This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (52)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Nira A. Goldstein, MD; J. Christopher Post, MD; Richard M. Rosenfeld, MD, MPH; Thomas F. Campbell, PhD

Arch Otolaryngol Head Neck Surg. 2000;126:494-498.

Objective  To measure the impact of tonsillectomy and adenoidectomy (T&A) on children's behavioral and emotional problems using a standardized assessment.

Design  Prospective study.

Setting  Tertiary care children's hospital.

Patients  Thirty-six children, aged 2 through 18 years, with symptoms of nighttime snoring, observed apneas, and daytime mouth breathing and physical examination results demonstrating 3+ or 4+ tonsils scheduled for T&A.

Intervention  Parents completed a standard survey of their children's symptoms of sleep apnea and a standardized measure of children's competencies and problems, the Child Behavior Checklist for ages 2 through 3 years or 4 through 18 years, before T&A and 3 months postoperatively.

Main Outcome Measure  The Child Behavior Checklist total problem score.

Results  The preoperative Child Behavior Checklist total problem score was consistent with abnormal behavior for 10 children (28%). After T&A (n=15), only 2 scores were abnormal, but the change was not statistically significant. In contrast, the mean total problem score was 7.5 points lower after surgery (95% confidence interval, 5.1-9.7), indicating a significant decrease (P<.001, matched t test).

Conclusions  This pilot study demonstrates a high prevalence (28%) of abnormal behavior in children undergoing T&A for chronic upper airway obstruction. Scores on a standardized measure of behavior improve following T&A, but larger studies with increased statistical power are needed to clarify the degree of improvement and its clinical importance.

From the Division of Pediatric Otolaryngology, State University of New York Health Science Center at Brooklyn (Drs Goldstein and Rosenfeld); Department of Pediatric Otolaryngology, Allegheny General Hospital, Pittsburgh, Pa (Dr Post); and Department of Communication Science and Disorders, University of Pittsburgh, and Department of Audiology and Communication Disorders, Children's Hospital of Pittsburgh (Dr Campbell).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Sleep Outcomes in Children With Hemifacial Microsomia and Controls: A Follow-up Study
Cloonan et al.
Pediatrics 2009;124:e313-e321.
ABSTRACT | FULL TEXT  

Effect of Weight, Sleep Duration, and Comorbid Sleep Disorders on Behavioral Outcomes in Children With Sleep-Disordered Breathing
Owens et al.
Arch Pediatr Adolesc Med 2008;162:313-321.
ABSTRACT | FULL TEXT  

Pediatric Obstructive Sleep Apnea: Complications, Management, and Long-term Outcomes
Capdevila et al.
Proc Am Thorac Soc 2008;5:274-282.
ABSTRACT | FULL TEXT  

Improved Behavior and Sleep After Adenotonsillectomy in Children With Sleep-Disordered Breathing
Wei et al.
Arch Otolaryngol Head Neck Surg 2007;133:974-979.
ABSTRACT | FULL TEXT  

Sleep-related Disorders in ADHD: A Review
van der Heijden et al.
CLIN PEDIATR 2005;44:201-210.
 

Child Behavior and Quality of Life in Pediatric Obstructive Sleep Apnea
Tran et al.
Arch Otolaryngol Head Neck Surg 2005;131:52-57.
ABSTRACT | FULL TEXT  

Increased Behavioral Morbidity in School-Aged Children With Sleep-Disordered Breathing
Rosen et al.
Pediatrics 2004;114:1640-1648.
ABSTRACT | FULL TEXT  

Habitual Snoring, Intermittent Hypoxia, and Impaired Behavior in Primary School Children
Urschitz et al.
Pediatrics 2004;114:1041-1048.
ABSTRACT | FULL TEXT  

The Effect of Chronic or Intermittent Hypoxia on Cognition in Childhood: A Review of the Evidence
Bass et al.
Pediatrics 2004;114:805-816.
ABSTRACT | FULL TEXT  

Clinical Assessment of Pediatric Obstructive Sleep Apnea
Goldstein et al.
Pediatrics 2004;114:33-43.
ABSTRACT | FULL TEXT  

Long-term Changes in Quality of Life After Surgery for Pediatric Obstructive Sleep Apnea
Mitchell et al.
Arch Otolaryngol Head Neck Surg 2004;130:409-412.
ABSTRACT | FULL TEXT  

Child Behavior and Quality of Life Before and After Tonsillectomy and Adenoidectomy
Goldstein et al.
Arch Otolaryngol Head Neck Surg 2002;128:770-775.
ABSTRACT | FULL TEXT  

Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Section on Pediatric Pulmonology and Subcommittee on Obstructive Sleep Apnea Syndrome
Pediatrics 2002;109:704-712.
ABSTRACT | FULL TEXT  

Technical Report: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Schechter and Section on Pediatric Pulmonology, Subcommittee on
Pediatrics 2002;109:e69-e69.
ABSTRACT | FULL TEXT