Impact of adenotonsillectomy on behavior in children with sleep‐disordered breathing

HY Li, YS Huang, NH Chen, TJ Fang… - The …, 2006 - Wiley Online Library
HY Li, YS Huang, NH Chen, TJ Fang, LA Lee
The Laryngoscope, 2006•Wiley Online Library
Abstract Objectives/Hypothesis: Children with sleep‐disordered breathing may experience
behavioral and learning problems such as inattentiveness and hyperactivity. The aim of this
study was to measure the impact of adenotonsillectomy on sleep‐related adverse events
and behavioral problems in children with sleep‐disordered breathing. Method: This
prospective and interventional study enrolled 40 sleep‐disordered breathing children (mean
age, 8.4±1.6 years) with hypertrophic tonsils and adenoids. All patients completed two …
Abstract
Objectives/Hypothesis: Children with sleep‐disordered breathing may experience behavioral and learning problems such as inattentiveness and hyperactivity. The aim of this study was to measure the impact of adenotonsillectomy on sleep‐related adverse events and behavioral problems in children with sleep‐disordered breathing.
Method: This prospective and interventional study enrolled 40 sleep‐disordered breathing children (mean age, 8.4 ± 1.6 years) with hypertrophic tonsils and adenoids. All patients completed two polysomnographies, tests of variables of attention (TOVAs), and Child Behavior Checklists, one at baseline and the other 6 months after adenotonsillectomy.
Results: The apnea–hypopnea index (P < .001), TOVA scores (P < .001), and 8 of 9 individual domains of the Child Behavior Checklist scores (P < .05) significantly improved after surgery. However, the change in the apnea–hypopnea index was not negatively correlated with TOVA score (r = −0.17, P = .38).
Conclusion: Adenotonsillectomy could significantly improve behavior (TOVA) scores, but the improvement may not simply be attributable to changes in sleep apnea events.
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