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Войти в исследования International journal of pediatric otorhinolaryngology · 2025
Investigation of the effects of adenoidectomy and tonsillectomy on craniofacial morphology and physical growth in children with obstructive sleep apnea.
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Hesaka Nao, Shimamura Yosuke, Ikeda Konomi, Shimizu Kiyoe, Chiba Shintaro
Аннотация
OBJECTIVE: To evaluate the effects of adenoidectomy and tonsillectomy (AT) on craniofacial morphology and physical growth in children with obstructive sleep apnea (OSA).
STUDY DESIGN: Retrospective cohort study.
METHODS: Forty-two children diagnosed with OSA by polysomnography (PSG) were divided into surgical (AT, n = 28) and nonsurgical (n = 14) groups. Cephalometric parameters and height/weight standard deviations (SDs) were compared pre- and post-intervention.
RESULTS: Significant changes in mandibular parameters (SNB, Facial Axis, FMA) were observed post-AT (p <0.0005, p <0.0005, p = 0.004, respectively). In univariate logistic regression analyses, age at the time of surgery(cut-off 5.5 years) and A/N ratio(cut-off 0.75) were significantly associated with postoperative improvement in height SD.
CONCLUSION: AT may enhance mandibular growth and be associated with improved height development in children OSA, particularly in younger children. These findings are exploratory and require confirmation in larger, prospective studies.
STUDY DESIGN: Retrospective cohort study.
METHODS: Forty-two children diagnosed with OSA by polysomnography (PSG) were divided into surgical (AT, n = 28) and nonsurgical (n = 14) groups. Cephalometric parameters and height/weight standard deviations (SDs) were compared pre- and post-intervention.
RESULTS: Significant changes in mandibular parameters (SNB, Facial Axis, FMA) were observed post-AT (p <0.0005, p <0.0005, p = 0.004, respectively). In univariate logistic regression analyses, age at the time of surgery(cut-off 5.5 years) and A/N ratio(cut-off 0.75) were significantly associated with postoperative improvement in height SD.
CONCLUSION: AT may enhance mandibular growth and be associated with improved height development in children OSA, particularly in younger children. These findings are exploratory and require confirmation in larger, prospective studies.