Cognitive Skills in Preschoolers With Mild Apnea Not Improved With Tonsillectomy Cognitive Skills in Preschoolers With Mild Apnea Not Improved With Tonsillectomy
Young children with mild apnea who have their tonsils removed may sleep a little better than kids who don't get tonsillectomies, but a new study suggests surgery won't improve cognitive function.Reuters Health Information
Conditions: Obstructive Sleep Apnea; Tonsillar Hypertrophy; Sleep Apnea Syndromes Intervention: Device: Polysomnography Sponsor: Turku University Hospital Not yet recruiting
Ann Otol Rhinol Laryngol. 2021 Sep 16:34894211045645. doi: 10.1177/00034894211045645. Online ahead of print.ABSTRACTOBJECTIVE: Obstructive Sleep Apnea (OSA) in children is treated primarily with adenotonsillectomy (AT). When clinical exam demonstrates small tonsils, the success of AT in resolving OSA is uncertain. The purpose of this study is to determine the utility of Drug induced Sleep Endoscopy (DISE) for children with OSA and small tonsils (Brodsky scale 1+) and to identify what obstructive trends exist in this subset of patients and to determine the utility of DISE-directed surgical intervention in patients with smal...
Conclusions: MPS patients had a high incidence of ENT problems. ENT surgery reduced the severity of hearing loss, degree of symptoms related to upper airway obstruction, and severity of respiratory tract and otological infections of patients with MPS.PMID:34522163 | PMC:PMC8436092 | DOI:10.7150/ijms.61827
CONCLUSIONS The low-temperature plasma-assisted bilateral tonsillectomy combined with adenoidectomy had the best efficacy. None of the surgery methods influenced the patients' immune function.PMID:34497259 | DOI:10.12659/MSM.930792
CONCLUSION: DC scores overall were low for the group. DQ, as measured with the novel PtDA, had an inverse correlation with DC scores, suggesting validity of the proposed PtDA. Our instrument has potential use as a PtDA for parents who are offered tonsillectomy for their children.PMID:34362262 | DOI:10.1177/00034894211037187
CONCLUSION: Compared with individuals with larger tonsils (grade 2 to 4), those with previous tonsillectomy and OSA were susceptible to the velum AP configuration collapse. Diversity of multi-sites obstruction and combined collapse in both palatopharyngeal and hypopharyngeal level was the main characteristic.PMID:34319500 | DOI:10.1007/s11325-021-02451-8