Assessment of Obstructive Sleep Apnea in Children Referred for Adenotonsillectomy, Outcome Evaluation by Pre and Post Operative Osa Score

Objective: To determine the Assessment of Obstructive sleep apnea in children referred for adenotonsillectomy, outcome evaluation by pre and post operative OSA score. Study Design: Comparative Cross-Sectional study. Place and Duration of Study: Department of ENT, Combined Military Hospital, Rawalpindi Pakistan, from Jul 2021 to Jul 2022. Methodology: We enrolled 40 children age 3-11 years with OSAS, they underwent AT and were hospitalized. Each participant underwent a physical examination and their medical history was reviewed. Each patient underwent a standardized pre- and post-operative polygraph evaluation, and patient answered the OSA questionnaire. Results: The Pre operative OSA AHI-Event was 4(10.0%) while in Post operative it was 2(5.0%). Pre-operative OSA Allergen Sensitization was 11(17.5%) and in post-operative OSA allergen Sensitization was 10.0%. Pre-operative OSA Rhinitis was 5(12.5%) and in post-operative OSA Rhinitis was 4(10.0%). Pre-operative OSA Asthma was 3(7.5%) and in post-operative OSA asthma was 1(2.5%). Pre-operative OSA IQR was 5(12.8 %) and in post-operative OSA IQR was 19(45.5%). Pre-operative OSA Friedman Plate Position III-IV was 3(7.5%) and in post-operative OSA Friedman Plate Position III-IV was 1(2.5%). All the parameters showed significant results p-value less than <0.00. Conclusion: Result showed that AT is related with considerable changes in post-operative measurement of all parameters in children with OSAS.