Objective To investigate the effect of tonsil adenoidectomy in patients with oral respiration during dental replacement,and to evaluate the effect of life quality and facial development before,3 months(short-term postoperative)and 2 years(long-term postoperative)after surgery.Methods 20 children with snoring were selected from Huzhou Central Hospital from January 2017 to January 2020 who received adenoidectomy(with or without tonsillectomy).All patients received nasopharyngeal lateral radiographs and PSG examination before surgery,and completed OSA-18 life scale.Outpatient review was conducted 3 months and 2 years after surgery.Symptoms and signs of the children were reviewed,OSA-18 life scale was completed and nasopharyngeal lateral radiographs were reviewed.Results OSA-18 score before operation was 69.4±13.1.3 months after operation,the score was 39.2±14.7(P<0.05).Two years after surgery,the score was 43.1±14.7(P<0.05),and the five scores of OSA-18 were significantly decreased at 3 months and 2 years after surgery(P<0.05).A comparison of the mean OSA-18 total scores at 3 months and 2 years after surgery showed that physical discomfort symptoms were significantly different at 3 months and 2 years after surgery(P<0.05).The nasopharyngeal lateral radiographs measured by cephalic image showed statistically significant nasopharyngeal cavity diameter and incisor interdental Angle 3 months after operation(P<0.05).Preoperative and postoperative statistics showed that Y axis Angle,nasopharyngeal cavity diameter and surface height ratio and incisor Angle had statistical significance(P<0.05).Conclusion Tonsil adenoidectomy is an effective method for treating snoring in children.It not only improves the quality of life of children,but also avoids the abnormal development of maxillofacial.
Children snoringTonsillectomyCephalometryTherapeutic effect
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