Sefair LR1 , Correia Lima M1 , Lima Nascimento MF1 , Cangussu Brito TR1 , Rodrigues-Machado M2 and Rossi Monteiro EM1 *
1Department of Otorhinolaryngology, Felicio Rocho Hospital, Brazil 2Postgraduate program on Health Sciences - Ciências Médicas de Minas Gerais, Belo Horizonte/MG, BrazilFulltext PDF
Background: This study aims to assess the impact of the adenotonsillectomy on quality of life of children with obstructive sleep-disordered breathing and compare the impact of obstructive sleepdisordered breathing and surgery on quality of life among children categorized in low weight/ eutrophic and overweight/obese. Materials and Methods: Interventional prospective study with 35 children (6.0 ± 2.0 years old) with obstructive sleep-disordered breathing and indication of adenotonsillectomy. Quality of life was assessed by the questionnaires PedsQL 4.0 and OSA-18, before and after 30 to 60 days of surgery. Results: The total and domains scores of the PedsQL 4.0 (75.0 ± 15.1 vs. 83.7 ± 13.1, p<0.01) and the OSA-18 (69.6 ± 21.7 vs. 31.8 ± 0.6, p<0.01) significantly improved after adenotonsillectomy. The overweight/obese group's physical score of PedsQL 4.0 (70.6 ± 20.5) was significantly lower than the low weight/eutrophic group (85.8 ± 15.1, p=0.017). After adenotonsillectomy, the total and the domains scores of this questionnaire did not differ between groups. In the OSA-18, the overweight/ obese group (19.7 ± 3.2) presented worse scores in the domain parent’s concern compared to the low weight/eutrophic group (14.9 ± 7.7, p=0.031). After surgery, the low weight/eutrophic and overweight/obese groups’ physical suffering scores were, respectively, 8.1 ± 3.3 and 5.5 ± 2.2, p=0.012. Conclusion: This study confirms improvement on quality of life of patients with obstructive sleepdisordered breathing submitted to adenotonsillectomy, assessed by the PedsQL 4.0 and the OSA-18. It extends the areas of knowledge by revealing change in severity category in the OSA-18 from 93.3% moderate-severe to 100% mild in the overweight/obese group, and from 55% moderate-severe to 90% mild in the low weight/eutrophic group.
Obstructive sleep apnea; Quality of life; Obesity; Tonsillectomy; Child
Sefair LR, Correia Lima M, Lima Nascimento MF, Cangussu Brito TR, Rodrigues-Machado M, Rossi Monteiro EM. Impact of Adenotonsillectomy on the Quality of Life of Children with Obstructive Sleep - Disordered Breathing. Am J Otolaryngol Head Neck Surg. 2022;5(6):1195.