Surgical versus Non-surgical Management of Obstructive Sleep-Disordered Breathing in Children: Meta-Analysis

Abstract

bstructive sleep disordered breathing (OSDB) results from obstruction or dynamic collapse of upper airway soft tissue during sleep, which can manifest as snoring, hypopnea, apnea, and restless sleep. OSDB can result in significant quality of life and health consequences. It has been associated with hypersomnolence, emotional lability, decreased attention, stunted growth, enuresis and cardiopulmonary complications. Treatment involves surgical treatment (adenotonsillectomy) and non-surgical treatment (weight loss, continuous positive airway pressure (CPAP), intranasal steroids, antileukotriens). Consensus was agreed upon that surgical treatment compromise more rapid improvement but, more possible complications than non-surgical treatment The current study revealed that there was statistically significant improvement in the surgically treated patients rather than non-surgically treated patients regarding the quality of life. On the contrary, adverse events of the non-surgical management was not statistically significant difference than surgically treated group. Furthermore, other outcomes didn’t show any significant