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수면호흡장애와 관련한 편도 절제술 적응증의 변화

Changes of Indication in Tonsillectomy Associated with Sleep-Disordered Breathing

임상이비인후과
2012년 23권 1호 p.85 ~ p.89
김양재 ( Kim Yang-Jae ) - 부산성모병원 이비인후과

박홍석 ( Park Hong-Seok ) - 부산성모병원 이비인후과
최장원 ( Choi Jang-Won ) - 부산성모병원 이비인후과
김영중 ( Kim Young-Joong ) - 부산성모병원 이비인후과
구수권 ( Koo Soo-Kweon ) - 부산성모병원 이비인후과

Abstract

Background and Objectives : With patients increasingly interested in snoring and sleep apnea, sleep-disordered breathing (SDB) patients are frequently encountered in the otolarygologic office. Tonsillectomy is one of the frequently used technique, among surgical procedure of SDB. Retrospective analysis was done about patients who underwent tonsilletomy to find change of incidence in tonsillectomy as a treatment of SDB.

Materials and Methods: From January 1998 to December 1999, retrospective chart analysis of indication of tonsillcetomy was done about 2 groups divided by age under fifteen and over sixteen. Same chart review was done from January 2007 to December 2008. Indication of tonsillectomy was divided as infection group, SDB group and mixed group.

Results: Under age of fifteen, From January 1998 to December 1999, tonsillectomy indication were mixed group, infection group and SDB group, in the order of frequency. From January 2007 to December 2008, the order had changed as mixed group, SDB group and infection group. There was no statistical significance these change. In other hands, At that time, SDB group had been incresed from 28.3% to 59.5% in adult male group. (p=0.002)

Conclusion: Proportion of tonsillecetomy as a treatment of SDB has beeen increased in male adult. