{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:26:13Z","timestamp":1786969573780,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy of isolated adenoidectomy in managing pediatric sleep\u2010disordered breathing (SDB) and upper airway obstruction (UAO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>MEDLINE, EMBASE, and CENTRAL were systematically searched from inception through March 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Following Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses (PRISMA) guidelines, we included studies reporting outcomes of isolated adenoidectomy in children with SDB and UAO. Two reviewers independently screened studies, extracted data, and assessed risk of bias. A meta\u2010proportion analysis was conducted to evaluate symptomatic improvement and the need for further surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010two observational studies including 4460 children were analyzed. The weighted mean age was 5.2 years. Isolated adenoidectomy led to a mean apnea\u2010hypopnea index reduction of 11.3 events\/h across four studies. The pooled proportion of symptomatic improvement was 75% (95% CI 60\u201088), while the pooled rate of further surgical intervention was 17% (95% CI 11\u201024). Subgroup analyses suggested greater symptomatic improvement and lower reoperation rates in children older than 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Isolated adenoidectomy improves both objective sleep parameters and subjective outcomes. In appropriately selected children, it may represent a conservative alternative to adenotonsillectomy. These findings, however, require confirmation through well\u2010designed randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70387","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:41:52Z","timestamp":1786966912000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Isolated Adenoidectomy for Pediatric Sleep\u2010Disordered Breathing: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8902-7036","authenticated-orcid":false,"given":"Hussein","family":"Smaily","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Universit\u00e9 Laval Quebec Quebec Canada"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery CHU Sainte\u2010Justine Montreal Quebec Canada"},{"name":"CHU Sainte Justine Research Institute, CHU 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