Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children
Background and Objective This study aimed to assess the effectiveness of acoustic pharyngometry by examining the data before and after adenotonsillectomy in children with sleep-disordered breathing (SDB). Methods This prospective, observational study included 29 children (M/F = 17/12, age = 8.69 ± 2...
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| Format: | Article |
| Language: | English |
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Korean Society of Sleep Medicine
2024-03-01
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| Series: | Sleep Medicine Research |
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| Online Access: | http://www.sleepmedres.org/upload/pdf/smr-2023-01942.pdf |
| _version_ | 1797203495214907392 |
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| author | Young Han Chung Woo Sung Cho Min Young Seo Seung Hoon Lee |
| author_facet | Young Han Chung Woo Sung Cho Min Young Seo Seung Hoon Lee |
| author_sort | Young Han Chung |
| collection | DOAJ |
| description | Background and Objective This study aimed to assess the effectiveness of acoustic pharyngometry by examining the data before and after adenotonsillectomy in children with sleep-disordered breathing (SDB). Methods This prospective, observational study included 29 children (M/F = 17/12, age = 8.69 ± 2.52 years) with SDB who underwent acoustic pharyngometry before and after adenotonsillectomy. Pre- and postoperative acoustic pharyngometry data, such as the oropharyngeal junction area (OPJ), pharyngeal volume (Vp), glottic area (GL), maximal pharyngeal cross-sectional area (Apmax), minimal pharyngeal cross-sectional area (Apmin), and mean pharyngeal cross-sectional area (Apmean), were compared. Results Before surgery, Apmean was measured at 1.75 ± 0.81 cm2 and increased to 2.24 ± 0.89 cm2 after surgery (p < 0.001); this difference was statistically significant. Moreover, OPJ demonstrated statistically significant changes from 1.03 ± 0.62 cm2 to 1.53 ± 0.77 cm2 (p < 0.001); Apmin measured from 0.99 ± 0.51 cm2 to 1.38 ± 0.69 cm2 (p = 0.003); and Vp increased from 14.45 ± 7.05 cm3 to 18.89 ± 7.72 cm3 (p < 0.001) after surgical treatment. Conclusions Acoustic pharyngometry, a non-invasive and reproducible method, effectively reflects upper airway changes before and after adenotonsillectomy in children with SDB and ATH. This underscores its potential as a valuable tool for objectively evaluating upper airway obstruction caused by ATH in children. |
| first_indexed | 2024-04-24T08:20:14Z |
| format | Article |
| id | doaj.art-4555f701be474247ad02f1fd2b2efd79 |
| institution | Directory Open Access Journal |
| issn | 2093-9175 2233-8853 |
| language | English |
| last_indexed | 2024-04-24T08:20:14Z |
| publishDate | 2024-03-01 |
| publisher | Korean Society of Sleep Medicine |
| record_format | Article |
| series | Sleep Medicine Research |
| spelling | doaj.art-4555f701be474247ad02f1fd2b2efd792024-04-17T01:29:42ZengKorean Society of Sleep MedicineSleep Medicine Research2093-91752233-88532024-03-01151353910.17241/smr.2023.01942270Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in ChildrenYoung Han Chung0Woo Sung Cho1Min Young Seo2Seung Hoon Lee3 Division of Rhinology & Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea Cho and Feel ENT Clinic, Seoul, Korea Division of Rhinology & Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea Division of Rhinology & Sleep Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, KoreaBackground and Objective This study aimed to assess the effectiveness of acoustic pharyngometry by examining the data before and after adenotonsillectomy in children with sleep-disordered breathing (SDB). Methods This prospective, observational study included 29 children (M/F = 17/12, age = 8.69 ± 2.52 years) with SDB who underwent acoustic pharyngometry before and after adenotonsillectomy. Pre- and postoperative acoustic pharyngometry data, such as the oropharyngeal junction area (OPJ), pharyngeal volume (Vp), glottic area (GL), maximal pharyngeal cross-sectional area (Apmax), minimal pharyngeal cross-sectional area (Apmin), and mean pharyngeal cross-sectional area (Apmean), were compared. Results Before surgery, Apmean was measured at 1.75 ± 0.81 cm2 and increased to 2.24 ± 0.89 cm2 after surgery (p < 0.001); this difference was statistically significant. Moreover, OPJ demonstrated statistically significant changes from 1.03 ± 0.62 cm2 to 1.53 ± 0.77 cm2 (p < 0.001); Apmin measured from 0.99 ± 0.51 cm2 to 1.38 ± 0.69 cm2 (p = 0.003); and Vp increased from 14.45 ± 7.05 cm3 to 18.89 ± 7.72 cm3 (p < 0.001) after surgical treatment. Conclusions Acoustic pharyngometry, a non-invasive and reproducible method, effectively reflects upper airway changes before and after adenotonsillectomy in children with SDB and ATH. This underscores its potential as a valuable tool for objectively evaluating upper airway obstruction caused by ATH in children.http://www.sleepmedres.org/upload/pdf/smr-2023-01942.pdfsleepobstructive sleep apneasnoringsleep apnea syndromes |
| spellingShingle | Young Han Chung Woo Sung Cho Min Young Seo Seung Hoon Lee Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children Sleep Medicine Research sleep obstructive sleep apnea snoring sleep apnea syndromes |
| title | Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children |
| title_full | Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children |
| title_fullStr | Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children |
| title_full_unstemmed | Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children |
| title_short | Changes in Acoustic Pharyngometric Indices After Adenotonsillectomy in Children |
| title_sort | changes in acoustic pharyngometric indices after adenotonsillectomy in children |
| topic | sleep obstructive sleep apnea snoring sleep apnea syndromes |
| url | http://www.sleepmedres.org/upload/pdf/smr-2023-01942.pdf |
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