[Objective value of adenotonsillectomy in the child. A prospective study of incidence of tonsillitis, snoring, pulse oximetry and polysomnography and general development before and after adenotonsillectomy].
65 children were analysed prospectively before and after adeno-tonsillectomy to determine the incidence of upper airway infections, snoring and nocturnal obstructive symptoms. The weight and height percentiles were also determined before and after adeno-tonsillectomy. The Oxygen Desaturation Index (ODI) was measured in 27 children suspected of having a sleep apnea syndrome. In six of these children polysomnographic studies were carried out. A statistically significant reduction (p < 0,005) of upper airway infections could be seen six to twelve months after adeno-tonsillectomy. In 25 children (38%), we observed a postoperative weight gain and in eight cases (12%) a height gain. The obstructive symptoms, especially snoring and respiratory apneas, disappeared or were significantly reduced in 90% of the cases after adeno-tonsillectomy. All preoperatively pathological ODI and AHI normalised after the operation (p < 0,005).
Klinik für HNO, Hals-, Kiefer- und Gesichtschirurgie, Inselspital Bern.
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MR
Nuyens
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S
Vella
C
C
Bassetti
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M
Caversaccio
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R
Häusler
D000233:Adenoidectomy; D000293:Adolescent; D001827:Body Height; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010092:Oximetry; D017286:Polysomnography; D011183:Postoperative Complications / Q000209:etiology*; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000601:surgery*; D012913:Snoring / Q000209:etiology / Q000601:surgery*; D014068:Tonsillectomy; D014069:Tonsillitis / Q000209:etiology / Q000601:surgery*
Objektiver Nutzen der Adeno-Tonsillektomie beim Kind. Eine prospektive Studie über Angina-Inzidenz, Schnarchen, Pulsoximetrien und Polysomnographien sowie über die allgemeine Entwicklung vor und nach Adeno-Tonsillektomie.