hao Sijun,Zhang Mengping,Huang Min,et al.Clinical study of auditory function for children with obstructive sleep apnea-hypopnea syndrome before and after adenotonsillectomy[J].Journal of Clinical Pediatric Surgery,,17():677-683.
Clinical study of auditory function for children with obstructive sleep apnea-hypopnea syndrome before and after adenotonsillectomy
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- Abstract:
- Objective To explore the changes of auditory function in children aged from 4 to 7 years with obstructive sleep apnea hypopnea syndrome (OSAHS) and examine the influence of auditory function on children with medium-severe OSAHS after bilateral amygdala resection plus adenoidectomy under endoscopic ablation. Methods Children of varying degrees of OSAHS aged from 4 to 7 years were selected as research subjects. They were divided into mild, medium and severe OSAHS groups according to the results of polysomnography (PSG, n=40 each). Three groups were monitored by PSG for at least 7h and those with medium-severe OSAHS were re-operated under general anesthesia. The healthy control group was made up of 40 healthy children and their parents confirmed having no snoring or hearing-related history. The study group received PSG, pure tone audiometry (PTA), auditory brainstem response (ABR) and distortion product otoacoustic emission (DPOAE). Cases of medium-severe OSAHS were re-examined by PSG, PTA, DPOAE and ABR for 6 months post-operation while healthy control group repeated ABR, DPOA and ABR. Multifactorial variance analysis was used for comparing the experimental data between groups. And t test was performed for the same group at pre and post-operation. Results Significant differences existed in PTA, ABR and DPOAE in cases of moderate-severe OSAHS (P < 0.05). And significant differences existed between mild OSAHS and healthy controls. No significant difference existed between PTA, ABR and DPOAE in those with mild OSAHS and healthy controls (P > 0.05). Conclusion Medium-severe OSAHS can impair listening function of children aged 4 to 7 years with middle and high-frequency hearing loss. The more advanced degree of OSAHS, the more severe listening function impairment.Bilateral amygdala resection plus adenoidectomy under endoscopic ablation of adenoid hypertrophy is efficacious for children with OSAHS and tonsil hypertrophy. It may improve cochlear function partially.
References:
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