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- Title
Impact of Adenotonsillectomy on Behavior in Children With Sleep-Disordered Breathing.
- Authors
Hsueh-Yu Li
- Abstract
OBJECTIVES/HYPOTHESIS:: Children with sleep-disordered breathing may experience behavioral and learning problems such as inattentiveness and hyperactivity. The aim of this study was to measure the impact of adenotonsillectomy on sleep-related adverse events and behavioral problems in children with sleep-disordered breathing.METHOD:: This prospective and interventional study enrolled 40 sleep-disordered breathing children (mean age, 8.4 ± 1.6 years) with hypertrophic tonsils and adenoids. All patients completed two polysomnographies, tests of variables of attention (TOVAs), and Child Behavior Checklists, one at baseline and the other 6 months after adenotonsillectomy.RESULTS:: The apnea–hypopnea index (P < .001), TOVA scores (P < .001), and 8 of 9 individual domains of the Child Behavior Checklist scores (P < .05) significantly improved after surgery. However, the change in the apnea–hypopnea index was not negatively correlated with TOVA score (r = −0.17, P = .38).CONCLUSION:: Adenotonsillectomy could significantly improve behavior (TOVA) scores, but the improvement may not simply be attributable to changes in sleep apnea events.
- Subjects
SLEEP disorders in children; BEHAVIOR disorders in children; ADENOIDS; SLEEP disorders
- Publication
Laryngoscope, 2006, Vol 116, Issue 7, p1142
- ISSN
0023-852X
- Publication type
Article