Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

수면호흡장애와 관련한 편도 절제술 적응증의 변화

김양재1, 박홍석1, 최장원1, 김영중1, 구수권1,*
Yang-Jae Kim1, Hong-Seok Park1, Jang-Won Choi1, Young-Joong Kim1, Soo-Kweon Koo1,*
1부산성모병원 이비인후과
1Department of Otorhinolaryngology-Head and Neck Surgery, Busan St. Mary’s Medical Center, Busan, Korea
*교신저자: 구수권,608-838 부산광역시 남구 용호동 538-41 부산성모병원 이비인후과 전화: (051) 933—7214· 전송: (051) 956-1956 · E-mail: koosookweon@naver.com

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 26, 2012; Revised: Apr 18, 2012; Accepted: May 10, 2012

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: With patients increasingly interested in snoring and sleep apnea, sleep-disordered breathing (SDB) patients are frequently encountered in the otolarygologic office. Tonsillectomy is one of the frequently used technique, among surgical procedure of SDB. Retrospective analysis was done about patients who underwent tonsilletomy to find change of incidence in tonsillectomy as a treatment of SDB. Materials and Methods: From January 1998 to December 1999, retrospective chart analysis of indication of tonsill- cetomy was done about 2 groups divided by age under fifteen and over sixteen. Same chart review was done from January 2007 to December 2008. Indication of tonsillectomy was divided as infection group, SDB group and mixed group. Results: Under age of fifteen, From January 1998 to December 1999, tonsillectomy indication were mixed group, infection group and SDB group, in the order of frequency. From January 2007 to December 2008, the order had changed as mixed group, SDB group and infection group. There was no statistical significance these change. In other hands, At that time, SDB group had been incresed from 28.3% to 59.5% in adult male group. (p=0.002) Conclusion: Proportion of tonsillecetomy as a treatment of SDB has beeen increased in male adult. Recently, frequency of tonsillectomy realated with SDB has been incresed. Surgical treatment of tonsil is considered as an active solution of SDB. (J Clinical Otolaryngol 2012;23:85–89)

Keywords: 편도절제술; 수면호흡장애
Keywords: Tonsillectomy; Sleep-disordered breathing