Obesity and Persisting Sleep Apnea After Adenotonsillectomy in Greek Children

摘要: Background The relative importance of obesity and adenotonsillar hypertrophy in the pathogenesis obstructive sleep-disordered breathing (SDB) childhood is unclear. Adenotonsillectomy (AT) for SDB not always curative, obese children are at increased risk residual disease postoperatively. Objective aim this investigation was to assess efficacy AT as treatment nonobese children. Methods Children with adenoidal and/or tonsillar who underwent polysomnography preoperatively A body mass index (BMI) z score > 1.645 used define obesity. achievement a postoperative apnea-hypopnea (OAHI) less than one episode per hour ( ie , cure SDB) primary outcome measure. Results Twenty-two (mean [± SD] age, 5.8 ± 1.8 years; mean BMI score, 2.6 0.8; OAHI, 9.5 9.7 episodes hour) 48 6.9 0.09 1.1; 6 5.4 were recruited. After surgery, subjects did differ (postoperative OAHI hour, 22.7% vs 25% subjects, respectively; p 0.05). presence obesity, or hypertrophy, gender, change significant predictors cure. Conclusions Obesity does necessarily predict an unfavorable SDB.