The outcome of managing sleep apnea in children with cerebral palsy
Background Obstructive sleep apnea (OSA) is not an uncommon finding in the pediatric age group patients with cerebral palsy (CP). Objective We aimed to evaluate the frequency of occurrence of OSA in children with CP and the most appropriate surgical procedures used in these patients. Study design A...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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General Organization of Teaching Hospitals and Institutes
2022-01-01
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| Series: | Journal of Medicine in Scientific Research |
| Subjects: | |
| Online Access: | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=1;spage=44;epage=50;aulast=Alsoda |
| _version_ | 1797230535731314688 |
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| author | Mohamed F Alsoda Wael M Hossam Samir H Khalil |
| author_facet | Mohamed F Alsoda Wael M Hossam Samir H Khalil |
| author_sort | Mohamed F Alsoda |
| collection | DOAJ |
| description | Background
Obstructive sleep apnea (OSA) is not an uncommon finding in the pediatric age group patients with cerebral palsy (CP).
Objective
We aimed to evaluate the frequency of occurrence of OSA in children with CP and the most appropriate surgical procedures used in these patients.
Study design
A prospective study was carried out on 67 children with OSA, 36 of whom suffer from CP. The data included the presenting complaint, any coexisting illnesses, preoperative and postoperative polysomnography results, the primary surgical procedure performed, age at the time of surgery, number of postoperative hospitalization days in the ICU, and presence of postoperative respiratory disorders.
Results
In all, 40 (59.7%) children underwent adenotonsillectomy for initial treatment of OSA. Our results reported that the clinical manifestations were more significant in the CP-affected children. We documented a significant decrease in the mean value of the apnea hypoxia index in all included children postoperatively. However, there was no significant difference in apnea hypoxia index postoperatively among children in both groups. Nine (17.4%) children had an adenoidectomy alone and 18 (26.86%) children had tonsillectomy alone as their initial procedure. Neither uvulopalatopharyngoplasty nor tracheostomy was performed as an initial procedure. The mean follow-up was set for 24 months. Eighty-six percent of these children have not required any further surgery. Of the six children who have undergone further surgery, one required a revision adenoidectomy, and two underwent a tonsillectomy and uvulectomy 2 months after the initial adenoidectomy. Four CP children later required a tracheotomy for severe hypoxia.
Conclusion
OSA is a more frequent occurrence in CP children as compared with their healthy counterparts. They ultimately had significant improvement in their clinical presentations postoperatively, thus improving their quality of life. |
| first_indexed | 2024-04-24T15:30:02Z |
| format | Article |
| id | doaj.art-81d12ce926cf492a85be3d6dc29eebc6 |
| institution | Directory Open Access Journal |
| issn | 2537-091X 2537-0928 |
| language | English |
| last_indexed | 2024-04-24T15:30:02Z |
| publishDate | 2022-01-01 |
| publisher | General Organization of Teaching Hospitals and Institutes |
| record_format | Article |
| series | Journal of Medicine in Scientific Research |
| spelling | doaj.art-81d12ce926cf492a85be3d6dc29eebc62024-04-02T04:16:56ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282022-01-0151445010.4103/jmisr.jmisr_64_21The outcome of managing sleep apnea in children with cerebral palsyMohamed F AlsodaWael M HossamSamir H KhalilBackground Obstructive sleep apnea (OSA) is not an uncommon finding in the pediatric age group patients with cerebral palsy (CP). Objective We aimed to evaluate the frequency of occurrence of OSA in children with CP and the most appropriate surgical procedures used in these patients. Study design A prospective study was carried out on 67 children with OSA, 36 of whom suffer from CP. The data included the presenting complaint, any coexisting illnesses, preoperative and postoperative polysomnography results, the primary surgical procedure performed, age at the time of surgery, number of postoperative hospitalization days in the ICU, and presence of postoperative respiratory disorders. Results In all, 40 (59.7%) children underwent adenotonsillectomy for initial treatment of OSA. Our results reported that the clinical manifestations were more significant in the CP-affected children. We documented a significant decrease in the mean value of the apnea hypoxia index in all included children postoperatively. However, there was no significant difference in apnea hypoxia index postoperatively among children in both groups. Nine (17.4%) children had an adenoidectomy alone and 18 (26.86%) children had tonsillectomy alone as their initial procedure. Neither uvulopalatopharyngoplasty nor tracheostomy was performed as an initial procedure. The mean follow-up was set for 24 months. Eighty-six percent of these children have not required any further surgery. Of the six children who have undergone further surgery, one required a revision adenoidectomy, and two underwent a tonsillectomy and uvulectomy 2 months after the initial adenoidectomy. Four CP children later required a tracheotomy for severe hypoxia. Conclusion OSA is a more frequent occurrence in CP children as compared with their healthy counterparts. They ultimately had significant improvement in their clinical presentations postoperatively, thus improving their quality of life.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=1;spage=44;epage=50;aulast=Alsodaadenoidectomycerebral palsyobstructive sleep apnea |
| spellingShingle | Mohamed F Alsoda Wael M Hossam Samir H Khalil The outcome of managing sleep apnea in children with cerebral palsy Journal of Medicine in Scientific Research adenoidectomy cerebral palsy obstructive sleep apnea |
| title | The outcome of managing sleep apnea in children with cerebral palsy |
| title_full | The outcome of managing sleep apnea in children with cerebral palsy |
| title_fullStr | The outcome of managing sleep apnea in children with cerebral palsy |
| title_full_unstemmed | The outcome of managing sleep apnea in children with cerebral palsy |
| title_short | The outcome of managing sleep apnea in children with cerebral palsy |
| title_sort | outcome of managing sleep apnea in children with cerebral palsy |
| topic | adenoidectomy cerebral palsy obstructive sleep apnea |
| url | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2022;volume=5;issue=1;spage=44;epage=50;aulast=Alsoda |
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