The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews

Lauren K Reckley, Camilo Fernandez-Salvador, Macario Camacho Otolaryngology – Head and Neck Surgery, Tripler Army Medical Center, Honolulu, HI, USA Objective: Tonsillectomy with adenoidectomy is a combination surgery that has been used to treat pediatric obstructive sleep...

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Autores principales:	Reckley LK, Fernandez-Salvador C, Camacho M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Tonsillectomy Sleep Apnea Syndromes Systematic Review Review Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/64291707e66f42f7a1d4e5d7bfb4c214
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spelling	oai:doaj.org-article:64291707e66f42f7a1d4e5d7bfb4c2142021-12-02T02:29:10ZThe effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews1179-1608https://doaj.org/article/64291707e66f42f7a1d4e5d7bfb4c2142018-04-01T00:00:00Zhttps://www.dovepress.com/the-effect-of-tonsillectomy-on-obstructive-sleep-apnea-an-overview-of--peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Lauren K Reckley, Camilo Fernandez-Salvador, Macario Camacho Otolaryngology – Head and Neck Surgery, Tripler Army Medical Center, Honolulu, HI, USA Objective: Tonsillectomy with adenoidectomy is a combination surgery that has been used to treat pediatric obstructive sleep apnea (OSA). For adults, tonsillectomy has also been reported as a primary treatment modality when the tissue is hypertrophied. The objective of this study is to provide an overview of published systematic reviews and meta-analyses of tonsillectomy with or without adenoidectomy as used in the treatment of OSA in children and adults.Data sources: Nine databases, including PubMed/MEDLINE. Review methods: Databases were searched from their inception through July 9, 2017. The PRISMA statement was followed.Results: More than 20 recent systematic reviews and meta-analyses were identified regarding tonsillectomy as a treatment modality for OSA. There were four articles that addressed tonsillectomy’s overall success, efficacy, and complications in otherwise healthy pediatric patients. Three studies evaluated tonsillectomy in obese children, and two specifically examined children with Down syndrome. Only one systematic review and meta-analysis discussed tonsillectomy as a treatment for OSA in the adult population.Conclusion: Tonsillectomy as an isolated treatment modality is rarely performed in pediatric patients with OSA; however, tonsillectomy is commonly performed in combination with adenoidectomy and the combination has demonstrated efficacy as the primary treatment option for most children. In the limited adult data, tonsillectomy alone for OSA has a surprising success rate; yet, more research is required to determine long-term improvement and need for further treatment. Keywords: tonsillectomy, sleep apnea syndromes, systematic review, review Reckley LKFernandez-Salvador CCamacho MDove Medical PressarticleTonsillectomySleep Apnea SyndromesSystematic ReviewReviewPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 10, Pp 105-110 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tonsillectomy Sleep Apnea Syndromes Systematic Review Review Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	Tonsillectomy Sleep Apnea Syndromes Systematic Review Review Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Reckley LK Fernandez-Salvador C Camacho M The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
description	Lauren K Reckley, Camilo Fernandez-Salvador, Macario Camacho Otolaryngology – Head and Neck Surgery, Tripler Army Medical Center, Honolulu, HI, USA Objective: Tonsillectomy with adenoidectomy is a combination surgery that has been used to treat pediatric obstructive sleep apnea (OSA). For adults, tonsillectomy has also been reported as a primary treatment modality when the tissue is hypertrophied. The objective of this study is to provide an overview of published systematic reviews and meta-analyses of tonsillectomy with or without adenoidectomy as used in the treatment of OSA in children and adults.Data sources: Nine databases, including PubMed/MEDLINE. Review methods: Databases were searched from their inception through July 9, 2017. The PRISMA statement was followed.Results: More than 20 recent systematic reviews and meta-analyses were identified regarding tonsillectomy as a treatment modality for OSA. There were four articles that addressed tonsillectomy’s overall success, efficacy, and complications in otherwise healthy pediatric patients. Three studies evaluated tonsillectomy in obese children, and two specifically examined children with Down syndrome. Only one systematic review and meta-analysis discussed tonsillectomy as a treatment for OSA in the adult population.Conclusion: Tonsillectomy as an isolated treatment modality is rarely performed in pediatric patients with OSA; however, tonsillectomy is commonly performed in combination with adenoidectomy and the combination has demonstrated efficacy as the primary treatment option for most children. In the limited adult data, tonsillectomy alone for OSA has a surprising success rate; yet, more research is required to determine long-term improvement and need for further treatment. Keywords: tonsillectomy, sleep apnea syndromes, systematic review, review
format	article
author	Reckley LK Fernandez-Salvador C Camacho M
author_facet	Reckley LK Fernandez-Salvador C Camacho M
author_sort	Reckley LK
title	The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
title_short	The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
title_full	The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
title_fullStr	The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
title_full_unstemmed	The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
title_sort	effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/64291707e66f42f7a1d4e5d7bfb4c214
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The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews

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