Presented at the Triological Southern and Middle Sections Meeting, Bonita Springs, Florida, U.S.A., January 11, 2009.
Efficacy of microdebrider intracapsular adenotonsillectomy as validated by polysomnography†
Article first published online: 29 APR 2009
Copyright © 2009 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 119, Issue 7, pages 1391–1393, July 2009
How to Cite
Reilly, B. K., Levin, J., Sheldon, S., Harsanyi, K. and Gerber, M. E. (2009), Efficacy of microdebrider intracapsular adenotonsillectomy as validated by polysomnography. The Laryngoscope, 119: 1391–1393. doi: 10.1002/lary.20257
- Issue published online: 23 JUN 2009
- Article first published online: 29 APR 2009
- Manuscript Accepted: 17 FEB 2009
- Microdebrider intracapsular tonsillectomy;
- pediatric obstructive sleep apnea;
To evaluate the efficacy of microdebrider intracapsular tonsillectomy (MT) as a treatment for pediatric obstructive sleep apnea (OSA) and sleep disordered breathing.
A retrospective study evaluating polysomnogram outcomes for 26 patients who had undergone MT by a sole surgeon (M.G.) for OSA.
Chart review of patients who underwent polysomnograms pre- and post-adenotonsillectomy. This study represents a single pediatric otolaryngologist's experience at two tertiary care medical centers (Children's Memorial Hospital and Evanston Hospital) in the greater Chicago area.
Statistically significant improvement of both the apnea-hypopnea index (AHI) and apnea index with P < .0001. All 26 children in the cohort had improved AHI scores following intracapsular tonsillectomy. Statistical analysis was performed using a P value < .05, which was significant.
MT is an effective means of treating obstructive sleep apnea. Because of its favorable surgical outcomes and minimal morbidity, an increasing number of studies have found MT to be an excellent option for the surgical management of adenotonsillar hypertrophy in pediatric patients with OSA. Laryngoscope, 2009