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Intervention Review

Adenotonsillectomy for obstructive sleep apnoea in children

  1. Jerome Lim1,*,
  2. Michael C McKean2

Editorial Group: Cochrane Airways Group

Published Online: 23 JUL 2001

Assessed as up-to-date: 31 JUL 2005

DOI: 10.1002/14651858.CD003136


How to Cite

Lim J, McKean MC. Adenotonsillectomy for obstructive sleep apnoea in children. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD003136. DOI: 10.1002/14651858.CD003136.

Author Information

  1. 1

    Royal Surrey County Hospital , Guildford , Surrey, UK

  2. 2

    Newcastle upon Tyne NHS Trust, Paediatrics, Newcastle upon Tyne, Tyne and Wear, UK

*Jerome Lim, Royal Surrey County Hospital , Guildford , Surrey, UK. jeromelim@doctors.org.uk.

Publication History

  1. Publication Status: Unchanged
  2. Published Online: 23 JUL 2001

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This is not the most recent version of the article. View current version (15 APR 2009)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary

Background

Current treatment of sleep apnoea in children consists of largely surgical based treatments. Adenotonsillectomy is the most commonly used intervention to treat sleep apnoea in children.

Objectives

To determine the efficacy of adenotonsillectomy in the treatment of obstructive sleep apnoea in children.

Search strategy

The Cochrane Airways Group Specialised Register was searched with pre-specified terms. Searches were current as of August 2005.

Selection criteria

Randomised trials recruiting children with a diagnosis of obstructive sleep apnoea.

Data collection and analysis

Two reviewers examined the search results and collected data from the studies in terms of their characteristics before deciding which ones would be included in the review.

Main results

A total of 207 references were identified from electronic searching. Twenty-five studies were retrieved, but none met the inclusion criteria of the review. Due to the absence of randomised trial data, no results could be ascertained.

Authors' conclusions

At present there is still debate as to the criteria required to diagnose significant obstructive sleep apnoea in children. Also the natural history of the condition has not been fully delineated. There is an absence of randomised controlled trials investigating the efficacy of treatment of confirmed obstructive sleep apnoea with adenotonsillectomy in children. Research is required before recommendations for the treatment of obstructive sleep apnoea in children can be formulated. The quality of research in this area could be improved with the use of sleep studies at baseline to determine the extent of severity of sleep apnoea in children who are recruited to studies in this area. Long-term follow up is also required in order to explore the effect of adenotonsillectomy on paediatric sleep apnoea.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary

Adenotonsillectomy for obstructive sleep apnoea in children

Sleep apnoea is the reduction of airflow at the nose and mouth during sleep. The current treatment of choice is adenotonsillectomy (the removal of the adenoids and tonsils), due to its perceived efficacy, cost effectiveness and the relative size of adenoid and tonsil tissue in children. This review did not find any evidence from randomised trials to support the use of adenotonsillectomy for sleep apnoea in children. There is some debate as to the diagnosis of obstructive sleep apnoea in children and further research would need to undertake extensive diagnostic tests to make an appropriate diagnosis.