Can pillar suturing promote efficacy of adenotonsillectomy for pediatric osas? A prospective randomized controlled trial. (5th August 2013)

• Record Type: Journal Article
• Authors: Chiu, Po‐Han; Ramar, Kannan; Chen, Kuang‐Chao; Tsai, Yih‐Jeng; Lin, Chia‐Mo; Chiang, Yuh‐Chyun; Lu, Chia‐Ying; Chiang, Rayleigh Ping‐Ying
• Is Part Of: Laryngoscope. Volume 123:Number 10(2013:Oct.)
• Page Start: 2573
• Page End: 2577
• Publication Date: 2013-08-05
• Subjects: Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.24011
• Languages: English
• ISSNs: 0023-852X

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="lary24011-sec-0001" sec-type="section"> <title>Objectives/Hypothesis</title> <p>Pediatric obstructive sleep apnea syndrome (OSAS) is a common disorder with serious clinical implications if left untreated. The recommended initial treatment for pediatric patients with obstructive sleep apnea syndrome (OSAS) is adenotonsillectomy. However, recent reports have shown variable surgical results with adenotonsillectomy in the treatment of pediatric OSAS.</p> </sec> <sec id="lary24011-sec-0002" sec-type="section"> <title>Study Design</title> <p>Prospective, controlled study.</p> </sec> <sec id="lary24011-sec-0003" sec-type="section"> <title>Methods</title> <p>From April 2007 to August 2010, 24 participants were assigned alternatively to either adenotonsillectomy with pillar suturing (intervention group) or adenotonsillectomy alone (control group).</p> </sec> <sec id="lary24011-sec-0004" sec-type="section"> <title>Result</title> <p>The average improvement in apnea hypopnea index (AHI) was 42.6% in the control group and 79.9% in the intervention group (<italic>P</italic>=0.037). The success rate was 50% in the control group and 91.6% in the intervention group (<italic>P</italic>=0.034). Six patients (50%) in the intervention group achieved complete resolution of pediatric OSAS, as defined by an AHI <1/hour, compared to 2 patients (16.7%) in the control group (<italic>P</italic>=0.097).</p> </sec> <sec id="lary24011-sec-0005" sec-type="section"> <title>Conclusion</title> <p>Adenotonsillectomy with pillar suturing showed significant improvement in treating pediatric patients with OSAS compared to adenotonsillectomy alone. The procedure is simple and safe.</p> </sec> <sec id="lary24011-sec-0006" sec-type="section"> <title>Level of Evidence</title> <p>4. <italic>Laryngoscope</italic>, 123:2574–2578, 2013</p> </sec> </abstract>