Navigation Links
Surgery improves quality of life for children with sleep apnea
Date:2/12/2008

ST. LOUIS For children who suffer from obstructive sleep apnea (OSA), a tonsillectomy and adenoidectomy can provide dramatic relief and is successful in solving sleep problems for 80 to 90 percent of children, a Saint Louis University study found.

The study is the largest to date that looks at how children with varying severities of OSA fare before and after they have surgery, using both preoperative and postoperative sleep studies. The study also looked at potential factors such as age and ethnicity that could affect the diagnosis of OSA and impact of the surgery.

Children who suffer from OSA stop breathing periodically throughout the night and snore very loudly. In normal weight children, the condition is caused by enlargement of the tonsils and adenoids that aggravate upper airway collapse during sleep, which disrupts normal breathing.

Obstructive sleep apnea has a considerable impact on childrens quality of life, similar to chronic asthma or rheumatoid arthritis says Ron Mitchell, M.D., professor of pediatric otolaryngology at Saint Louis University and the studys author. Our study has shown that surgery can have a profound positive effect on childrens lives.

OSA affects boys and girls equally. Approximately 2 to 4 percent of children ages 4 to 6 years old have OSA, although Mitchell suspects the number is probably actually higher because parents dont recognize or tell doctors about the problem.

All 79 children in the study showed significant improvement after the surgery, although some children had persistent OSA. The study found that the success of the surgery was directly related the preoperative severity of OSA.

The study defined resolution of OSA as experiencing less than five incidents of interrupted breathing throughout the course of a night. OSA was resolved in all children with mild preoperative OSA (five to nine incidents per night). For children with moderate preoperative OSA (10-19 incidents per night), 88 percent experienced resolution, while 64 percent of children with severe preoperative OSA (20 incidents or more) experienced resolution.

The results of the surgery were dramatic, even for children who had persistent OSA, Mitchell says. To go from having 40 or more incidents of interrupted breathing in a night to having only five or six that is a pretty remarkable improvement in their sleep that leads to a dramatic improvement in quality of life.

Because they do not sleep soundly, OSA can negatively affect childrens behavior, health, growth, attention, memory and classroom performance. OSA has also been linked to lower childhood IQ scores.

Not all children with sleep problems have behavioral issues before surgery, and not all behavioral problems resolve post-surgery, Dr. Mitchell emphasized. Children who score way outside normal parameters on behavioral measures benefit the most from surgery.

Obstructive sleep apnea has become a better recognized problem among children in recent years, Mitchell says. The sleep center at SSM Cardinal Glennon Childrens Medical Center, which is one of the largest sleep center dedicated exclusively for children in St. Louis, conducts approximately 600 sleep studies per year.

A sleep study monitors many body functions including brain, eye movements, muscle activity, heart rhythm and breathing during sleep. A sleep study is the only way to objectively measure OSA and is recommended by both the American Academy of Pediatrics and the American Thoracic Society prior to conducting a surgical procedure.

Michells research confirmed the need for preoperative sleep studies in selected children. Caregiver reports of symptoms they observed, such as snoring and restless sleep, did not correlate to the severity of OSA. In fact, the study found that only large tonsil size was related to the preoperative severity of OSA.

Mitchells research also showed the importance of postoperative follow up, especially for children who had severe OSA.

Even though OSA resolved in the overwhelming majority of children after the surgery, it is still crucial to identify and treat children with persistent OSA, Mitchell says. Otherwise these children will continue to experience the health, behavioral and learning problems associated with OSA.

Several options for treating persistent OSA exist, including: nasal steroids, allergy treatment, additional surgery or continuous positive airway pressure (CPAP) mask. Over time, some children who did not experience immediate resolution will normalize, Mitchell says. Children who are overweight must lose weight in conjunction with the surgery for a successful outcome.

Obese children and children with Downs syndrome or other genetic disorders that affect the craniofacial anatomy were excluded from the study because the rate of OSA is known to be higher.


'/>"/>

Contact: Sara Savat
ssavat@slu.edu
314-977-8018
Saint Louis University
Source:Eurekalert

Related medicine news :

1. One Surgery Often Enough for Peritonitis
2. Single-incision belly-button surgery to remove kidney performed first at UT Southwestern
3. Surgery for severe obesity saves lives
4. Some Epilepsy Patients Are Good Candidates for Surgery
5. Jefferson specialists studying innovative surgery for effectively treating sleep apnea
6. Hypnosis Eases Pain of Breast Cancer Surgery
7. PainCare Receives $14.4 Million in Cash From Completed Sale of South Florida Ambulatory Surgery Centers
8. Minimally Invasive Heart Surgery Research Wins N.I.H. Award
9. Cosmetic Surgery & Exotic Brazil
10. Small Incisions Make Heart Valve Surgery Safer
11. Accuray Receives FDA Clearance for New Dose Calculation Technique for Body Radiosurgery
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
(Date:6/24/2016)... Rhinebeck, NY (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of ... of companies that call for a minimum wage raise to $12 an hour by 2020 ... wage. This will restore the lost value of the minimum wage, assure the wage floor ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
(Date:6/24/2016)... ... 24, 2016 , ... Puradigm® & Innovative Solutions today announced ... and processing operations at its production facility, and opened its first two dispensaries ... manufacturer of a complete system of proactive air and surface purification solutions for ...
(Date:6/24/2016)... ... ... recruitment firm Slone Partners is pleased to announce the placement of Suzanne ... of North American Capital Sales at HTG Molecular . , In ... commercialization of the HTG EdgeSeq system and associated reagents in North America. , Headquartered ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016  In a startling report released today, ... residents by lacking a comprehensive, proven plan to eliminate prescription opioid ... ranking of how states are tackling the worst drug crisis in ... states – Kentucky , New Mexico ... . Of the 28 failing states, three – ...
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)... , June 23, 2016  Guerbet announced today that ... Supplier Horizon Award . One of ... was recognized for its support of Premier members through ... clinical excellence, and commitment to lower costs. ... this recognition of our outstanding customer service from Premier," ...
Breaking Medicine Technology: