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

편도 및 아데노이드 절제술 후 잔존하는 코골이가 있는 소아 환자에서 하비갑개 후방 축소술이 증상 호전에 미치는 영향

김남국1, 이장수1,*, 오훈재1, 배재훈1
Nam Guk Kim1, Jang Su Lee1,*, Hun Jae Oh1, Jae Hoon Bae1
1광주기독병원 이비인후과
1Department of Otolayngology-Head and Neck Surgery, Kwangju Hospital of Christian, Gwangju, Korea
*교신저자: 이장수, 61661 광주광역시 남구 양림로 37 광주기독병원 이비인후과 전화: (062) 650-5095·전송: (062) 650-5090·E-mail:cielo3797@naver.com

© Copyright 2018 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: Feb 20, 2018; Revised: May 03, 2018; Accepted: May 24, 2018

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Chronic upper airway obstruction attributable to adenotonsillar hypertrophy is the most common cause of sleep disordered breathing (SDB) in children. Palatine tonsillectomy and adenoidectomy (T&A) is effective for the treatment of pediatric OSA patients. However, in some children, there are still unresolved snoring and obstructive sleep apnea after the operation. This study is aimed at evaluating the efficacy of posterior coblation of inferior turbinate with remained snoring and sleep apnea after pediatric tonsillectomy and adenoidectomy. Materials and Methods: We performed Prospective study about 41 children who had done tonsillectomy and adenoidectomy but still suffering from simple snoring and mouth breath, aged between 8 to 15 years old, from January to December in 2015. We did additional inferior coblation of inferior turbinate for 41 patients. Over the period between preoperation and 1, 3, 6, 12 months after operation, we evaluated Apnea-Hypopnea Index (AHI), oxygen saturation by polysomnography, degree of snoring by Visual Analogue Sacle (VAS) score, satisfaction for quality of sleep by Epworth Sleepiness Scale (ESS), Minimal Cross section Area (MCA) and volume of nasal cavity by acoustic rhinometry, respectively. Results: After Posterior coblation of Inferior turbinate, the volume of nasal cavity voulme and MCA increased. There were significant improvements of AHI, oxygen saturation, MCA VAS and ESS score after tonsillectomy and adenoidectomy. But Additional posterior coblation did not make meaningful changes in AHI and saturation compared with tonsillectomy and adenoidectomy. Conclusions: As for pediatric OSA surgery, the evaluation of posterior nasal cavity is an indispensable factor for improving the quality of sleep and snoring. When treating pediatric OSA patients who have nasal obstruction, Posteior Coblation of inferior turbinate should be considered. (J Clinical Otolaryngol 2018;29:57-62)

Keywords: 편도아데노이드절제술; 코골이; 수면무호 흡증; 하비갑개; 코블레이션
Keywords: Adenotonsillectomy; Snoring; Obstructive sleep apnea; Coblation; Inferior turbinate