Kang, Kun-TaiKun-TaiKangWEN-CHIN WENGLee, Chia-HsuanChia-HsuanLeePEI-LIN LEEWEI-CHUNG HSU2021-01-052021-01-0520140194-5998https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904066027&doi=10.1177%2f0194599814529534&partnerID=40&md5=e6177f6bf069af1517f50f43585f7a58https://scholars.lib.ntu.edu.tw/handle/123456789/538188Objective. Adenotonsillectomy (T&A) is the first line therapy for pediatric obstructive sleep apnea (OSA); however, inconsistency between objective and subjective outcomes perplexes physicians. This study investigates changes of objective and subjective outcomes in children with OSA after T&A, in particular, to elucidate correlations and discrepancies between these 2 measures.Study Design. Case series with record review.Setting. Tertiary referral medical center.Subjects and Methods. Symptomatic children with polysomnographic diagnosis of OSA (apnea-hypopnea index [AHI] > 1) were included. All children underwent T&A to treat OSA, along with completely objective (polysomnography) and subjective (Obstructive Sleep Apnea 18-Item Quality-of-Life Questionnaire [OSA-18]) measures before and 3 months after surgery.Results. One hundred nineteen children were included (mean age, 6.9 6 3.3 years; 76% boys). Adenotonsillectomy significantly reduced AHI from 15.4 6 21.2 per hour to 1.6 ± 2.5 per hour (P <.001). The OSA-18 scores were significantly improved after surgery (P <.001). A weak but statistically significant positive correlation was found between AHI and OSA-18 scores preoperatively (r = 0.22, P = .016) but not postoperatively (r = 0.04, P = .677). Among those cases with residual OSA after surgery, only 6% (3/54) had a residual effect on quality of life (OSA-18 score > 60).Conclusion. Adenotonsillectomy improves both objective and subjective outcomes. After surgery, quality of life significantly improved subjectively, despite an incomplete resolution of OSA objectively, leading to a better correlation between objective and subjective measures before as opposed to after surgery. Discrepancy between the 2 measures warrants an evaluation of a child both objectively and subjectively when treating OSA. ? 2014 American Academy of Otolaryngology - Head and Neck Surgery Foundation.[SDGs]SDG3adenotonsillectomy; apnea hypopnea index; Article; assessment of humans; child; childhood disease; female; human; major clinical study; male; medical record review; obstructive sleep apnea 18 item quality of life questionnaire; patient referral; polysomnography; postoperative period; preoperative period; quality of life; sleep disordered breathing; tertiary care center; treatment outcome; adenoidectomy; adolescent; body mass; comparative study; postoperative care; preoperative care; preschool child; procedures; quality of life; questionnaire; Sleep Apnea, Obstructive; tonsillectomy; treatment outcome; university hospital; Adenoidectomy; Adolescent; Body Mass Index; Child; Child, Preschool; Female; Hospitals, University; Humans; Male; Polysomnography; Postoperative Care; Preoperative Care; Quality of Life; Sleep Apnea, Obstructive; Surveys and Questionnaires; Tonsillectomy; Treatment Outcomejournal article10.1177/0194599814529534247052172-s2.0-84904066027