Comparison of Sleep Study Results After Partial Intracapsular Tonsillectomy Versus Total Tonsillectomy
| Status: | Completed |
|---|---|
| Conditions: | Insomnia Sleep Studies, Pulmonary |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | Any - 14 |
| Updated: | 3/1/2014 |
| Start Date: | August 2006 |
| End Date: | December 2009 |
Comparison of Polysomnography Outcomes for Microdebrider-Assisted Partial Intracapsular Tonsillectomy Versus Total Tonsillectomy
The purpose of this study is to demonstrate similar improvements in sleep-disordered
breathing as determined by sleep study with microdebrider-assisted partial intracapsular
tonsillectomy and adenoidectomy versus total Bovie electrocautery tonsillectomy and
adenoidectomy.
breathing as determined by sleep study with microdebrider-assisted partial intracapsular
tonsillectomy and adenoidectomy versus total Bovie electrocautery tonsillectomy and
adenoidectomy.
Objectives: To demonstrate similar improvement in sleep-disordered breathing as determined
by polysomnography (PSG) with microdebrider-assisted partial intracapsular tonsillectomy and
adenoidectomy (PITA) versus Bovie electrocautery complete tonsillectomy and adenoidectomy
(T&A).
Methods: In a retrospective cohort study children found to have Obstructive Sleep Apnea
(OSA) by PSG who have undergone either PITA or T&A as treatment will be evaluated with
repeat PSG. The groups will be matched by age, sex, and severity of pre-operative
Apnea-Hypopnea Indices (AHI). The investigators performing and evaluating the PSG will be
blinded to type of procedure and preoperative AHI. Change scores will be computed for each
participant and the change scores of the groups compared.
by polysomnography (PSG) with microdebrider-assisted partial intracapsular tonsillectomy and
adenoidectomy (PITA) versus Bovie electrocautery complete tonsillectomy and adenoidectomy
(T&A).
Methods: In a retrospective cohort study children found to have Obstructive Sleep Apnea
(OSA) by PSG who have undergone either PITA or T&A as treatment will be evaluated with
repeat PSG. The groups will be matched by age, sex, and severity of pre-operative
Apnea-Hypopnea Indices (AHI). The investigators performing and evaluating the PSG will be
blinded to type of procedure and preoperative AHI. Change scores will be computed for each
participant and the change scores of the groups compared.
Inclusion Criteria:
- 18 of 127 children who underwent partial intracapsular tonsillectomy and
adenoidectomy at SUNY Downstate Medical Center will be randomly selected and offered
participation in the study.
- Once enrolled, the participants will be matched by age, sex, time since procedure and
polysomnography results (Respiratory Disturbance Index within 5) to 18 children who
underwent traditional tonsillectomy and adenoidectomy at SUNY Downstate.
Exclusion Criteria:
- Recurrent tonsillitis
- Craniofacial syndromes
- Neuromuscular disorders
- Sickle cell disease
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SUNY Downstate Medical Center Formally known as The State University of New York Health Science...
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