Complications of adenotonsillectomy in children with OSAS younger than 2 years of age.
The most common sleep disorder in children is obstructive sleep apnea syndrome (OSAS). The majority of children with OSAS improve following tonsillectomy and adenoidectomy (T&A). T&A as an outpatient procedure in children is very common. Young age in considered risk factors for postoperative respiratory complications. The purpose of this study is to analyze our experience with postoperative T&A complications in patients younger than 2 years of age. A total of 39 T&A were performed in children younger than 2 years of age. OSAS diagnosis was confirmed by overnight polysomnography (PSG). All the patients were hospitalized and monitored by overnight pulse oximetry monitoring. Post-operatively there was marked improvement in respiratory function in all the patients comparing pre- and post-operative nadir oxygen saturation (P<0.05). Complications were documented in seven patients (20%). Five of the complications occurred in children older than 1 year of age. Bleeding occurred in two patients (5.7%). Three patients (8.6%) had dehydration, one patient (2.9%) had hypercarbia and one patient had laryngospasm. In this study there was a low incidence of peri- and post- operative respiratory complications in children younger than 2 years of age who undergo T&A for OSAS. Identification of OSAS severity may be an important factor in determining the risk of T&A in a young child.
Slovik
Youval
Y
Department of ENT and Head and Neck Surgery, Soroka University Medical Center, Beer-Sheva, Israel.
Tal
Asher
A
Shapira
Yoram
Y
Tarasiuk
Ariel
A
Leiberman
Alberto
A
D000233:Adenoidectomy / Q000009:adverse effects* / Q000379:methods; D003681:Dehydration / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007826:Laryngismus / Q000209:etiology; D008297:Male; D017286:Polysomnography; D019106:Postoperative Hemorrhage / Q000209:etiology; D012891:Sleep Apnea Syndromes / Q000601:surgery; D020181:Sleep Apnea, Obstructive / Q000097:blood / Q000175:diagnosis / Q000601:surgery*; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods