Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
권호 표지

Changing Trends of Indications in Adenotonsillectomy

구개 및 인두편도 적출술 적응증의 변화 양상

  • Jin, Young-Wan (Department of Otolaryngology, College of Medicine, Kyung-Hee University) ;
  • Cho, Joong-Saeng (Department of Otolaryngology, College of Medicine, Kyung-Hee University) ;
  • Cha, Chang-Il (Department of Otolaryngology, College of Medicine, Kyung-Hee University) ;
  • Hong, Nam-Pyo (Department of Otolaryngology, College of Medicine, Kyung-Hee University) ;
  • Ahn, Hwoe-Young (Department of Otolaryngology, College of Medicine, Kyung-Hee University)
  • 진영완 (경희대학교 의과대학 이비인후과학교실) ;
  • 조중생 (경희대학교 의과대학 이비인후과학교실) ;
  • 차창일 (경희대학교 의과대학 이비인후과학교실) ;
  • 홍남표 (경희대학교 의과대학 이비인후과학교실) ;
  • 안회영 (경희대학교 의과대학 이비인후과학교실)
  • Published : 2000.06.01
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Abstract

Background and Objectives : Adenotonsillar hypertrophy is the most common disorder in pediatric otolaryngology, which should be suspected as a possible cause of obstructive sleep apnea syndrome (OSAS). In the past, most of the adenotonsillectomy were performed because of recurrent infection, but now OSAS is the most common indication in many centers. Materials and Method : A review of 1,945 adenotonsillectomy performed between 1990 and 1998 is presented. We classified into two categories of indication for adenotonsillectomy and analyzed changing trends of indication for adenotonsillectomy. Results : Although recurrent infection remains the predominant indication for surgery, there has been a rise in OSAS as a significant indication from 13.67% in 1990 to 24.26% in 1998. Conclusion : An increase has occurred in the percentage of adenotonsillectomy performed for OSAS due to adenotonsillar hypertrophy. This trend promises to continue as physicians become increasingly aware of the prevalence and seriousness of adenotonsillar hypertrophy as a cause of sleep apnea.

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