Impact of adenotonsillectomy on the quality of life of patients operated on at the Hospital de Clínicas, Paraguay
Main Article Content
Abstract
The objective of this study is to determine the impact of adenotonsillectomy on the quality of life of postoperative patients.The study is observational, cross-sectional, and retrospective. The files of all postoperative adenotonsillectomy patients in Otorhinolaryngology Service, Hospital de Clínicas, San Lorenzo Paraguay. The Obstructive sleep apnea – 18 questionnaire (OSA 18) was applied, asking patients about symptoms before and after surgery. An effective sample of 143 postoperative patients was obtained. The average age was 6.05 ± 2.08 years, 55.10% (81) were male and 44.89% (66) were female, 65.30% (96) were from urban areas and 34.69% (51) from the rural areas. The t test was performed for means of two paired samples, comparing the results of the Obstructive sleep apnea – 18 questionnaire surveys before and after surgery which presented a significant difference (p <0.05) with a tendency to improve the quality of life after surgery. It has been shown that there is a significant difference, a considerable improvement in the quality of life of patients after adenotonsillectomy.
References
Chervin, R. D. et al. (2006) “Sleep-disordered breathing, behaviour, and cognition in children before and after adenotonsillectomy,” Pediatrics, 117(4). https://doi.org/10.1542/peds.2005-1837
Chiner, E. et al. (2016) “Adaptación y validación al espa nol infantil,” 52(11), pp. 553–559.
Del, F. et al. (2002) “Fisiopatología del anillo waldeyer.,” Seorl-Pcf, 1, pp. 1–15.
Ericsson, E., Lundeborg, I. and Hultcrantz, E. (2009) “Child behavior and quality of life before and after tonsillotomy versus tonsillectomy,” International Journal of Pediatric Otorhinolaryngology, 73(9), pp. 1254–1262. https://doi.org/10.1016/j.ijporl.2009.05.015
Fehrm, J. et al. (2020) “Effectiveness of Adenotonsillectomy vs Watchful Waiting in Young Children with Mild to Moderate Obstructive Sleep Apnea: A Randomized Clinical Trial,” JAMA Otolaryngology - Head and Neck Surgery, pp. 1–8.
https://doi.org/10.1001/jamaoto.2020.0869
Franco, R. A., Rosenfeld, R. M. and Rao, M. (2000) “Quality of Life for Children with Obstructive Sleep Apnea,” Otolaryngology–Head and Neck Surgery, 123(1), pp. 9–16. https://doi.org/10.1067/mhn.2000.105254
Garetz, S. L. et al. (2015) “Quality of life and obstructive sleep apnea symptoms after pediatric adenotonsillectomy,” Pediatrics, 135(2), pp. e477–e486. https://doi.org/10.1542/peds.2014-0620
Marcus, C. L. et al. (2013) “A randomized trial of adenotonsillectomy for childhood sleep apnea,” New England Journal of Medicine, 368(25), pp. 2366–2376. https://doi.org/10.1056/NEJMoa1215881
Mitchell, R. B. and Kelly, J. (2005) “Quality of life after adenotonsillectomy for SDB in children,” Otolaryngology - Head and Neck Surgery, 133(4), pp. 569–572. https://doi.org/10.1016/j.otohns.2005.05.040
Mitchell, R. B. and Kelly, J. (2007) “Behavioral changes in children with mild sleep-disordered breathing or obstructive sleep apnea after adenotonsillectomy,” Laryngoscope, 117(9), pp. 1685–1688. https://doi.org/10.1097/MLG.0b013e318093edd7
Mullol, J., Maurer, M. and Bousquet, J. (2008) “Sleep and allergic rhinitis,” Journal of Investigational Allergology and Clinical Immunology, 18(6), pp. 415–419.
Pomerantz, J. (no date) “Management of Persistent Obstructive Sleep Apnea after Adenotonsillectomy". https://doi.org/10.3928/00904481-20160329-01
Rana, M. et al. (2020) “Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review,” Sleep Disorders, 2020, pp. 1–11. https://doi.org/10.1155/2020/7987208
Royer F, M. et al. (2006) “Calidad de vida pre y posadenoamigdalectomía en pacientes pediátricos,” Revista de otorrinolaringología y cirugía de cabeza y cuello, 66(3), pp. 191–198. https://doi.org/10.4067/s0718-48162006000300004
Trachsel, D. and Datta, A. N. (2019) “Sleep-disordered breathing in childhood,” Praxis, 108(2), pp. 97–102.
https://doi.org/10.1024/1661-8157/a003162
Zhao, G. et al. (2018) “The predictive value of polysomnography combined with quality of life for treatment decision of children with habitual snoring related to adenotonsillar hypertrophy,” European Archives of Oto-Rhino-Laryngology. Springer Berlin Heidelberg, 275(6), pp. 1579–1586. https://doi.org/10.1007/s00405-018-4984-6