Sore throat

24 October 2007

Tonsillectomy helps kids sleep

A study shows that children with sleeping problems who have their tonsils surgically removed may start sleeping better and show improvements in behaviour.

Children with sleep disordered breathing who undergo adenotonsillectomy - surgical removal of the tonsils and adenoids - may not only start sleeping better, but may also show improvements in behaviour, the results of a new study suggests.

Sleep disordered breathing refers to a spectrum of breathing disorders, ranging from snoring to obstructive sleep apnoea syndrome, a condition in which the patient stops and starts breathing many times over the course of the night.

One side effect of obstructive sleep apnoea syndrome is chronic fatigue during the day.

Often, the problem stems from enlarged tonsils and adenoids, masses of tissue that help catch incoming germs; the tonsils are located in the back of the throat, while the adenoids dwell behind the nose.

Lack of sleep is a problem
Studies have found that children with sleep disordered breathing also have an elevated rate of behavioural problems, including attention-deficit hyperactivity disorder (ADHD), and poor school performance.

It's thought that poor sleep quality contributes to these problems.

Adenotonsillectomy can cure children's sleep disordered breathing, and the results of the new study suggest that accompanying behavioural issues may also improve, researchers say.

"For children with behaviour problems, chronic snoring may contribute to such behaviours’, and if the snoring is addressed, there can be significant improvement in their quality of life," said lead study author Dr Julie L. Wei, of the University of Kansas School of Medicine in Kansas City.

How the study was done
The study, published in the Archives of Otolaryngology - Head & Neck Surgery, included 117 children with sleep disordered breathing who underwent adenotonsillectomy.

Before the surgery and six months after the procedure, parents completed questionnaires on their children's sleep disordered breathing symptoms and behavioural problems, including inattention, hyperactivity and defiance.

Overall, Wei's team found, there was a correlation between the extent of children's night-time breathing problems and their daytime behavioural problems.

When their sleep disordered breathing symptoms improved after surgery, so too did their behaviour.

Poor sleep affects children
Studies in recent years have shown that poor sleep can be a "significant factor" in children's behaviour and emotional well-being, Wei noted.

This study, she said, supports those findings, and suggests that sleep disordered breathing treatment can aid the daytime problems linked to poor sleep. – (Amy Norton, Reuters Health)

Read more:
Your child struggling to sleep?
Sleep apnoea can harm kids


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