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KMID : 0361020070500070602
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Korean Journal of Otolaryngology - Head and Neck Surgery
2007 Volume.50 No. 7 p.602 ~ p.607
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Effect of Adenotonsillectomy on Inattention and Hyperactivity in Children with Sleep Disordered Breathing
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Lee Kwang-Ho
Kim Ki-Sik
Choi Jin-Su
Lee Jong-Bin
Park Ga-Hyun
Park Jong-Oak
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Abstract
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Background & Objectives: Sleep disordered breathing (SDB) is a common problem in otolaryngology and comprises a spectrum of airway disorders that ranges from simple snoring to obstructive sleep apnea. SDB can exhibit problems of behavioral regulation such as inattention, hyperactivity and impulsivity. We aim to assess the effect of adenotonsillectomy on inattention and hyperactivity before and after adenotonsillectomy in children with SDB.
Subjects & Methods: We selected 19 pediatric patients with SDB, whose tonsils are of grade III or greater and the adenoid-nasopharyngeal ratio was 70% or more. The degree of inattentiveness and hyperactivity was evaluated by ADHD diagnostic system (ADS), trail making test, Wisconsin card sorting test (WCST) and SNAP-IV rating scale.
Results: There was significant improvement after adenotonsillectomy in the score of auditory ADS, trail making test, WCST, SNAP-IV rating scale. However, no improvement in postoperative visual ADS was observed.
Conclusion: Adenotonsillectomy could be recommended to improve inattentiveness and hyperactivity in children with SDB.
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KEYWORD
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Sleep Disordered Breathing, Attention deficit hyperactivity disorder, Adenoidectomy, Tonsillectomy, Trail making test
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