Tratamiento quirúrgico de la hipertrofia adenoamigdalar en niños con trastornos respiratorios durante el sueño: cambio en el patrón polisomnográfico
Surgical treatment of adenotonsillar enlargement in children with sleep respiratory disorders: changes in polysomnographic patterns
A. Sánchez Armengol*, F. Capote Gil, S. Cano Gómez, C. Carmona Bernal, E. García Díaz, J. Castillo Gómez
Servicio de Neumología. Hospital Universitario Virgen del Rocío. Sevilla
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"apellidos" => "Sánchez Armengol" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Capote Gil" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Cano Gómez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Carmona Bernal" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "García Díaz" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital Universitario Virgen del Rocío. Sevilla" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Avda. Ramón de Carranza, 20, casa 1.ª, 7.° D. 41011 Sevilla." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of adenotonsillar enlargement in children with sleep respiratory disorders: changes in polysomnographic patterns" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-02-13" "fechaAceptado" => "1996-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545603" "palabras" => array:3 [ 0 => "Hipertrofia adenoamigdalar" 1 => "Amigdaloadenoidectomía" 2 => "Polisomnografía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545602" "palabras" => array:3 [ 0 => "Adenotonsillar enlargement" 1 => "Adenotonsillectomy" 2 => "Polisomnography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En los niños, la hipertrofia adenoamigdalar (HAA) puede producir trastornos respiratorios durante el sueño. El tratamiento de elección es la amigdaloadenoidectomía (AAT), cuya eficacia se debe valorar dependiendo de la mejoría de la clínica y de los patrones polisomnográficos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hemos estudiado a 11 niños (7 niños y 4 niñas; edad media = 5,5 años) con HAA sintomática corregida mediante AAT. Se realizaron 2 estudios polisomnográficos nocturnos (SleepLab): uno basal y un control 6 meses después de la AAT. Se analizaron los registros polisomnográficos cuantificando: <span class="elsevierStyleItalic">a</span>) sólo las apneas e hipopneas de duración ≥ 10 s, y <span class="elsevierStyleItalic">b</span>) todos los eventos respiratorios de ≥ 5 s.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los síntomas más frecuentes fueron el ronquido, la disnea nocturna y las apneas del sueño. Después de la AAT se resolvió el cuadro clínico en la mayoría de los casos. Tras la cirugía disminuyeron todos los eventos obstructivos, sobre todo las apneas de menor duración (≥ 5 s) y las hipopneas. No se encontraron cambios en la SaO<span class="elsevierStyleInf">2</span> basal, pero sí mejoró la SaO<span class="elsevierStyleInf">2</span> mínima y disminuyó el número de saturaciones, sobre todo las derivadas de las alteraciones respiratorias.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Adenotonsillar enlargement (ATE) can cause respiratory disorders during sleep in children. The treatment of choice for ATE is adenotonsillectomy and its efficacy must be assessed based on improvement in symptoms and polysomnographic patterns.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We studied 11 children (7 boys and 4 girls, age 5.5 years) whose ATE symptoms were corrected by adenotonsillectomy. Two nighttime polysomnograms (SleepLab) were recorded, one at baseline and one 6 months after adenotonsillectomy. Polysomnographic recordings were analyzed by quantifying 1) only apneic or hypopneic events lasting ≥ 10 sec and 2) all respiratory events ≥ 5 sec.