series, F, Marc, I, Cormier, Y, La Forge, J. Utility of nocturnal home oximetry for case finding in patients with suspected sleep apnea hypopnea syndrome. Ann Intern Med 1993;119:449–53CrossRefGoogle ScholarPubMed
16Brouillette, RT, Morielli, A, Leimanis, A, Waters, KA, Luciano, R, Ducharme, FM. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics 2000;105:405–12CrossRefGoogle ScholarPubMed
17Mitchell, RB, Kelly, J, Call, E, Yao, N. Quality of life after adenotonsillectomy for obstructive sleep apnea in children. Arch Otolaryngol Head Neck Surg 2004;130:190–4CrossRefGoogle ScholarPubMed
18Suen, JS, Arnold, JE, Brooks, LJ. Adenotonsillectomy for treatment of obstructive sleep apnea in children. Arch Otolaryngol Head Neck Surg 1995;121:525–30CrossRefGoogle ScholarPubMed