Avaliação polissonográfica da síndrome da apnéia obstrutiva do sono em crianças, antes e após adenoamigdatomia

• Autor(a) principal: Avelino, Melissa Ameloti Gomes [UNIFESP]
• Data de Publicação: 2002
• Outros Autores: Pereira, Fabiana C. [UNIFESP], Carlini, Daniela [UNIFESP], Moreira, Gustavo A. [UNIFESP], Fujita, Reginaldo Raimundo [UNIFESP], Weckx, Luc Louis Maurice [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992002000300003; http://repositorio.unifesp.br/handle/11600/1415
• topic: sleep apnea; polysomnographic; adenotonsillar hypertrophy; apnéia do sono; polissonografia; hipertrofia adenoamigdaliana

Introduction: In the last years the Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS) has much interested because it has not been completed established. Many criteria defined for OSAS in adults and children are different. We know that patient's clinical story is not sufficient for the diagnosis of OSAHS. In childhood, the most common cause of OSAHS is adenotonsillar hypertrophy, clinically characterised by snoring, apnea episodes, restless sleep, mouth breathing and daytime somnolence. Aim: This study has the purpose of comprovating, by objective way, the OSAS improving in children who underwent adenotonsillectomy. Study design: Clinical prospective. Material and method: For that, 23 children, among 2 and 13 years old, with adenotonsillar hypertrophy, were analysed. After endoscopy and polysomnography, they were submitted to adenotonsillectomy. Results: The polysomnography was repeated 2 months after surgery. The polysomnographic findings were compared through statistic study. Conclusion: All the patients had an important improve after adenotonsillectomy. Only two children (8.69%) persisted with light OSAHS, but they had moderate and important OSAHS before. We concluded that OSAHS is a precise indication for adenotonsillectomy in children.