Long-term follow-up of obstructive sleep apnea syndrome following surgery in children and adults

Mieko Sato, Masaaki Suzuki, Takeshi Oshima, Masaki Ogura, Akira Shimomura, Hideaki Suzuki, Tomonori Takasaka, Katsuhisa Ikeda

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Obstructive sleep apnea syndrome (OSAS) is characterized by recurrent apneas during sleep, resulting in repetitive hypoxemia. The present study retrospectively analyzed subjective and objective assessments of the patients with OSAS in a relatively long-term follow-up. From February 1986 to August 1996, 53 patients received surgical treatment for OSAS and snoring. Thirty-seven (27 males and 10 females) out of 53 patients completed the questionnaire and postoperative sleep study was obtained in 6 patients. In 20 children (< 15 years), snoring, sleep apnea, and daytime sleepiness completely disappeared in 12, 19, and 16, and improved in 8, 1, and 4, respectively. These findings confirm that tonsillectomy and/or adenoidectomy in children may be the first selection for treatment. In 17 adults, snoring, sleep apnea, and daytime sleepiness completely disappeared in 2, 5, and 8, improved in 11, 8, and 7, and was unchanged in 4, 4, and 1, respectively. The apnea index in adults was significantly decreased in both early and late postoperative periods. These results suggest that surgery is a satisfactory alternative for adult patients if performed accurate preoperative diagnosis of the localization of the airway collapse and careful long-term follow-up.

Original languageEnglish
Pages (from-to)165-172
Number of pages8
JournalTohoku Journal of Experimental Medicine
Volume192
Issue number3
DOIs
Publication statusPublished - 2000 Nov 1

Keywords

  • Apnea index
  • Symptomatic improvement
  • Tonsillectomy
  • Uvulopalatopharyngoplasty

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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    Sato, M., Suzuki, M., Oshima, T., Ogura, M., Shimomura, A., Suzuki, H., Takasaka, T., & Ikeda, K. (2000). Long-term follow-up of obstructive sleep apnea syndrome following surgery in children and adults. Tohoku Journal of Experimental Medicine, 192(3), 165-172. https://doi.org/10.1620/tjem.192.165