Ding XX, Zhao LQ, Cui XG, Yin Y, Yang HA. Clinical observation of soft palate-pharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome in children. World J Clin Cases 2020; 8(4): 679-688 [PMID: 32149052 DOI: 10.12998/wjcc.v8.i4.679]
Corresponding Author of This Article
Huai-An Yang, PhD, Doctor, Department of Otolaryngology Head and Neck Surgery, Department of The Sleep Medicine Center, Shengjing Hospital of China Medical University, No. 39 Huaxiang Road, Tiexi District, Shenyang 110001, Liaoning Province, China. 13840082796@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2020; 8(4): 679-688 Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.679
Table 1 Basic patient information, n (%)
Informaton
Experiment
Control
S
χ2
P value
Gender
M
41 (54.7)
45 (60)
0.44
0.51
F
34 (45.3)
30 (40)
Age
6.1
5.6
0.76
M
5.2
5.8
2.14
F
7.1
5.5
2.05
Diagnosis
OSAHS
75 (100)
75 (100)
Chronic tonsillitis
43 (57.3)
39 (52)
0.43
0.51
Others
69 (92)
71 (94.7)
0.42
0.51
Complications
Asthma
4 (5.3)
3 (4)
0.15
0.70
Allergic rhinitis
8 (10.7)
6 (8)
0.35
0.58
Obesity
9 (12)
7 (9.3)
0.28
0.60
Hearing loss
4 (5.3)
2 (2.7)
0.69
0.41
Table 2 Anesthesia and duration of surgery, n (%)
Experiment
Control
χ2
P value
Anesthesia
Inhalation
73 (97.3)
74 (98.7)
0.34
0.56
Intravenous injection
2 (2.7)
1 (1.3)
Surgical procedure
Tonsillectomy and adenoidectomy
71 (94.7)
72 (96)
0.34
0.56
Tonsillectomy
4 (5.3)
3 (4)
Surgery duration (min)
20-30
48 (64)
55 (73.3)
30-40
24 (32)
19 (25.3)
40-50
2 (2.7)
0 (0)
50-60
1 (1.3)
0 (0)
Table 3 Effectiveness comparison of the two groups, n (%)
Experiment
Control
χ2
P value
Cure
71 (94.7)
68 (90.7)
0.883
0.347
Non-cure
4 (5.3)
7 (9.3)
Table 4 Postoperative complications
Experiment (cases)
Congrol (cases)
χ2
P value
Hyperthermia
> 38.5
1
8
5.79
0.02
< 38.5
74
67
Postoperative bleeding
Male
0
3
4.11
0.04
Age
6 yr
7 yr
9 yr
Female
0
1
10 yr
Velopharyngeal incompetence
0
0
Table 5 Swallowing pain score
Days after surgery (d)
Control
Experiment
T
P value
1
8 ± 1.6
6.9 ± 2.0
4.27
< 0.05
2
7.1 ± 1.4
6.1 ± 1.9
4.90
< 0.05
3
5.5 ± 1.9
4.8 ± 1.6
3.67
< 0.05
4
4.5 ± 2.1
3.2 ± 1.4
5.64
< 0.05
5
3.6 ± 1.8
2.6 ± 1.4
4.26
< 0.05
6
3.4 ± 1.4
2 ± 1.3
7.29
< 0.05
Citation: Ding XX, Zhao LQ, Cui XG, Yin Y, Yang HA. Clinical observation of soft palate-pharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome in children. World J Clin Cases 2020; 8(4): 679-688