The effects of adenotonsillotomy on nocturnal enuresis in snoring children
Introduction: Nocturnal enuresis is a common problem in the paediatric population. A number of reports indicate that there is a relationship between sleep-disordered breathing in children with tonsillar hypertrophy and nocturnal enuresis. Restoration of nasopharyngeal patency may eliminate nocturn...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Communications Sp. z o.o.
2017-12-01
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| Series: | Pediatria i Medycyna Rodzinna |
| Subjects: | |
| Online Access: | http://www.pimr.pl/index.php/issues/2017-vol-13-no-4/the-effects-of-adenotonsillotomy-on-nocturnal-enuresis-in-snoring-children?aid=1137 |
| Summary: | Introduction: Nocturnal enuresis is a common problem in the paediatric population. A number of reports indicate that there
is a relationship between sleep-disordered breathing in children with tonsillar hypertrophy and nocturnal enuresis.
Restoration of nasopharyngeal patency may eliminate nocturnal enuresis. Aim: The aim of the study was to evaluate the
incidence of nocturnal enuresis in children snoring due to nasopharyngeal lymphatic tissue hypertrophy as well as to assess
the effects of restored upper respiratory patency by means of adenectomy and tonsillectomy on the resolution of nocturnal
enuresis in children. Material and methods: The study included 50 children with sleep-disordered breathing qualified for
adenectomy, tonsillotomy or adenotonsillotomy (median age 7 years). The control group consisted of 20 healthy children
(median age 8 years). Children in the study group were assessed prior to surgical procedure as well as 3 and 6 months after
surgery. The presence of sleep-disordered breathing and nocturnal enuresis was determined based on author’s questionnaire
completed by parents. Results: The incidence of nocturnal enuresis in children with nasopharyngeal lymphatic tissue hypertrophy was 18% (M:F 17%:19%; p > 0.05). Nocturnal enuresis was still reported in 6% of children 3 months after
tonsillotomy. The disorder resolved in all girls and 97% of boys 6 months after procedure. Conclusions: Sleep-disordered
breathing in children with nasopharyngeal lymphatic tissue hypertrophy is associated with nocturnal enuresis. Restoration
of nasopharyngeal patency in these patients eliminates nocturnal enuresis. Tonsillar hypertrophy causing obstructive
breathing should be included in the differential diagnosis of nocturnal enuresis. |
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| ISSN: | 1734-1531 2451-0742 |