title: OSA-18 survey in evaluation of sleep-disordered breathing in children with adenotonsillar hypertrophy.
abstract: OBJECTIVE
  The aim of this study was to estimate the quality of life (QOL) in children with sleep-disordered breathing (SDB) before and after adenoidectomy and before and after adenotonsillectomy using the OSA-18 survey.
  
  
  METHODS
  The prospective study included sixty children with symptoms of SDB caused by enlarged adenoids or tonsils, of both sexes, aged 3-12 years, consecutively admitted into the ENT Clinic in Tuzla, for adenoidectomy or adenotonsillectomy.
  
  
  METHODS
  Patients were divided in two subgroups: thirty patients who underwent adenoidectomy and thirty patients who underwent adenotonsillectomy. Parents or caregivers completed the OSA-18 survey before surgery and 5 weeks after surgery. For statistical analysis was used Student's t-test of pared samples. The values p < 0.05 were accepted as significant.
  
  
  RESULTS
  Mean total score before adenoidectomy was 3.44 (SD = 0.77) and after surgery was 1.30 (SD = 0.46).Mean total score before adenotonsillectomy was 3.69 (SD = 0.80), after surgery was 1.22 (SD = 0.27). The difference between preoperative and postoperative scores in both subgroups of patients was significant (p < 0.01).
  
  
  CONCLUSIONS
  Adenoidectomy and adenotonsillectomy improve QOL in children with SDB, which is caused by adenotonsillar hypertrophy. The OSA-18 survey is a useful tool for the selection of children for surgery with SDB caused by adenotonsillar hypertrophy and to assess quality of life after surgery.
authors: Department of ENT, University Clinical Center Tuzla, Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina. shasukic@bih.net.ba
authors: Begzada
authors: B
authors: Hasukic
mesh_terms: D000233:Adenoidectomy / Q000379:methods / Q000523:psychology*; D000234:Adenoids / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D005260:Female; D006801:Humans; D006965:Hyperplasia / Q000150:complications / Q000601:surgery; D008297:Male; D014066:Palatine Tonsil / Q000473:pathology / Q000601:surgery; D059035:Perioperative Period / Q000523:psychology; D011788:Quality of Life; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires; D014068:Tonsillectomy / Q000379:methods / Q000523:psychology*; D016896:Treatment Outcome