Improved objective outcomes and quality of life after adenotonsillectomy with inferior turbinate reduction in pediatric obstructive sleep apnea with inferior turbinate hypertrophy

@article{Cheng2012ImprovedOO,
  title={Improved objective outcomes and quality of life after adenotonsillectomy with inferior turbinate reduction in pediatric obstructive sleep apnea with inferior turbinate hypertrophy},
  author={Po-Wen Cheng and Kai-Min Fang and Huang Wei Su and Tsung-Wei Huang},
  journal={The Laryngoscope},
  year={2012},
  volume={122}
}
Whether adenotonsillectomy (AT) is sufficient for pediatric obstructive sleep apnea syndrome (OSAS) with persistent severe allergic rhinitis (PSAR) remains unclear. This study attempts to identify the role of inferior turbinate reduction in treating pediatric OSAS with PSAR. 
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Surgical management of inferior turbinate hypertrophy
Septoplasty and Turbinate Reduction in Children
TLDR
In children who present with nasal obstruction, a thorough physical exam and nasal endoscopy should be performed with particular attention to the nasal septum and inferior turbinates, and surgery should be considered.
Discrepancy between Objective and Subjective Outcomes after Adenotonsillectomy in Children with Obstructive Sleep Apnea Syndrome
TLDR
Quality of life significantly improved subjectively after surgery, despite an incomplete resolution of OSA objectively, leading to a better correlation between objective and subjective measures before as opposed to after surgery.
Complications of turbinate reduction surgery in combination with tonsillectomy in pediatric patients
TLDR
To examine whether the addition of turbinoplasty to tonsillectomy and adenoidectomy increases the risk of postoperative complications, a large number of patients have had the procedure.
Inferior turbinate reduction
Obstructive Sleep Apnea Syndrome Discrepancy between Objective and Subjective Outcomes after Adenotonsillectomy in Children with
TLDR
Quality of life significantly improved subjectively, despite an incomplete resolution of OSA objectively, leading to a better correlation between objective and subjective measures before as opposed to after surgery.
Pediatric turbinate radiofrequency ablation improves quality of life and rhinomanometric values. A prospective study.
Quality of life after adenotonsillectomy for children with sleep-disordered breathing: a linear mixed model analysis.
Inferior Turbinate Hypertrophy: A Review of the Evolution of Management in Children
TLDR
An overview of the evolution of ITH management in children is provided and the following graduated recommendation to treatment is proposed: (1) a 3-month trial of medical management, (2) evaluation for adenoid hypertrophy for consideration of concurrent adenoidsectomy, and (3) RVTR or submucous microdebridement as the first-line surgical approach.
Comparative Study between Submucosal Diathermy and Endoscopic Partial Turbinectomy in Hypertrophied Inferior Turbinate
TLDR
Both of the used surgical techniques were found to be effective in reducing nasal obstruction but endoscopic partial turbinectomy was more effective in reduced nasal obstruction for longer duration.
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