The Utility of Adenotonsillectomy to Treat Snoring in Children: Acoustic Evaluation Using Smartphones

이상훈; 권순복; 이호병; 박근형; 문미진; 김영중; 구수권

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자료유형: 학술저널

저자정보: 이상훈 권순복 이호병 박근형 문미진 김영중 구수권

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제9호

발행연도: 2018.1

수록면: 465 - 471 (7page)

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Background and Objectives Adenotonsillectomy is a highly effective treatment for obstructivesleep apnea symptoms in children. In this study, to investigate the effects of adenotonsillectomyon snoring in children, we analyzed and compared snoring sounds recorded usinga smartphone before and after adenotonsillectomy. We also determined whether it is possibleto use acoustic analysis to monitor snoring in children. Subjects and Method A total of 20 children diagnosed with snoring and had undergoneadenotonsillectomy performed by the same surgeon were enrolled for the study. Snoring wasrecorded by patients’ caregivers using smartphones before and after the surgery (mean of 8.5days) and analyzed. Questionnaires were conducted by telephone survey at 3 months and 12months after the surgery to determine snoring status. Results Snoring completely ceased in 25% of patients and decreased in the remaining 75%during the immediate follow-up period (mean of 8.5 days; from 58.07±9.35 dB to 42.59±7.89dB, p＜0.001), and disappeared in all of the patients by 3 months after adenotonsillectomy. Snoring recurred only in one patient after 1 year. A frequency analysis offered no evident statisticallysignificant changes during the immediate follow-up period, indicating that althoughsnoring volume had decreased, no anatomical change had developed in the patient. Spectrographywas useful in investigating the snoring patterns before and after adenotonsillectomy. Conclusion The results showed that acoustic analysis of snoring sounds obtained using asmartphone may be useful for monitoring snoring during follow-up after adenotonsillectomyin pediatric snoring patients.

참고문헌 (29)

참고문헌 신청

Redline S / 1999 / Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems / Am J Respir Crit Care Med 159(5 Pt 1):1527~1532

Marcus CL / 2013 / A randomized trial of adenotonsillectomy for childhood sleep apnea / N Engl J Med 368(25):2366~2376

Marcus CL / 2012 / Diagnosis and management of childhood obstructive sleep apnea syndrome / Pediatrics 130(3):576~584

Gysin C / 2013 / Indications of pediatric tonsillectomy / ORL J Otorhinolaryngol Relat Spec 75(3):193~202

Brietzke SE / 2006 / The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea/hypoapnea syndrome: a meta-analysis / Otolaryngol Head Neck Surg 134(6):979~984

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