Outcomes and quality of life following adenotonsillectomy for sleep-disordered breathing in children

Ron B. Mitchell, James Kelly

Research output: Contribution to journalReview article

34 Scopus citations

Abstract

Purpose: To summarize current knowledge of the outcome of adenotonsillectomy (T&A) for the treatment of sleep-disordered breathing (SDB) in children. Results: The success rate of T&A for SDB as measured on the basis of objective criteria using polysomnography ranges from 79 to 92%. Dramatic improvements in quality of life after T&A for SDB have been shown in a number of studies and these improvements are maintained up to 2 years after surgery. Significant improvements that are maintained in the long term are also seen in behavioral and neurocognitive parameters following T&A for SDB. Not surprisingly, total health care costs are reduced by one third following T&A mostly because of a reduction in upper respiratory tract infections. Conclusions: T&A is associated with improvements in polysomnography, behavior and quality of life in children with SDB. Improved health in these children leads to a reduction in health care utilization.

Original languageEnglish (US)
Pages (from-to)345-348
Number of pages4
JournalORL
Volume69
Issue number6
DOIs
StatePublished - Nov 1 2007

Keywords

  • Polysomnography
  • Quality of life
  • Sleep-disordered breathing
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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