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The most common symptoms were snoring, nocturnal dyspnea and sleep apnea. Symptoms resolved after adenotonsillectomy for most patients. Obstructive events, in particular shorter apneic events (≥ 5 sec) and instances of hypopnea, decreased after surgery. We found no changes in baseline SaO<span class="elsevierStyleInf">2</span>, although the minimum SaO<span class="elsevierStyleInf">2</span> improved and the number of desaturations decreased, above all those stemming from respiratory events.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complications of pediatric obstructive sleep apnea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.P. Singer" 1 => "P. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 5 | 10 |
| 2024 October | 28 | 31 | 59 |
| 2024 September | 31 | 39 | 70 |
| 2024 August | 60 | 38 | 98 |
| 2024 July | 40 | 29 | 69 |
| 2024 June | 49 | 28 | 77 |
| 2024 May | 55 | 31 | 86 |
| 2024 April | 45 | 26 | 71 |
| 2024 March | 58 | 27 | 85 |
| 2024 February | 40 | 37 | 77 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 4 | 4 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 16 | 16 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 9 | 4 | 13 |
| 2023 February | 38 | 13 | 51 |
| 2023 January | 30 | 23 | 53 |
| 2022 December | 40 | 23 | 63 |
| 2022 November | 41 | 17 | 58 |
| 2022 October | 45 | 49 | 94 |
| 2022 September | 27 | 23 | 50 |
| 2022 August | 24 | 30 | 54 |
| 2022 July | 20 | 42 | 62 |
| 2022 June | 28 | 31 | 59 |
| 2022 May | 22 | 29 | 51 |
| 2022 April | 35 | 48 | 83 |
| 2022 March | 29 | 32 | 61 |
| 2022 February | 33 | 30 | 63 |
| 2022 January | 33 | 32 | 65 |
| 2021 December | 21 | 30 | 51 |
| 2021 November | 19 | 26 | 45 |
| 2021 October | 20 | 34 | 54 |
| 2021 September | 17 | 31 | 48 |
| 2021 August | 12 | 23 | 35 |
| 2021 July | 21 | 24 | 45 |
| 2021 June | 23 | 25 | 48 |
| 2021 May | 24 | 35 | 59 |
| 2021 April | 44 | 67 | 111 |
| 2021 March | 48 | 36 | 84 |
| 2021 February | 22 | 12 | 34 |
| 2021 January | 17 | 14 | 31 |
| 2020 December | 23 | 17 | 40 |
| 2020 November | 20 | 15 | 35 |
| 2020 October | 21 | 12 | 33 |
| 2020 September | 14 | 9 | 23 |
| 2020 August | 17 | 12 | 29 |
| 2020 July | 33 | 29 | 62 |
| 2020 June | 17 | 11 | 28 |
| 2020 May | 19 | 15 | 34 |
| 2020 April | 25 | 13 | 38 |
| 2020 March | 23 | 8 | 31 |
| 2020 February | 18 | 18 | 36 |
| 2020 January | 34 | 20 | 54 |
| 2019 December | 30 | 32 | 62 |
| 2019 November | 22 | 5 | 27 |
| 2019 October | 22 | 12 | 34 |
| 2019 September | 23 | 13 | 36 |
| 2019 August | 24 | 7 | 31 |
| 2019 July | 31 | 15 | 46 |
| 2019 June | 24 | 17 | 41 |
| 2019 May | 37 | 39 | 76 |
| 2019 April | 28 | 26 | 54 |
| 2019 March | 19 | 21 | 40 |
| 2019 February | 18 | 10 | 28 |
| 2019 January | 13 | 11 | 24 |
| 2018 December | 9 | 22 | 31 |
| 2018 November | 15 | 22 | 37 |
| 2018 October | 26 | 20 | 46 |
| 2018 September | 26 | 13 | 39 |
| 2018 May | 6 | 4 | 10 |
| 2018 April | 6 | 19 | 25 |
| 2018 March | 10 | 14 | 24 |
| 2018 February | 7 | 20 | 27 |
| 2018 January | 7 | 9 | 16 |
| 2017 December | 15 | 11 | 26 |
| 2017 November | 6 | 12 | 18 |
| 2017 October | 9 | 18 | 27 |
| 2017 September | 5 | 9 | 14 |
| 2017 August | 10 | 11 | 21 |
| 2017 July | 11 | 14 | 25 |
| 2017 June | 18 | 22 | 40 |
| 2017 May | 7 | 14 | 21 |
| 2017 April | 4 | 3 | 7 |
| 2017 March | 6 | 22 | 28 |
| 2017 February | 2 | 12 | 14 |
| 2017 January | 8 | 10 | 18 |
| 2016 December | 13 | 7 | 20 |
| 2016 November | 28 | 17 | 45 |
| 2016 October | 27 | 18 | 45 |
| 2016 September | 18 | 12 | 30 |
| 2016 August | 18 | 5 | 23 |
| 2016 July | 26 | 8 | 34 |
| 2016 June | 23 | 9 | 32 |
| 2016 May | 18 | 3 | 21 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 4 | 0 | 4 |
| 2016 February | 11 | 0 | 11 |
| 2016 January | 23 | 12 | 35 |
| 2015 December | 17 | 10 | 27 |
| 2015 November | 32 | 6 | 38 |
| 2015 October | 8 | 1 | 9 |
| 2015 September | 4 | 1 | 5 |
| 2015 June | 1 | 0 | 1 |
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