Rola adenotonsilektomii u dzieci z zespołem obturacyjnego bezdechu sennego (OSAS) i związane z nią zaburzenia behawioralne
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 4
Abstract
Aim: The main aim of this study was to assess the presence of behavioural disturbances in child with OSAS before and after adenotonsillectomy (AT). Background: In children adenotonsillar hypertrophy is associated with increased probability of OSAS. Children with OSAS present neurobehavioral disorders like attention deficit and hyperactivity, learning disabilities and daily attitudes due to excessive sleepiness. Materials and methods: 195 consecutive young patients suffering from OSAS and recurrent throat infections (control group) underwent AT. All underwent clinical evaluation, polysomnography, Behaviour Assessment System for Children questionnaire (BASC-2), for parents evaluation of behavioural disturbances and nasal functionality tests (before and 6 months after surgery). Results: Snoring and nocturnal apnoea were no more present in almost all. In OSAS group before AT 12 children were normal, 4 children were borderline and 2 were clinically significant at the BASC-2. After AT 16 children were normal, 2 children were borderline and none was clinically significant according to the same questionnaire. In the control group 9 children were normal and 1 was borderline both before and after AT. Conclusion: Adenoids/tonsils hypertrophy and nasal hypoventilation are frequent causes of snoring and OSAS. AT improves significantly both snoring/apnoeas and OSAS children's behavioural disturbances. Polysomnography cannot be carried out routinely due to the lack of specialised centres and because of its excessive cost. Nasal functionality tests can be useful for the differential diagnosis between sleep apnoea syndrome and other noises.
Authors and Affiliations
Desiderio Passali, Francesco Passali, Jacopo Cambi, Luisa Bellussi
Keywords
Related Articles
- EP ID EP52190
- DOI -
- Views 103
- Downloads 0
Metastases to the parotid gland and parotid region
Introduction: Among the malignant tumors found within the parotid gland, the primary tumors, as well as a metastatic tumors may be found. Aim: Epidemiological and clinical characteristic, and preliminary assessment of tr...
Importance of donor site vascular imaging in free fibula flap reconstruction
SUMMARY Introduction: Free fibula flap is widely used in head and neck reconstruction. Imaging studies of the donor site can reveal vascular abnormalities and therefore prevent acute leg ischemia. Aim: Evaluation of the...
Evaluation of fully biodegradable nasal packings in functional endoscopic sinus surgery – a multi-centre study
The aim: This work was to compare an innovative solution, i.e. a fully biodegradable nasal packing Nasopore®, with a traditional one, in the aftercare of patients subjected to functional endoscopic sinus surgery.Material...
Head and neck tuberculosis — stili current problem in ENT practice
SUMMARY Introduction: It is estimated that between XVI and XIX century one fourth of European population died of tuberculosis. Nowadays tuberculosis is stili one of the most important infectious diseases. In 2009 estimat...
Nowotworowe komórki macierzyste w rakach głowy i szyi
Recent studies have demons trated that cancer stem cells (CSC) play an important role in the pathobiology of head and neck squamous cell carcinomas (HNSCC). This subpopulation of undifferen tiated, self-renewing cells is...