Treatment Options For Children With Snoring Caused By Hypertrophy Of Tonsils And Adenoids With OSA-18

Objective: Observing and analyzing the effect of surgical and non-surgical treatment on the quality of life for children with snoring by using Disease Specific Quality of Life for Children with Obstructive Sleep Apnea 18 Items Survey(OSA-18),to explore the best individualization treatment for children with snoring at different levels.Methods: Using OSA-18 to interview the same guardian of the 149 children with Obstructive Sleep-Disordered Breathing,(OSDB)caused by hypertrophy of tonsils and / or adenoids on starting treatment 3 days before and 6 months later.Choosing surgical or non-surgical treatment,to compare the effect of the two different treatment methods on the quality of life of children,in the case of children’s guardian informed and voluntary.Results: 1.There was no significant difference between surgical and non-surgical treatment in the mild group(p> 0.05).There was statistically significant difference between surgical and non-surgical treatment in the moderate group and severe group(p<0.01).2.Children in each group surgical and non-surgical treatment were both improved poorly in poor mood and daytime function.3.There were differences between surgical and non-surgical treatment in moderate group of children in the nose more and swallowing food.4.Spearman correlation analysis showed that: the simple adenoid size was positively correlated with the overall score of OSA-18(r = 0.845,p<0.01);simple tonsil size was positively correlated with the overall score of OSA-18(r = 0.581,p< 0.01).The tonsil and adenoid size were positively correlated with the overall score of OSA-18(r = 0.679,p <0.01).Conclusion: 1.The mild group,OSA-18 total score was less than 60 points,surgery and non-surgical treatment could better improve the quality of life;The moderate-severe group,OSA-18 total score was more than 60 points,surgical treatment is better than non-surgical treatment.2.Surgical and non-surgical treatment improved poorly in "poor mood" and "day function".3.The effect of snoring on the quality of life of children was positively correlated with the degree of pharyngeal obstruction caused by hypertrophy of tonsils and adenoids.