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The role of rigid laryngo-tracheo-bronchoscopy in children with obstructive sleep apnoea: a case series of 65 children

Published online by Cambridge University Press:  29 November 2023

Aikaterini Dritsoula Open the ORCID record for Aikaterini Dritsoula [Opens in a new window] ,
Raymond Clarke ,
Elpis Hatziagorou ,
Stefanos Triaridis ,
Persefoni Talimtzi  and
Heather Elphick
Aikaterini Dritsoula*
Affiliation:
ENT Department, Sheffield Children's NHS Foundation Trust, Sheffield, UK Leeds Teaching Hospitals NHS Trust, Leeds, UK
Raymond Clarke
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
Elpis Hatziagorou
Affiliation:
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Stefanos Triaridis
Affiliation:
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Persefoni Talimtzi
Affiliation:
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Heather Elphick
Affiliation:
Paediatric Respiratory and Sleep Medicine, Sheffield Children's NHS Foundation Trust, Sheffield, UK
*
Corresponding author: Aikaterini Dritsoula; Email: adritsoula@yahoo.co.uk
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Abstract

Objective

To assess the role of laryngo-tracheo-bronchoscopy in children with obstructive sleep apnoea by identifying airway abnormalities at surgery, that occur separately or in addition to adenotonsillar hypertrophy, and examining the correlation with respiratory parameters.

Methods

A retrospective study was conducted of children with obstructive sleep apnoea who underwent laryngo-tracheo-bronchoscopy intra-operatively, performed by a single ENT surgeon from February 2016 to July 2019. Pre- and post-operative minimum oxygen saturation, apnoea-hypopnoea index, and oxygen desaturation index were recorded.

Results

Sixty-five children were identified; 34 were aged less than three years and 31 were aged three years or more. 77 per cent and 13 per cent respectively had an airway abnormality; the t-test showed a significantly higher mean oxygen desaturation index and lower mean minimum oxygen saturation pre-operatively compared to children without an airway abnormality.

Conclusion

An update of the surgical pathway for children aged less than three years with obstructive sleep apnoea is required to include laryngo-tracheo-bronchoscopy intra-operatively. A t-test analysis of the pre-operative respiratory parameters suggests that airway abnormalities contribute to obstructive sleep apnoea severity.

Keywords

Obstructive sleep apneasleep-disordered breathingsnoringlaryngomalaciatonsillectomy
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 6
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Aikaterini Dritsoula takes responsibility for the integrity of the content of the paper

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