Impact of adenoidectomy or adenotonsillectomy on paediatric quality of life using obstructive sleep apnoea - 18 questionnaire

Abstract

<p class="abstract"><strong>Background:</strong> Recurrent adeno-tonsillitis can lead to problems of secretory otitis media/OSA/sinusitis and thus adenotonsillectomy is one of the most frequent done surgery in children. The present study aimed to evaluate the impact of adenoidectomy or adenotonsillectomy on the quality of life of children using obstructive sleep apnoea- 18 score.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in the Department of Otorhinolaryngology, Head and Neck Surgery at Ananta Institute of Medical Science, Rajsamand between January 2017 to December 2019. A total of 60 patients of age group 4 to 15 years were included in study who were undergoing adenoidectomy or adenotonsillectomy. All patients were evaluated by using ‘obstructive sleep apnea - 18’ (OSA-18) preoperatively and 6 months post- operative period for impact on quality of life on children after surgery. </p><p class="abstract"><strong>Results:</strong> 60 children with a mean age of 8.6 years were evaluated. The most frequent indication for surgery was recurrent adeno-tonsillitis and obstructive sleep apnoea for adenoid hypertrophy. The total mean score of initial OSA-18 was 85.34, following surgery at 6 months, the total mean score was reduced to 31.23 (p value <0.001). Similarly, there was reduction in mean score of individual domains after surgery which was statically significant (p<0.001).</p><p class="abstract"><strong>Conclusions:</strong> Our study concludes that on evaluation of children with adenoid hypertrophy using OSA-18 pre-operative and 6 months post-operative period, showed adenoidectomy or adenotonsillectomy has positive impact on paediatric quality of life.</p>