Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing

Hideyuki Saito, Kouji Araki, Hiroyuki Ozawa, Kunio Mizutari, Kouji Inagaki, Noboru Habu, Taku Yamashita, Ryouichi Fujii, Soichiro Miyazaki, Kaoru Ogawa

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: Although first line therapy of sleep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB. Method: Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during sleep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls. Results: Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (ODI4) of more than 1.5 and/or ODI3 of more than 3.5 should undergo surgery. Conclusion: Pulse-oximetry is useful in determining the indications for adeno-tonsillectomy.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume71
Issue number1
DOIs
Publication statusPublished - 2007 Jan

Fingerprint

Tonsillectomy
Sleep Apnea Syndromes
Pulse
Pediatrics
Oximetry
Oxygen
Snoring
Sleep
Therapeutics

Keywords

  • Adenoid-tonsillectomy
  • Child
  • Pulse-oximetry
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing. / Saito, Hideyuki; Araki, Kouji; Ozawa, Hiroyuki; Mizutari, Kunio; Inagaki, Kouji; Habu, Noboru; Yamashita, Taku; Fujii, Ryouichi; Miyazaki, Soichiro; Ogawa, Kaoru.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 71, No. 1, 01.2007, p. 1-6.

Research output: Contribution to journalArticle

Saito, Hideyuki ; Araki, Kouji ; Ozawa, Hiroyuki ; Mizutari, Kunio ; Inagaki, Kouji ; Habu, Noboru ; Yamashita, Taku ; Fujii, Ryouichi ; Miyazaki, Soichiro ; Ogawa, Kaoru. / Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing. In: International Journal of Pediatric Otorhinolaryngology. 2007 ; Vol. 71, No. 1. pp. 1-6.
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