TITLE:
Tonsil Surgery in the Management of Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) in Children at the ENT Department of Ignace Deen National Hospital
AUTHORS:
Ibrahima Diallo, Mohamed Kassory Poly, Oumou Kaïratou Barry, Ismaël Dabo, Mama Brigitte Ouoba, Alseny Camara, Aminata Gadjiko Diallo, Souleymane Amadou Camara, Amadou Sinayoko, Alpha Amadou Diallo, Alpha Oumar Diallo
KEYWORDS:
Surgery, Adeno-Tonsillectomy, OSAHS, Child
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.14 No.1,
January
15,
2025
ABSTRACT: Introduction: Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a sleep-related breathing disorder characterized by repeated episodes of partial obstruction of the upper airways (hypopnea) and/or intermittent complete obstruction (apnea). Our aim is to study the role of adeno-tonsillectomy in the management of OSAHS in children. Methodology: This was a prospective descriptive study conducted in the ENT-Head and Neck Surgery department of Ignace Deen National Hospital over a six-month period. We included in our study all patients aged 0 to 15 years, presenting with OSAHS of ENT etiology and who had undergone tonsillectomy/adenoidectomy. Results: The frequency of OSAHS was 13%. The mean age of our patients was 5.1 ± 3.8 years. There was a predominance of males (69.6%) with a sex ratio of 2.28. Snoring (98.6%), nasal obstruction (97.1%), and mouth breathing (96.6%) were the main reasons for consultation. Adeno-tonsillectomy (45.4%) was the primary surgical intervention. Almost all children (99.0%) had a simple postoperative course. Conclusion: OSAHS is a condition with a multifactorial etiology. Adeno-tonsillectomy remains the first-line surgical treatment to prevent severe complications and relieve the patient. Multidisciplinary collaboration is essential in the management of OSAHS.