title: Sleep related quality of life before and after adenotonsillar surgery in pediatric population.
abstract: OBJECTIVE
  To assess the quality of life in children with adenotonsillar problems before and after adenotonsillectomy in short term follow-up.
  
  
  METHODS
  Quasi-experimental study (before and after study) of children with adenotonsillar problems at Tehran University of Medical Sciences, Amir'Alam hospital. Eighty six pediatric patients aged 3 through 13 years (58 boys and 28 girls) who underwent adenotonsillectomy, for treatment of sleep disordered breathing or recurrent throat infection, were recruited. Parents completed OSA-18 quality of life survey and Brouillette score questionnaire before and one month after surgery.
  
  
  RESULTS
  Reliability of the Brouillette score and OSA-18 survey was established by evaluating the Cronbach α value. Cronbach α for Brouillette score was 0.70 and for OSA-18 survey it was 0.88. Preoperative values for the OSA-18 total and domain scores were high in children: mean±SD; 61.65±20.78. Preoperative values for the Brouillette score were: mean±SD; 0.41±2.34. The total OSA-18 survey score and the scores for all domains showed significant improvement after surgery: mean±SD; 28.01±9.09 (P<0.001). Post-operative Brouillette score had a significant improvement: mean±SD; -3.57±0.91 (P<0.001).
  
  
  CONCLUSIONS
  Considering the OSA-18 survey and Brouillete score results, surgical therapy with adenotonsillectomy is associated with marked improvement in quality of life in both obstructive and infective adenotonsillar disease.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran; Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran; Rhinology Research Society, Iran.
authors.forename: Naraghi
authors.initials: N
authors.lastname: Mohsen
authors.affiliation: Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Adil
authors.initials: A
authors.lastname: Susan
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran; Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: shahinbastani@razi.tums.ac.ir.
authors.forename: Bastaninejad
authors.initials: B
authors.lastname: Shahin
authors.affiliation: Department of Community Medicine, Tehran University of Medical Sciences, Iran.
authors.forename: Dabiran
authors.initials: D
authors.lastname: Soheila
mesh_terms: D000233:Adenoidectomy / Q000379:methods* / Q000523:psychology; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007492:Iran; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012890:Sleep; D012891:Sleep Apnea Syndromes / Q000601:surgery*; D011795:Surveys and Questionnaires; D014068:Tonsillectomy / Q000379:methods* / Q000523:psychology; D016896:Treatment Outcome
keywords: Adenotonsillectomy; Brouillette score; OSA-18 survey; Sleep related quality of life