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Quality of life assessment following adenotonsillectomy for obstructive sleep apnoea in children under three years of age

Published online by Cambridge University Press:  30 October 2012

R Mandavia ,
V Dhar ,
K Kapoor  and
A Rachmanidou
R Mandavia*
Affiliation:
Academic Surgery, North West Thames Foundation School, London, UK
V Dhar
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
K Kapoor
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
A Rachmanidou
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
*
Address for correspondence: Mr R Mandavia, Flat 114, St Mary's Mansions, St Mary's Terrace, London W2 1SZ, UK Fax: +44 (0)208 333 3188 E-mail: [email protected]
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Abstract

Aim:

To investigate the effects of adenotonsillectomy on the quality of life of children under three years of age with obstructive sleep apnoea. To our knowledge, there have been no previously published studies on this topic.

Method:

Thirty-nine children under three years of age and treated with adenotonsillectomy for obstructive sleep apnoea met the inclusion criteria. A quality of life questionnaire was adapted from the validated, six-item instrument developed by de Serres et al. (2000). The questionnaire assessed improvement in specific domains following adenotonsillectomy. Carers scored each domain on a point scale ranging from ‘none’ (0) to ‘couldn't be more’ (6).

Results:

The quality of life of all children improved after surgery. The greatest mean improvement scores were in the domains of care-giver concern, physical suffering and sleep disturbance. The modal questionnaire score was 4 and the overall mean questionnaire score was 4.2.

Conclusion:

Adenotonsillectomy provides measurable improvements in quality of life for children under three years of age with obstructive sleep apnoea.

Keywords

AdenoidectomyTonsillectomyQuality Of lifeObstructive Sleep ApnoeaChildren
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1241 - 1246
Copyright
Copyright © JLO (1984) Limited 2012

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