Growth After Adenotonsillectomy for Obstructive Sleep Apnea: Revisited

• DOI: 10.1002/lary.29863
• Publication Date: 2021-09-22T18:04:30Z
• Authors: Alexandria M. Jensen; Brian W. Herrmann; Ron B. Mitchell; Norman R. Friedman
• Keywords: Underweight

Objectives/Hypothesis To reanalyze the growth trajectory and assess longitudinal changes of children undergoing adenotonsillectomy (AT) versus watchful waiting (WW) enrolled in Childhood Adenotonsillectomy Trial (CHAT) study to determine if an AT increases risk obesity children. Study Design Reanalysis prospective cohort investigation. Methods The analyzed publicly available data from CHAT, including 3 months visit not previously included a prior publication. Statistical comparisons mixed‐effects modeling were done using age‐ sex‐specific BMI expressed as percentage 95th percentile (%BMIp95). P < .05 was considered significant. Results Children group, especially underweight at baseline, had increased rate weight gain, with 100% group becoming normal compared 20% for WW. However, measured by %BMIp95 both WW groups, significantly different when baseline status obstructive sleep apnea (OSA) resolution accounted for. Comparisons between treatment groups 3‐ 7‐month follow‐up visits also failed identify statistically significant differences ( > .05). Overall entire cohort, OSA associated decreased .001). Conclusions is excessive gain. Otolaryngologists should be aware this updated analysis discussing surgical outcomes families. Level Evidence 2 Laryngoscope , 132:1289–1294, 2022