Vol.100 No.10 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 10 October 2007
Long-term Results in Children with OSAS who Underwent PAPA
Keisuke Yamamoto, Masahiro Kawamoto, Ryuichi Mochizuki and Mitsutaka Taniguchi
(Osaka Kaisei Hospital)
Takeshi Kubo
(Osaka University)
We studied the long-term results (12-31 months) in 36 children with obstructive sleep apnea syndrome (OSAS) who underwent power-assisted partial adenoidectomy (PAPA) with an endoscope and tonsillectomy. We conducted a questionnaire survey and retrospectively analyzed changes in clinical symptoms; snore, apnea, tossing and turning, paradoxical chest and abdominal movement, sweating, nocturnal enuresis, orthopnea, arousal during sleep and state of being half awake, concentration, mood, somnolence, adenoid face and general fatigue during the daytime using Mann-Whitney's U test.
As a whole, various symptoms of OSAS were significantly improved after surgery. Only two patients had recurrent apnea during sleep one year last operatively. However, these results are better than those previously reported. The traditional adenoidectomy is liable to pose some problems such as re-multiplication of the adenoid, compared with this method.
PAPA with an endoscope and tonsillectomy for pediatric OSAS is very useful over the long term.
Key words : long-term results, OSAS, PAPA, questionnaire survey