Skip to main content
Top
Published in:

Open Access 16-01-2024 | Sleep Apnea | Head and Neck

Central and mixed apneas in children with obstructive sleep apnea: effect of adenotonsillectomy

Authors: Joselina Antunes, João Carvalho, Carolina Marinho, Sofie Vanderpoorten, Cristina Adónis, Filipe Freire

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2024

Login to get access

Abstract

Purpose

Investigate the effect of adenotonsillectomy on mixed apnea index (MAI) and central apnea index (CAI) in children with moderate-to-severe obstructive sleep apnea syndrome (OSAS).

Methods

Observational retrospective analysis of polysomnographic data in children diagnosed with moderate-to-severe OSAS and without comorbidity, submitted to adenotonsillectomy.

Results

Data were available for 80 children, 55 boys and 25 girls, with a median age of 3.6 years (2.1–5.9). Before surgery AHI was 14.1 (11.0–18.4) per hour, with a median preoperative OAI of 7.1 (4.1–10.6), MAI of 1.2 (0.6–1.6) and CAI of 1.0 (0.4–2.0). Adenotonsillectomy caused significant improvements in MAI, from 1.2 (0.6–1.6) to 0.5 (0.1–0.8) (p < 0.001) and CAI from 1.0 (0.4–2.0) to 0.5 (0.1–0.9) (p < 0.001). This represents a normalization of MAI in 91.7% and CAI in 75.6% of children that had an abnormal value prior surgery.

Conclusion

Non obstructive apneas are common in children with OSAS. Adenotonsillectomy caused significant decrease not only in OAI, but also in MAI and CAI in children with moderate-to-severe OSAS.
Literature
3.
go back to reference McLaren AT, Bin-Hasan S, Narang I (2019) Diagnosis, management and pathophysiology of central sleep apnea in children. Pediatr Respir Rev 30:49–57 McLaren AT, Bin-Hasan S, Narang I (2019) Diagnosis, management and pathophysiology of central sleep apnea in children. Pediatr Respir Rev 30:49–57
6.
go back to reference Ng DN, Chan CH (2013) A review of normal values of infant sleep polysomnography. Pediatr Neonatol 54:82–87CrossRefPubMed Ng DN, Chan CH (2013) A review of normal values of infant sleep polysomnography. Pediatr Neonatol 54:82–87CrossRefPubMed
11.
go back to reference The Report of an American Academy of Sleep Medicine Task Force (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999(22):667–689 The Report of an American Academy of Sleep Medicine Task Force (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999(22):667–689
16.
go back to reference Baldassari CM, Kepchar J, Bryant L et al (2012) Changes in central apnea index following pediatric adenotonsillectomy. Otolaryngol Head Neck Surg 1416:487–490CrossRef Baldassari CM, Kepchar J, Bryant L et al (2012) Changes in central apnea index following pediatric adenotonsillectomy. Otolaryngol Head Neck Surg 1416:487–490CrossRef
Metadata
Title
Central and mixed apneas in children with obstructive sleep apnea: effect of adenotonsillectomy
Authors
Joselina Antunes
João Carvalho
Carolina Marinho
Sofie Vanderpoorten
Cristina Adónis
Filipe Freire
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Keyword
Sleep Apnea
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-023-08442-7

Other articles of this Issue 6/2024

European Archives of Oto-Rhino-Laryngology 6/2024 Go to the issue