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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En los ni&#241;os&#44; la hipertrofia adenoamigdalar &#40;HAA&#41; puede producir trastornos respiratorios durante el sue&#241;o&#46; El tratamiento de elecci&#243;n es la amigdaloadenoidectom&#237;a &#40;AAT&#41;&#44; cuya eficacia se debe valorar dependiendo de la mejor&#237;a de la cl&#237;nica y de los patrones polisomnogr&#225;ficos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hemos estudiado a 11 ni&#241;os &#40;7 ni&#241;os y 4 ni&#241;as&#59; edad media &#61; 5&#44;5 a&#241;os&#41; con HAA sintom&#225;tica corregida mediante AAT&#46; Se realizaron 2 estudios polisomnogr&#225;ficos nocturnos &#40;SleepLab&#41;&#58; uno basal y un control 6 meses despu&#233;s de la AAT&#46; Se analizaron los registros polisomnogr&#225;ficos cuantificando&#58; <span class="elsevierStyleItalic">a</span>&#41; s&#243;lo las apneas e hipopneas de duraci&#243;n &#8805; 10 s&#44; y <span class="elsevierStyleItalic">b</span>&#41; todos los eventos respiratorios de &#8805; 5 s&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los s&#237;ntomas m&#225;s frecuentes fueron el ronquido&#44; la disnea nocturna y las apneas del sue&#241;o&#46; Despu&#233;s de la AAT se resolvi&#243; el cuadro cl&#237;nico en la mayor&#237;a de los casos&#46; Tras la cirug&#237;a disminuyeron todos los eventos obstructivos&#44; sobre todo las apneas de menor duraci&#243;n &#40;&#8805; 5 s&#41; y las hipopneas&#46; No se encontraron cambios en la SaO<span class="elsevierStyleInf">2</span> basal&#44; pero s&#237; mejor&#243; la SaO<span class="elsevierStyleInf">2</span> m&#237;nima y disminuy&#243; el n&#250;mero de saturaciones&#44; sobre todo las derivadas de las alteraciones respiratorias&#46;</p></span>"
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Journal Information
Vol. 33. Issue 3.
Pages 124-128 (March 1997)
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Vol. 33. Issue 3.
Pages 124-128 (March 1997)
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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
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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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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.

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: a) sólo las apneas e hipopneas de duración ≥ 10 s, y b) todos los eventos respiratorios de ≥ 5 s.

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 SaO2 basal, pero sí mejoró la SaO2 mínima y disminuyó el número de saturaciones, sobre todo las derivadas de las alteraciones respiratorias.

Palabras clave:
Hipertrofia adenoamigdalar
Amigdaloadenoidectomía
Polisomnografía

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.

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.

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 SaO2, although the minimum SaO2 improved and the number of desaturations decreased, above all those stemming from respiratory events.

Key words:
Adenotonsillar enlargement
Adenotonsillectomy
Polisomnography
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Copyright © 1997. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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