OSA 18 questionnaire suitable option to monitor OSA improvement after Paediatric Adenotonsillar Hypertrophy surgery

The study revealed the following findings:

• The mean pre-treatment AHI was 12.56 ± 13.16, which improved to 1.72 ± 1.53 post-surgery and was statistically significant.
• Post-surgery, the authors observed a statistically significant improvement in other PSG indices, such as ODI and RDI.
• The mean total symptom score (TSS) and QoL score showed a statistically significant improvement post-treatment.
• The authors did not find any correlation between the OSA 18 questionnaire and PSG scores pre and post-surgery.

"Children with obstructive sleep apnea-like symptoms can undergo portable polysomnography pre and post-surgery to show the severity of OSA and objectively monitor OSA improvement post-treatment," the researchers wrote. "In the absence of PSG, OSA 18 questionnaire is an appropriate alternative to monitor disease outcomes and severity."

"Further studies may plan to include the impact of paediatric OSA on other functions such as cardiac, dentition & malocclusion and neurocognitive function," they concluded.

Reference:

Roy, R., Banger, S., Singh, S.K. et al. Post Surgical Outcomes in Paediatric Adenotonsillar Hypertrophy with Obstructive Sleep Apnea: Subjective and Objective Evaluation. Indian J Otolaryngol Head Neck Surg (2022). https://doi.org/10.1007/s12070-022-03453-y

Surgery for Paediatric Adenotonsillar Hypertrophy fails to improve sleep apnea and QoL scores