Success of adenotonsillectomy in the treatment of children with obstructive sleep apnea and factors affecting it

11^th European Otolaryngology- ENT Surgery Conference

November 03-04, 2025 Rome, Italy

Ali Aliyev

Ege Hospital, Azerbaijan

Keynote: J Laser Opt Photonics

Abstract :

Adenoidectomy and tonsillectomy are the most frequently performed surgeries in the practice of ENT physicians. The most common pathology in obstructive sleep apnea (OSA) in children is adenotonsillar hypertrophy. In most patients, symptoms and signs decrease significantly after this surgery. However, complete recovery is rare. Although there are many studies related to this problem, the etiopathogenesis of the disease and the causes of persistent OSA are not fully understood. Our aim was to investigate the factors that might affect the success of adenotonsillectomy in children with OSA who did not have any comorbidity, and to reveal potential factors such as the size of adenoids and tonsils, age, gender and jawstructure. In our study, the data of children diagnosed with moderate and severe OSA polysomnographically were collected and the reasons for surgical success and failurewere examined according to the preoperative and postoperative apneahypopnea index (AHI). We found that the success of surgery was significantly higher in the <6 years old group with tonsil grade 3 and 4 compared to those with tonsil grade 1 and 2. Patients with persistent OSA after adenotonsillectomy (postoperative AHI ≥ 5) had different cephalometric values compared to patients recovering (postop AHI <5), especially the narrower inclination angle of the lower incisors (IMPA) and a longer distance between the mandible and hyoid (MPH) revealed as a result of our study. A significant relationship was found between a high preoperative AHI score and surgical failure. No relationship was found between age, gender and surgical failure. Keywords: adenoidectomy, tonsillectomy, adenotonsillectomy, persistent obstructive sleep apnea, snoring, cephalometry, polysomnography

Biography :

Ali Aliyev is a dedicated pediatric otolaryngologist at Ege Hospital, Azerbaijan, specializing in airway disorders and sleep-related breathing issues in children. His clinical work and research focus on improving surgical outcomes in pediatric obstructive sleep apnea, particularly through adenotonsillectomy and related therapeutic approaches.