Impact of Adenotonsillectomy on Behavior in Children With Sleep‐Disordered Breathing

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Abstract
Children with sleep-disordered breathing may experience behavioral and learning problems such as inattentiveness and hyperactivity. The aim of this study was to measure the impact of adenotonsillectomy on sleep-related adverse events and behavioral problems in children with sleep-disordered breathing. This prospective and interventional study enrolled 40 sleep-disordered breathing children (mean age, 8.4+/-1.6 years) with hypertrophic tonsils and adenoids. All patients completed two polysomnographies, tests of variables of attention (TOVAs), and Child Behavior Checklists, one at baseline and the other 6 months after adenotonsillectomy. The apnea-hypopnea index (P<.001), TOVA scores (P<.001), and 8 of 9 individual domains of the Child Behavior Checklist scores (P<.05) significantly improved after surgery. However, the change in the apnea-hypopnea index was not negatively correlated with TOVA score (r=-0.17, P=.38). Adenotonsillectomy could significantly improve behavior (TOVA) scores, but the improvement may not simply be attributable to changes in sleep apnea events.