KMID : 0361020090520040344
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Korean Journal of Otolaryngology - Head and Neck Surgery 2009 Volume.52 No. 4 p.344 ~ p.348
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Effect of Adenotonsillectomy on Symptoms and Growth in Children with Sleep Disordered Breathing£ºLong-Term Results
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Joo Young-Hoon
Kang Jun-Myung Kim Byung-Guk Kim Soo-Whan Kim Young-Ha Jin Sun-Young Koon Jin-Ho
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Abstract
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Background and Objectives£ºChronic upper airway obstruction attributable to adenotonsillar hypertrophy is the most common cause of sleep disordered breathing (SDB) in children. The objective of this study was to evaluate the long-term effects of adenotonsillectomy on the degree of SDB and growth in children with SDB.
Subjects and Method£ºForty-three children (mean age, 6.1¡¾2.4 years) clinically diagnosed as SDB were enrolled, and they were scheduled for adenotonsillectomy (T&A) based on their response to the validated, 22-item sleep related breathing disorder (SRBD) scale and a physical examination that showed adenotonsillar hypertrophy. Weight, height, and BMI (body mass index) were evaluated before and three years after T&A.
Results£º SRBD scales decreased significantly after T&A (p<0.001). Their Z scores (standard deviation scores) for weight, height, and BMI of 43 children were significantly higher three years after T&A compared with before T&A (p<0.01).
Conclusion£º Children with SDB who underwent adenotonsillectomy showed significant long-term increases in weight, height, and BMI as well as a significant long-term improvement in quality of the sleep.
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KEYWORD
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Sleep disorders, Adenoidectomy, Tonsilectomy, Growth
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