Quality of life following surgery for sleep disordered breathing: subtotal reduction adenotonsillectomy versus adenotonsillectomy in Australian children

Wood, John M., Harris, Penelope K., Woods, Charmaine M., Mclean, Sarah C., Esterman, Adrian, and Carney, A. Simon (2011) Quality of life following surgery for sleep disordered breathing: subtotal reduction adenotonsillectomy versus adenotonsillectomy in Australian children. ANZ Journal of Surgery, 81 (5). pp. 340-344.

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Abstract

Background: Adenotonsillectomy (AT) is indicated for children with obstructive sleep disordered breathing; however it has associated well-documented morbidity. A subtotal reduction AT has made a resurgence overseas, given a significantly reduced morbidity. This study hypothesized that full AT would provide a greater improvement in quality of life (QOL) when compared with a subtotal reduction AT (SRAT) in children with obstructive sleep disordered breathing.

Methods: This cohort study used a single surgeon consecutive series of 181 children from the database of the senior author (ASC) following full AT (n= 118) or SRAT (n= 63). QOL was measured by the Glasgow Children's Benefit Inventory (GCBI), which was mailed to parents 3 months to 2 years post-operatively.

Results: Ninety-one of the 155 (59%) questionnaires were returned. There was an increase in QOL for children following AT (GCBI Total =+41.5) and SRAT (GCBI Total =+49.5). A significant increase in QOL was noted for all four domains of the GCBI. The GCBI total and four domains had no statistically significant difference in the improvement of scores by the two surgical groups.

Conclusion: In this study, an SRAT provides identical post-operative QOL outcomes to full AT when performed for sleep disordered breathing in children. This adds to the evidence that in the absence of infective episodes, SRAT can be considered as a lower risk alternative to full AT.

Item ID: 50820
Item Type: Article (Research - C1)
ISSN: 1445-2197
Keywords: pediatrics; quality of life; sleep disordered breathing; tonsillectomy
Additional Information:

This paper was presented at the Annual Scientific Meeting of the Australian Society of Otolaryngology Head and Neck Surgery, Gold Coast, Queensland, Australia, 23-27 November 2009

Date Deposited: 24 Sep 2017 22:41
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110399 Clinical Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 100%
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