title: The effect of polysomnography on pediatric adenotonsillectomy postoperative management.
abstract: OBJECTIVE
  We retrospectively investigated the effect and predictability of preoperative polysomnography (PSG) on the postoperative course of younger pediatric patients undergoing adenotonsillectomy.
  
  
  METHODS
  A retrospective chart review was performed for patients 3 years of age and younger who had undergone adenotonsillectomy between July 1997 and July 2002 at the Children's Hospital of Wisconsin.
  
  
  RESULTS
  Two hundred eighty-two patients were identified. Forty-three patients had preoperative PSG. No correlation between the severity of PSG results and postoperative course was identified.
  
  
  CONCLUSIONS
  The role of PSG in upper airway obstruction and OSA remains controversial. This study suggests that although the complication rate may be higher in this younger population, these complications do not appear to have a large impact on their length of stay.
  
  
  CONCLUSIONS
  This study suggests that the 3-years-and-younger group, in the absence of other comorbidities, can safely undergo adenotonsillectomy without undergoing preoperative PSG. EBM raing: C.
authors.affiliation: Division of Pediatric Otolaryngology and Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, USA.
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Rieder
authors.forename: Valerie
authors.initials: V
authors.lastname: Flanary
mesh_terms: D000233:Adenoidectomy; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007902:Length of Stay; D017286:Polysomnography; D011183:Postoperative Complications; D011300:Preoperative Care; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology* / Q000601:surgery*; D014068:Tonsillectomy