Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Power-Assisted Partial Adenoidectomy (PAPA) with Total Tonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome
Masahiro KawamotoRyuichi MochizukiKeisuke YamamotoMitsutaka TaniguchiTakeshi Kubo
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2007 Volume 100 Issue 1 Pages 25-29

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Abstract
Obstructive sleep apnea syndrome (OSAS) in youth causes various sequelae—life-threatening, body composition and school performance. Adenotonsillar surgery is beneficial for treating pediatric OSAS, however, the traditional methods pose some problems such as re-multiplication of adenoids. We performed total tonsillectomy and Power-Assisted Partial Adenoidectomy (PAPA) in 111 children for 3 years and 25 cases were examined Oxygen Desaturation Index 3% (ODI 3%) during sleep with a pulseoxymeter before and after the operation.
Their ODI 3% improved significantly after surgery. No long-term complications, such as relapse of OSAS and immunodeficiency, have occurred. PAPA with total tonsillectomy is very useful for the treatment of pediatric OSAS.
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© The Society of Practical Otolaryngology
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