小児OSASに対するマイクロデブリッダー併用手術 Power-Assisted Partial Adenoidectomy (PAPA) with Total Tonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome
Obstructive sleep apnea syndrome (OSAS) in youth causes various sequelae—life-threatening, body composition and school performance. Adenotonsillar surgery is beneficial for treating pediatric OSAS, however, the traditional methods pose some problems such as re-multiplication of adenoids. We performed total tonsillectomy and Power-Assisted Partial Adenoidectomy (PAPA) in 111 children for 3 years and 25 cases were examined Oxygen Desaturation Index 3% (ODI 3%) during sleep with a pulseoxymeter before and after the operation.<br>Their ODI 3% improved significantly after surgery. No long-term complications, such as relapse of OSAS and immunodeficiency, have occurred. PAPA with total tonsillectomy is very useful for the treatment of pediatric OSAS.
耳鼻咽喉科臨床 100(1), 25-29, 2007-01-01
The Society of Practical Otolaryngology