{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T21:06:09Z","timestamp":1782939969368,"version":"3.54.5"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear.<\/jats:p><jats:p>\n          Objective\u2003To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB).<\/jats:p><jats:p>\n          Method\u2003This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant.<\/jats:p><jats:p>\n          Results\u2003A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22\u2009\u00b1\u20093 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores.<\/jats:p><jats:p>\n          Conclusion\u2003This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.<\/jats:p>","DOI":"10.1055\/s-0040-1709195","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T23:09:11Z","timestamp":1588633751000},"page":"e123-e128","source":"Crossref","is-referenced-by-count":11,"title":["Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing"],"prefix":"10.1055","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0731-3224","authenticated-orcid":false,"given":"Juliana Alves Sousa","family":"Caixeta","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s, Goi\u00e2nia, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1581-6910","authenticated-orcid":false,"given":"Jessica Caixeta Silva","family":"Sampaio","sequence":"additional","affiliation":[{"name":"UniEVANG\u00c9LICA, An\u00e1polis, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5323-6576","authenticated-orcid":false,"given":"Vanessa Vaz","family":"Costa","sequence":"additional","affiliation":[{"name":"UniEVANG\u00c9LICA, An\u00e1polis, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-530X","authenticated-orcid":false,"given":"Isadora Milhomem Bruno da","family":"Silveira","sequence":"additional","affiliation":[{"name":"UniEVANG\u00c9LICA, An\u00e1polis, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0644-721X","authenticated-orcid":false,"given":"Carolina Ribeiro Fernandes de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"UniEVANG\u00c9LICA, An\u00e1polis, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4310-2096","authenticated-orcid":false,"given":"Luiz Claudio Alves Sousa","family":"Caixeta","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0342-0978","authenticated-orcid":false,"given":"Melissa Ameloti Gomes","family":"Avelino","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s, Goi\u00e2nia, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,5,4]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1136\/adc.68.3.360","article-title":"Snoring, sleep disturbance, and behaviour in 4-5 year olds","volume":"68","author":"N J Ali","year":"1993","journal-title":"Arch Dis Child"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1016\/j.otc.2016.07.001","article-title":"Pediatric Obstructive Sleep 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