Adenopharyngoplasty vs Adenotonsillectomy in Children With Severe Obstructive Sleep Apnea: A Randomized Clinical Trial.

ABSTRACT:

Importance

Adenotonsillectomy (ATE) is the primary surgical method for treating obstructive sleep apnea (OSA) in children. However, children with severe OSA have an increased risk for residual OSA after ATE. Previous studies indicate that adenopharyngoplasty (APP), a modified ATE with closure of the tonsillar pillars, might improve the surgical outcome, but the overall evidence is weak.

Objective

To determine whether APP is more effective than ATE for treating severe OSA in otherwise healthy children.

Design, setting, and participants

A blinded randomized clinical trial was conducted at the otorhinolaryngology department at Karolinska University Hospital, Stockholm, Sweden. Eighty-three children, aged 2 to 4 years, with an obstructive apnea-hypopnea index (OAHI) score

SUBMITTER: Fehrm J 

PROVIDER: S-EPMC6145782 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature