@article{ref1,
title="Long-term changes in behavior after adenotonsillectomy for obstructive sleep apnea syndrome in children",
journal="Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery",
year="2006",
author="Mitchell, Ron B. and Kelly, James",
volume="134",
number="3",
pages="374-378",
abstract="OBJECTIVE: To study long-term changes in behavior after adenotonsillectomy for obstructive sleep apnea syndrome (OSAS) in children. DESIGN AND SETTING: Prospective study at the University of New Mexico Children's Hospital, Albuquerque, NM. METHODS: Children with polysomnography-proven OSAS underwent adenotonsillectomy. The Behavior Assessment System for Children (BASC) was completed before surgery, within 6 months and 9 to 18 months after surgery. Scores were compared using a paired t test. A P value < or =0.05 was considered significant. RESULTS: The study population included 23 children. Preoperative mean BASC T scores were >50. Children showed significant improvement after adenotonsillectomy in aggression, atypicality, depression, hyperactivity, and somatization within 6 months and 9 to 18 months after surgery (P < or = 0.05). The differences within 6 months and 9 to 18 months after surgery were not statistically significant. CONCLUSIONS: Caregivers report abnormalities in the behavior of children with OSAS. Behavioral abnormalities improve significantly after adenotonsillectomy and are maintained in the long-term. EBM rating: C-4.<p /><p>Language: en</p>",
language="en",
issn="0194-5998",
doi="10.1016/j.otohns.2005.11.035",
url="http://dx.doi.org/10.1016/j.otohns.2005.11.035"
}