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European Archives of Oto-Rhino-Laryngology

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01-09-2020 | Sleep Apnea | Miscellaneous

Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children

Authors: Avishai Stahl, Or Dagan, Benny Nageris, Yaniv Ebner

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2020

Abstract

Purpose

To evaluate the safety and outcomes of adenoidectomy for the treatment of sleep disordered breathing (SDB) in infants up to 12 months of age as compared to children ages 13–72 months

Methods

A retrospective analysis was performed by reviewing the medical records of children who underwent adenoidectomy from 2005 to 2018. The data of older age groups were also collected for comparison. The patients were divided into three groups: up to 12 months (infants), 13–36 months (toddlers) and 37–72 months (preschool). The data were collected from electronic medical records and from a telephone survey based on a modified version of the OSA-18 questionnaire. Postoperative complications, and short and long-term outcomes were compared.

Results

Twenty-one patients met the inclusion criteria for the main study group (infants). They were compared with forty-four toddlers and thirty-two preschoolers. Among the infants, four (19%) needed additional surgical intervention, none of the toddlers and four (12.5%) preschoolers. There were no differences in subjective outcomes between age groups (p = 0.365) in the first year after surgery. One year after surgery, outcomes remained similar in all age groups (p = 0.302) with regard to SDB, but subjective improvements in mouth breathing and nasal discharge were better among the older children (p = 0.011 and p = 0.012), respectively.

Conclusion

The outcomes of adenoidectomy for the treatment of SDB in infants up to 12 months of age is similar to children ages 13–72 months.

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Title: Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children
Authors: Avishai Stahl
Or Dagan
Benny Nageris
Yaniv Ebner
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Keywords: Sleep Apnea
Snoring
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06047-y

At a glance: The STEP trials

Springer Medicine

Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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