Volume 21 Issue 1
Jan.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(1): 54-56
GONG Ling-ling, WANG Wei, JIANG Cheng-yi, ZHAN Xiao-dong. Influence of paediatric snoring combined with posterior inferior distribution of the ventilation function on nasal ventilation[J]. Chinese Journal of General Practice, 2023, 21(1): 54-56. doi: 10.16766/j.cnki.issn.1674-4152.002810
Citation: GONG Ling-ling, WANG Wei, JIANG Cheng-yi, ZHAN Xiao-dong. Influence of paediatric snoring combined with posterior inferior distribution of the ventilation function on nasal ventilation[J]. Chinese Journal of General Practice, 2023, 21(1): 54-56. doi: 10.16766/j.cnki.issn.1674-4152.002810
shu

Influence of paediatric snoring combined with posterior inferior distribution of the ventilation function on nasal ventilation

doi: 10.16766/j.cnki.issn.1674-4152.002810

  • Department of Otolaryngology and Head and Neck Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 202104j07020015

  • Received Date: 2022-04-18
    Abstract
  •   Objective  The causes of snoring in children are multiple and complex, and the effect of routine flat gland resection in some children is poor. This study will combine snoring surgery with posterior end ablation of inferior turbinate in children to explore its application value in improving nasal ventilation function.  Methods  A total of 60 children with severe snoring [obstructive sleep apnea (OSA)] diagnosed by polysomnography (PSG) in the Department of Otolaryngology and Head and Neck Surgery of the First Affiliated Hospital of Bengbu Medical College from June 2021 to December 2021 were selected and randomly divided into control group (30 cases, thermic tonsils under a nasal endoscopy and adenoid ablation) and experimental group (30 cases, underwent endoscopic low oil into nasal and adenoidectomy combined with ablation of the posterior end of the inferior tribute). Before and after treatment, PSG and nasal resistance were measured, and disease specific quality of life survey (OSA-18) for children with obstructive sleep apnea hypopnea syndrome (OSAHS) were completed. The AHI, LSaO2 levels, OSA-18 scale scores, and nasal resistance values at 1, 2 and 3 weeks after surgery of children with abnormal nasal resistance value were compared between the two groups before surgery and 6 months after surgery.  Results  The AHI [(3.60±1.63) times/min], LSaO2 indexes (96.07%±2.29%) and OSA-18 total score [(22.57±2.79) points] of the experimental group were better than those of the control group [(8.63±1.30) times/min, 91.23%±1.22% and (25.57±4.71) points], and the differences were statistically significant (all P < 0.05). No significant improvement in nasal resistance was observed in the first week after surgery (P>0.05), and the nasal resistance in the second and third weeks after surgery was significantly improved (all P < 0.05) compared with before surgery. In addition, the nasal resistance in the experimental group was significantly better than that in the control group (all P < 0.05).  Conclusion  Endoscopic low-temperature plasma tonsillectomy and adenoid ablation combined with posterior and inferior distribution of ablation in children with abnormal resistance are more conducive to improving post-operative function and quality of life.

     

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