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- Title
The role of rigid laryngo-tracheo-bronchoscopy in children with obstructive sleep apnoea: a case series of 65 children.
- Authors
Dritsoula, Aikaterini; Clarke, Raymond; Hatziagorou, Elpis; Triaridis, Stefanos; Talimtzi, Persefoni; Elphick, Heather
- Abstract
Objective: To assess the role of laryngo-tracheo-bronchoscopy in children with obstructive sleep apnoea by identifying airway abnormalities at surgery, that occur separately or in addition to adenotonsillar hypertrophy, and examining the correlation with respiratory parameters. Methods: A retrospective study was conducted of children with obstructive sleep apnoea who underwent laryngo-tracheo-bronchoscopy intra-operatively, performed by a single ENT surgeon from February 2016 to July 2019. Pre- and post-operative minimum oxygen saturation, apnoea-hypopnoea index, and oxygen desaturation index were recorded. Results: Sixty-five children were identified; 34 were aged less than three years and 31 were aged three years or more. 77 per cent and 13 per cent respectively had an airway abnormality; the t -test showed a significantly higher mean oxygen desaturation index and lower mean minimum oxygen saturation pre-operatively compared to children without an airway abnormality. Conclusion: An update of the surgical pathway for children aged less than three years with obstructive sleep apnoea is required to include laryngo-tracheo-bronchoscopy intra-operatively. A t -test analysis of the pre-operative respiratory parameters suggests that airway abnormalities contribute to obstructive sleep apnoea severity.
- Subjects
RISK assessment; OXYGEN saturation; T-test (Statistics); RESPIRATION; QUESTIONNAIRES; RETROSPECTIVE studies; DESCRIPTIVE statistics; LARYNGOSCOPY; HYPERTROPHY; PRE-tests &; post-tests; SLEEP apnea syndromes; ADENOIDS; BRONCHOSCOPY; AIRWAY (Anatomy); TONSILS; CASE studies; DISEASE risk factors; CHILDREN
- Publication
Journal of Laryngology & Otology, 2024, Vol 138, Issue 6, p679
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215123002116