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Presidential keynote address and new research highlights from the American Society of Pediatric Otolaryngology meeting
Date:4/10/2012

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Speaker: Dylan Chan, MD
Date: Saturday, April 21, 2012
Time: 11:00 11:07am

San Diego, CA Lingual tonsillar hypertrophy and occult laryngomalacia are two important causes of residual obstructive sleep apnea syndrome (OSAS) after adenotonsillectomy.

"The goal of this research study was to evaluate the effect of obesity and medical comorbidities on outcomes after lingual tonsillectomy and supraglottoplasty performed for obstructive sleep apnea syndrome (OSAS) caused by lingual tonsillar hypertrophy and occult laryngomalacia," said Dylan Chan, MD.

Study results 82 children with persistent OSAS after adenotonsillectomy who underwent either lingual tonsillectomy (N = 58), supraglottoplasty (N = 16) or both (N = 8). Compared to children with lingual tonsillar hypertrophy, children with occult laryngomalacia were younger, half as likely to be obese, and twice as likely to have a medical comorbidity. Overall, both operations significantly improved the apnea-hypopnea index (AHI); however, children with comorbidities had significantly higher post-operative AHI after supraglottoplasty than those without, and obese children had significantly higher post-operative AHI after lingual tonsillectomy than those of normal weight. Post-operative AHI had a direct, though weak correlation with BMI among children undergoing lingual tonsillectomy. In contrast, comorbidities and obesity had no statistically significant effect on outcomes after lingual tonsillectomy and supraglottoplasty, respectively.

In conclusion, Lingual tonsillar hypertrophy and occult laryngomalacia are two important causes of residual OSAS after adenotonsillectomy. However, they tend to affect distinct populations of children, and though appropriate surgical correction can improve AHI, cure rates are significantly worse for obese children undergoing lingual tonsillectomy and for children with medical comorbidities undergoing supraglottoplasty.

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Contact: Mary Stewart
mstewart@entnet.org
703-535-3762
American Academy of Otolaryngology - Head and Neck Surgery
Source:Eurekalert

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