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Long-term results of tonsillectomy in the treatment of obstructive sleep apnea in adults
The investigators are studying long-term efficiency of tonsillectomy in adults with obstructive sleep apnea caused by tonsillar hypertrophy. These patients have undergone tonsillectomy in 2004-2018 and now 3-17 years later investigators will perform new polysomnographies and compare these results with preoperative values. Especially the reduction in apnea-hypopnea index (AHI) will be evaluated. The quality of life and possible symptoms will be measured with questionnaires.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Polysomnography for all participants of the study | Experimental | Polysomnography device is used to measure certain variables overnight when a participant is sleeping |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Polysomnography | Device | Polysomnography is performed one time overnight |
|
| Measure | Description | Time Frame |
|---|---|---|
| Apnea-hypopnea index | Post-operative apnea-hypopnea index (AHI) reduction by 50% compared to preoperative values in polysomnography. | 3-17 years |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life measured by Glasgow Benefit Inventory (GBI) | General quality of life questionnaire. 18 questions, score 1-5 in each question, higher is better. | 3-17 years |
| Quality of life measured by Epworth sleepiness scale (ESS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jaakko M Piitulainen, MD,PhD | Department of Otorhinolaryngology, Turku University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Turku University Hospital | Turku | Southwest Finland | 20521 | Finland |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| D012891 | Sleep Apnea Syndromes |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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| ID | Term |
|---|---|
| D017286 | Polysomnography |
| ID | Term |
|---|---|
| D008991 | Monitoring, Physiologic |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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Questions regarding sleepiness. Score 0-24, lower is better.
| 3-17 years |
| Apnea-index (AI) | Post-operative apnea index reduction compared to preoperative values in polysomnography. | 3-17 years |
| Snoring time | Post-operative reduction of snoring time compared to preoperative values in polysomnography | 3-17 years |
| Oxygen Desaturation Index (ODI) | Post-operative reduction of oxygen desaturation index compared to preoperative values in polysomnography | 3-17 years |
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |