{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T23:46:54Z","timestamp":1775173614385,"version":"3.50.1"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Um die Effektivit\u00e4t einer Adeno(tonsillo)tomie in Bezug auf ein obstruktives Schlafapnoesyndrom zu beurteilen, wurden in dieser Studie die OSAS-spezifischen Symptome prospektiv erhoben.<\/jats:p>\n                  <jats:p>Das Gesamtkollektiv bestand aus n=111 Kindern (3\u20136 Jahre, \u2642 55%, \u2640 45%), bei denen eine Adenotomie (77%) oder Adenotonsillotomie (23%) an der HNO Universit\u00e4tsklinik Ulm durchgef\u00fchrt wurde. Die OSAS-spezifischen Symptome wurden mit Frageb\u00f6gen erhoben (Operationstag, Follow-up: 3 Monate) und die Ergebnisse mit Box-Whisker-Plots f\u00fcr das Gesamtkollektiv und die Operationstechniken AT und ATT dargestellt (Signifikanzniveau \u03b1=5%). Mittels Balkendiagrammen erfolgte die Darstellung der pr\u00e4- und postoperativen Risikostratifizierung.<\/jats:p>\n                  <jats:p>Im Durchschnitt war f\u00fcr das Gesamtkollektiv und die einzelnen Operationstechniken der postoperative Brouillette-Score (\u20133,41, AT: \u20133,33, ATT: \u20133,68) signifikant niedriger als pr\u00e4operativ (\u20130,22, AT: \u20130,49, ATT: 0,7). Der durchschnittliche OSA-18-Score war postoperativ f\u00fcr das Gesamtkollektiv und die einzelnen Operationstechniken (33,2, AT: 33,5, ATT: 31,9) signifikant niedriger als pr\u00e4operativ (61,2, AT: 59,1, ATT: 68,6).<\/jats:p>\n                  <jats:p>Bei Vorliegen eines obstruktiven Schlafapnoesyndroms stellen die Operationstechniken AT und ATT effektive Behandlungsmethoden zur Symptomreduktion dar.<\/jats:p>","DOI":"10.1055\/a-2704-5576","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T23:03:09Z","timestamp":1759791789000},"page":"239-244","source":"Crossref","is-referenced-by-count":0,"title":["Effektivit\u00e4t der Adeno(tonsillo)tomie bei obstruktiver Schlafapnoe im Vorschulalter"],"prefix":"10.1055","volume":"105","author":[{"given":"Milena","family":"Gojnic","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Karl","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Gschwend","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael Fernando","family":"Leitgeb","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Lindemann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Ulm, Ulm, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"ref1","first-page":"A","article-title":"Obstruktives Schlafapnoesyndrom im Kindesalter","volume":"99","author":"A Wiater","year":"2002","journal-title":"Dtsch Arztebl Int"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.ccm.2010.02.005","article-title":"Polysomnography","volume":"31","author":"B Jafari","year":"2010","journal-title":"Sleep"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1007\/s00112-012-2851-x","article-title":"Schnarchen bei Kindern","volume":"161","author":"MS Urschitz","year":"2013","journal-title":"Monatsschr Kinderheilkd"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1055\/s-2007-995627","article-title":"Lebensqualit\u00e4t bei kindlichem obstruktiven Schlafapnoesyndrom nach Tonsillektomie, Tonsillotomie und\/oder Adenotomie","volume":"87","author":"EWS Smith","year":"2008","journal-title":"Laryngo-Rhino-Otol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3314","article-title":"Adenotonsillotomy Versus Adenotonsillectomy in Pediatric Obstructive Sleep Apnea: An RCT","volume":"139","author":"A Borgstr\u00f6m","year":"2017","journal-title":"Pediatrics"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"2161","DOI":"10.1002\/lio2.967","article-title":"Correlations between objective and subjective outcomes after adenotonsillar surgery in children with OSA","volume":"7","author":"I Sj\u00f6lander","year":"2022","journal-title":"Laryngoscope Investig Otolaryngol"}],"container-title":["Laryngo-Rhino-Otologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2704-5576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T22:47:22Z","timestamp":1775170042000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2704-5576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,6]]},"references-count":6,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,4,2]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2704-5576","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0935-8943","1438-8685"],"issn-type":[{"value":"0935-8943","type":"print"},{"value":"1438-8685","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,6]]}}}