Long-term changes in behavior after adenotonsillectomy for obstructive sleep apnea syndrome in children

Ron B. Mitchell, James Kelly

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

OBJECTIVE: To study long-term changes in behavior after adenotonsillectomy for obstructive sleep apnea syndrome (OSAS) in children. DESIGN AND SETTING: Prospective study at the University of New Mexico Children's Hospital, Albuquerque, NM. METHODS: Children with polysomnography-proven OSAS underwent adenotonsillectomy. The Behavior Assessment System for Children (BASC) was completed before surgery, within 6 months and 9 to 18 months after surgery. Scores were compared using a paired t test. A P value ≤0.05 was considered significant. RESULTS: The study population included 23 children. Preoperative mean BASC T scores were >50. Children showed significant improvement after adenotonsillectomy in aggression, atypicality, depression, hyperactivity, and somatization within 6 months and 9 to 18 months after surgery (P ≤ 0.05). The differences within 6 months and 9 to 18 months after surgery were not statistically significant. CONCLUSIONS: Caregivers report abnormalities in the behavior of children with OSAS. Behavioral abnormalities improve significantly after adenotonsillectomy and are maintained in the long-term. EBM rating: C-4

Original languageEnglish (US)
Pages (from-to)374-378
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume134
Issue number3
DOIs
StatePublished - Mar 1 2006

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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