Effect of adenotonsillectomy on nocturnal enuresis in children with OSA
Background: Pediatric obstructive sleep apnea (OSA) is the most severe form of SDB. The most important risk factors for the development of pediatric SDB include adenotonsillar hypertrophy. On the other hand, nocturnal enuresis is common symptom that is associated with (OSA), through influencing the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-04-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0422763813000034 |
| _version_ | 1818586496082378752 |
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| author | Helmy A. Heba M. Elnabil Lobna Eldemery M.B. Ahmed Shehata Wael Kotb A. Ashraf |
| author_facet | Helmy A. Heba M. Elnabil Lobna Eldemery M.B. Ahmed Shehata Wael Kotb A. Ashraf |
| author_sort | Helmy A. Heba |
| collection | DOAJ |
| description | Background: Pediatric obstructive sleep apnea (OSA) is the most severe form of SDB. The most important risk factors for the development of pediatric SDB include adenotonsillar hypertrophy. On the other hand, nocturnal enuresis is common symptom that is associated with (OSA), through influencing the nocturnal secretion of antidiuretic hormone (ADH).
Objective: We aimed to study the relation between polysomnography data of children with OSA due to adenotonsillar hypertrophy and levels of ADH, total and night urine volume.
Subject and method: The study included 23 Consecutive non obese children with age above 5 years old, complaining of nocturnal enuresis, hypertrophied adenoids and tonsils. A polysomnographic evaluation was done together with serum level of ADH, total and nocturnal urine volume were measured pre and 3 months post adenotonsillectomy.
Results: There was a significant negative correlation between ADH and different polysomnographic data including respiratory events (apnea index, total hypopneas, hypopnea index and RDI), oxygen saturation data and the snoring index. There was also a significant negative correlation between night urine volume and desaturation index. comparison between the data means before and after adenoidectomy were done using the paired t-test; showed a significant improvement of all the polysomnographic data values, and a significant improvement in serum level of ADH, besides the significant decrease in both the 24 h urine volume and the night urine volume being.
Conclusion: Children with OSA and nocturnal enuresis, should be considered for early adenotonsillectomy or other treatments to approve normal release of ADH, and subsequent improvement of nocturnal enuresis. |
| first_indexed | 2024-12-16T08:53:53Z |
| format | Article |
| id | doaj.art-d4565a7fdd3047009f296271abfff77c |
| institution | Directory Open Access Journal |
| issn | 0422-7638 |
| language | English |
| last_indexed | 2024-12-16T08:53:53Z |
| publishDate | 2013-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-d4565a7fdd3047009f296271abfff77c2022-12-21T22:37:20ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382013-04-0162227528010.1016/j.ejcdt.2013.01.002Effect of adenotonsillectomy on nocturnal enuresis in children with OSAHelmy A. Heba0M. Elnabil Lobna1Eldemery M.B. Ahmed2Shehata Wael3Kotb A. Ashraf4Faculty of Medicine, October 6 University, EgyptFaculty of Medicine, Ain Shams University, EgyptFaculty of Medicine, October 6 University, EgyptFaculty of Medicine, October 6 University, EgyptFaculty of Medicine, October 6 University, EgyptBackground: Pediatric obstructive sleep apnea (OSA) is the most severe form of SDB. The most important risk factors for the development of pediatric SDB include adenotonsillar hypertrophy. On the other hand, nocturnal enuresis is common symptom that is associated with (OSA), through influencing the nocturnal secretion of antidiuretic hormone (ADH). Objective: We aimed to study the relation between polysomnography data of children with OSA due to adenotonsillar hypertrophy and levels of ADH, total and night urine volume. Subject and method: The study included 23 Consecutive non obese children with age above 5 years old, complaining of nocturnal enuresis, hypertrophied adenoids and tonsils. A polysomnographic evaluation was done together with serum level of ADH, total and nocturnal urine volume were measured pre and 3 months post adenotonsillectomy. Results: There was a significant negative correlation between ADH and different polysomnographic data including respiratory events (apnea index, total hypopneas, hypopnea index and RDI), oxygen saturation data and the snoring index. There was also a significant negative correlation between night urine volume and desaturation index. comparison between the data means before and after adenoidectomy were done using the paired t-test; showed a significant improvement of all the polysomnographic data values, and a significant improvement in serum level of ADH, besides the significant decrease in both the 24 h urine volume and the night urine volume being. Conclusion: Children with OSA and nocturnal enuresis, should be considered for early adenotonsillectomy or other treatments to approve normal release of ADH, and subsequent improvement of nocturnal enuresis.http://www.sciencedirect.com/science/article/pii/S0422763813000034OSANocturnal enuresisAdenotonsillectomyADHUrine volume |
| spellingShingle | Helmy A. Heba M. Elnabil Lobna Eldemery M.B. Ahmed Shehata Wael Kotb A. Ashraf Effect of adenotonsillectomy on nocturnal enuresis in children with OSA Egyptian Journal of Chest Disease and Tuberculosis OSA Nocturnal enuresis Adenotonsillectomy ADH Urine volume |
| title | Effect of adenotonsillectomy on nocturnal enuresis in children with OSA |
| title_full | Effect of adenotonsillectomy on nocturnal enuresis in children with OSA |
| title_fullStr | Effect of adenotonsillectomy on nocturnal enuresis in children with OSA |
| title_full_unstemmed | Effect of adenotonsillectomy on nocturnal enuresis in children with OSA |
| title_short | Effect of adenotonsillectomy on nocturnal enuresis in children with OSA |
| title_sort | effect of adenotonsillectomy on nocturnal enuresis in children with osa |
| topic | OSA Nocturnal enuresis Adenotonsillectomy ADH Urine volume |
| url | http://www.sciencedirect.com/science/article/pii/S0422763813000034 |
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