Children with severe or moderate obstructive sleep apnoea syndrome show a high incidence of persistence after adenotonsillectomy

Mitsuhiko Tagaya, Seiichi Nakata, Fumihiko Yasuma, Ron B. Mitchell, Fumihiko Sasaki, Soichiro Miyazaki, Mami Morinaga, Hironao Otake, Masaaki Teranishi, Tsutomu Nakashima

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Conclusion: Persistent obstructive sleep apnoea syndrome (OSAS) occurs in approximately 20% of normal-weight children after adenotonsillectomy (T&A) and, in nearly 70% of them, it is caused by adenoid regrowth. Patients with severe or moderate OSAS showed a high incidence of persistent disease even after T&A. Allergic disease, severity and large adenoid size are associated with adenoid regrowth and persistent disease. Objectives: To investigate factors contributing to persistent OSAS and adenoid regrowth after T&A in normal-weight children. Methods: This was a prospective, observational study at a single institute and involved 49 normal-weight children with severe or moderate OSAS (apnoeahypopnoea index, AHI, ≥ 5) who underwent T&A. Background information, nasal endoscopic data and pre- and postoperative polysomnographic data were collected. A third polysomnography (PSG) was performed 1.5 year postoperatively in children who subsequently developed symptoms of sleep disturbance. Results: Thirteen children (27%, 13/49) were symptomatic 1.5 years after T&A. Allergic rhinitis (38.5% vs 11.1%, p 0.03) and allergic disease (69.2% vs 30.6%, p 0.02) were seen more frequently in these children. A third PSG confirmed persistent disease (AHI ≥ 5) in nine children (18.4%, 9/49). Six children (12.2%, 6/49) were diagnosed as having adenoid regrowth and three (6.1%, 3/49) underwent revision adenoidectomy.

Original languageEnglish (US)
Pages (from-to)1208-1214
Number of pages7
JournalActa Oto-Laryngologica
Volume132
Issue number11
DOIs
StatePublished - Nov 2012

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Obstructive Sleep Apnea
Adenoids
Incidence
Polysomnography
Weights and Measures
Adenoidectomy
Nose
Observational Studies
Sleep
Prospective Studies

Keywords

  • Adenoid regrowth
  • Allergic disease
  • Allergic rhinitis
  • Nasal endoscopy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Children with severe or moderate obstructive sleep apnoea syndrome show a high incidence of persistence after adenotonsillectomy. / Tagaya, Mitsuhiko; Nakata, Seiichi; Yasuma, Fumihiko; Mitchell, Ron B.; Sasaki, Fumihiko; Miyazaki, Soichiro; Morinaga, Mami; Otake, Hironao; Teranishi, Masaaki; Nakashima, Tsutomu.

In: Acta Oto-Laryngologica, Vol. 132, No. 11, 11.2012, p. 1208-1214.

Research output: Contribution to journalArticle

Tagaya, M, Nakata, S, Yasuma, F, Mitchell, RB, Sasaki, F, Miyazaki, S, Morinaga, M, Otake, H, Teranishi, M & Nakashima, T 2012, 'Children with severe or moderate obstructive sleep apnoea syndrome show a high incidence of persistence after adenotonsillectomy', Acta Oto-Laryngologica, vol. 132, no. 11, pp. 1208-1214. https://doi.org/10.3109/00016489.2012.695088
Tagaya, Mitsuhiko ; Nakata, Seiichi ; Yasuma, Fumihiko ; Mitchell, Ron B. ; Sasaki, Fumihiko ; Miyazaki, Soichiro ; Morinaga, Mami ; Otake, Hironao ; Teranishi, Masaaki ; Nakashima, Tsutomu. / Children with severe or moderate obstructive sleep apnoea syndrome show a high incidence of persistence after adenotonsillectomy. In: Acta Oto-Laryngologica. 2012 ; Vol. 132, No. 11. pp. 1208-1214.
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abstract = "Conclusion: Persistent obstructive sleep apnoea syndrome (OSAS) occurs in approximately 20{\%} of normal-weight children after adenotonsillectomy (T&A) and, in nearly 70{\%} of them, it is caused by adenoid regrowth. Patients with severe or moderate OSAS showed a high incidence of persistent disease even after T&A. Allergic disease, severity and large adenoid size are associated with adenoid regrowth and persistent disease. Objectives: To investigate factors contributing to persistent OSAS and adenoid regrowth after T&A in normal-weight children. Methods: This was a prospective, observational study at a single institute and involved 49 normal-weight children with severe or moderate OSAS (apnoeahypopnoea index, AHI, ≥ 5) who underwent T&A. Background information, nasal endoscopic data and pre- and postoperative polysomnographic data were collected. A third polysomnography (PSG) was performed 1.5 year postoperatively in children who subsequently developed symptoms of sleep disturbance. Results: Thirteen children (27{\%}, 13/49) were symptomatic 1.5 years after T&A. Allergic rhinitis (38.5{\%} vs 11.1{\%}, p 0.03) and allergic disease (69.2{\%} vs 30.6{\%}, p 0.02) were seen more frequently in these children. A third PSG confirmed persistent disease (AHI ≥ 5) in nine children (18.4{\%}, 9/49). Six children (12.2{\%}, 6/49) were diagnosed as having adenoid regrowth and three (6.1{\%}, 3/49) underwent revision adenoidectomy.",
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AU - Tagaya, Mitsuhiko

