Long term results in the life quality of children with obstructive sleep disorders submitted to adenoidectomy/adenotonsillectomy.
Obstructive Sleep Disorders (OSD) affect mostly the pediatric population. Within this group, its main etiology is adenotonsillar hyperplasia, being adenoidectomy or adenotonsillectomy the best treatment option for quality of life improvement.


OBJECTIVE
To asses quality of life of children with OSD after adenoidectomy/adenotonsillectomy.


METHODS
A prospective study was carried out with 48 children, between 2 and 11 years, with clinical manifestations of OSD and obstructive adenotonsillar hyperplasia. The OSA18 questionnaire was answered by the parents to evaluate their children's quality of life before surgery; at about thirty days and at least eleven months after the procedure. A higher score meant a worse quality of life.


RESULTS
Before surgery, the average OSA18 score was 82.83(SD=12.57), with an average global score for quality of life of 6.04(SD=1.66). Within thirty days after surgery, the average OSA18 score was 34.3 (SD=9.95) with an average global score of 9.6(SD=0.81), both showing significant reduction (p< 0.001). Thirty-four children (70.83%) were re-evaluated between 11 and 30 months (average=16.85; SD=5.16). The average OSA18 score was 35.44 (SD=19.95) with an average global score of 9.28 (SD=1.78). The postoperative evaluations weren't significantly different.


CONCLUSIONS
surgery improves the quality of life of children with OSD, and such improvement maintains for the long run.
de Lima Júnior
José Mário
JM
Medical doctor, otorhinolaryngology resident, Otorhinolaryngology Unit, Hospital Universitário Walter Cantídio HUWC./Universidade Federal do Ceará - UFC.
da Silva
Viviane Carvalho
VC
Master's degree, assisting physician, Otorhinolaryngology Unit, HUWC/UFC.
de Freitas
Marcos Rabelo
MR
Doctoral degree, adjunct professor, Otorhinolaryngology Discipline, Faculdade de Medicina da UFC. Coordinator of the medical residency program in otorhinolaryngology, HUWC/UFC. Otorhinolaryngology Unit, Hospital Universitário Walter Cantídio. Department of Surgery. Universidade Federal do Ceará.
D000233:Adenoidectomy; D000704:Analysis of Variance; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D017286:Polysomnography; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D011795:Surveys and Questionnaires / Q000592:standards; D014068:Tonsillectomy; D016896:Treatment Outcome