Abstract

The effect of Adenotonsillectomy in Intelligence Quotient in children with Obstructive Sleep Apnea

Highlights

  • Obstructive sleep apnea (OSA) in children is a disorder characterized by repeated and/or prolonged airway obstructions during sleep, in the form of apneas and hypopneas throughout the night (American Academy of Pediatrics, 2002)

  • The purpose of the present study was to evaluate the effect of adenotonsillectomy (AT) on the intelligence of children with Obstructive Sleep Apnea (OSA) due to adenoid hypertrophy

  • Quality or continuity of nighttime sleep may benefit (Mitchell et al, 2004). 60% of patients in this study had severe degree of hyponasal speech and 40% had moderate degree of hyponasal speech pre adenotonsillectomy but 8 months post AT only 4% of the patients had moderate hyponasal speech and 12 % had mild degree of hyponasal speech This improvement of the auditory perceptual assessment can be attributed to the get riding of the obstructive effect of adenoid on the posterior choana, prevalence of ETD to be significantly higher among infants with OSA, and concluded that surgical interventions can effectively reduce the need for further tympanostomy tube placement (Robison et al, 2012)

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Summary

Introduction

Obstructive sleep apnea (OSA) in children is a disorder characterized by repeated and/or prolonged airway obstructions during sleep, in the form of apneas (complete obstruction of airways resulting in the cessation of breathing) and hypopneas (reduced and labored breathing due to partially blocked airways) throughout the night (American Academy of Pediatrics, 2002). The most commonly identified risk factor for the childhood obstructive sleep apnea syndrome is adenotonsillar hypertrophy. The primary treatment is adenotonsillectomy (Bhattacharyya and Line., 2010). Children with SDB due to adenoid hypertrophy have behavior problems, intelligence quotient deficits, deficits of executive function, school performance problems, a high prevalence of abnormal neuropsychological diagnosis (Abdellatif et al, 2014). The purpose of the present study was to evaluate the effect of adenotonsillectomy (AT) on the intelligence of children with Obstructive Sleep Apnea (OSA) due to adenoid hyper-trophy

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