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Links and risks associated with adenotonsillectomy and obesity

Authors Tatlıpınar A, Kınal E

Received 2 March 2015

Accepted for publication 10 May 2015

Published 5 August 2015 Volume 2015:6 Pages 123—127


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Laurens Holmes, Jr

Arzu Tatlipinar, Emrah Kinal

ENT Clinic, Fatih Sultan Mehmet Research and Training Hospital, Kozyataği, Īstanbul, Turkey

Abstract: Adenotonsillectomy (A&T) is a very common surgical procedure in children. Over the past 20 years the principal indication for A&T in children has changed from recurrent adenotonsillitis to obstructive sleep apnea. The physiopathology of obstructive sleep apnea syndrome (OSAS) is multifactorial and obesity has been shown to be one of the main factors correlated with its occurrence. On the other hand, the prevalence and severity of childhood obesity have become a veritable epidemic problem in the past 30 years. So the increasing prevalence of obesity in children and high prevalence of obstructive sleep apnea in obese children implies that an increasing number of these children will present for A&T. Due to more prevalent anatomical alterations of the oronasopharyngeal airways, it is often difficult to predict operation success in obese children. However, previous studies supports that although the risk of presence of residual symptoms of OSAS and airway-related perioperative complication in obese may be more than nonobese group, A&T is effective to reduce obstructive symptoms and improve quality of life in obese children with OSAS.

Keywords: obesity, adenotonsillectomy, obstructive sleep apnea syndrome

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