PRACTICA OTO-RHINO-LARYNGOLOGICA

Vol. 100  No. 1  January  2007

Power-Assisted Partial Adenoidectomy (PAPA) with Total 
Tonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome

Masahiro Kawamoto, Ryuichi Mochizuki, Keisuke Yamamoto and Mitsutaka Taniguchi
(Osaka Kaisei Hospital)
Takeshi Kubo
(Osaka University)

  Obstructive sleep apnea syndrome (OSAS) in youth causes various sequelae-life-threatening, body composition and school performance. Adenotonsillar surgery is beneficial for treating pediatric OSAS, however, the traditional methods pose some problems such as re-multiplication of adenoids. We performed total tonsillectomy and Power-Assisted Partial Adenoidectomy (PAPA) in 111 children for 3 years and 25 cases were examined Oxygen Desaturation Index 3％ (ODI 3％) during sleep with a pulseoxymeter before and after the operation.
Their ODI 3％ improved significantly after surgery. No long-term complications, such as relapse of OSAS and immunodeficiency, have occurred. PAPA with total tonsillectomy is very useful for the treatment of pediatric OSAS.



Key words : Power-Assisted Partial Adenoidectomy (PAPA), pediatric obstructive sleep apnea syndrome

第100巻1号　目次　  Vol.100 No.1 contents