AU - Nakata, Seiichi

AU - Yasuma, Fumihiko

AU - Mitchell, Ron B.

AU - Sasaki, Fumihiko

AU - Miyazaki, Soichiro

AU - Morinaga, Mami

AU - Otake, Hironao

AU - Teranishi, Masaaki

AU - Nakashima, Tsutomu

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N2 - Conclusion: Persistent obstructive sleep apnoea syndrome (OSAS) occurs in approximately 20% of normal-weight children after adenotonsillectomy (T&A) and, in nearly 70% of them, it is caused by adenoid regrowth. Patients with severe or moderate OSAS showed a high incidence of persistent disease even after T&A. Allergic disease, severity and large adenoid size are associated with adenoid regrowth and persistent disease. Objectives: To investigate factors contributing to persistent OSAS and adenoid regrowth after T&A in normal-weight children. Methods: This was a prospective, observational study at a single institute and involved 49 normal-weight children with severe or moderate OSAS (apnoeahypopnoea index, AHI, ≥ 5) who underwent T&A. Background information, nasal endoscopic data and pre- and postoperative polysomnographic data were collected. A third polysomnography (PSG) was performed 1.5 year postoperatively in children who subsequently developed symptoms of sleep disturbance. Results: Thirteen children (27%, 13/49) were symptomatic 1.5 years after T&A. Allergic rhinitis (38.5% vs 11.1%, p 0.03) and allergic disease (69.2% vs 30.6%, p 0.02) were seen more frequently in these children. A third PSG confirmed persistent disease (AHI ≥ 5) in nine children (18.4%, 9/49). Six children (12.2%, 6/49) were diagnosed as having adenoid regrowth and three (6.1%, 3/49) underwent revision adenoidectomy.

AB - Conclusion: Persistent obstructive sleep apnoea syndrome (OSAS) occurs in approximately 20% of normal-weight children after adenotonsillectomy (T&A) and, in nearly 70% of them, it is caused by adenoid regrowth. Patients with severe or moderate OSAS showed a high incidence of persistent disease even after T&A. Allergic disease, severity and large adenoid size are associated with adenoid regrowth and persistent disease. Objectives: To investigate factors contributing to persistent OSAS and adenoid regrowth after T&A in normal-weight children. Methods: This was a prospective, observational study at a single institute and involved 49 normal-weight children with severe or moderate OSAS (apnoeahypopnoea index, AHI, ≥ 5) who underwent T&A. Background information, nasal endoscopic data and pre- and postoperative polysomnographic data were collected. A third polysomnography (PSG) was performed 1.5 year postoperatively in children who subsequently developed symptoms of sleep disturbance. Results: Thirteen children (27%, 13/49) were symptomatic 1.5 years after T&A. Allergic rhinitis (38.5% vs 11.1%, p 0.03) and allergic disease (69.2% vs 30.6%, p 0.02) were seen more frequently in these children. A third PSG confirmed persistent disease (AHI ≥ 5) in nine children (18.4%, 9/49). Six children (12.2%, 6/49) were diagnosed as having adenoid regrowth and three (6.1%, 3/49) underwent revision adenoidectomy.

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KW - Allergic disease

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KW - Nasal endoscopy

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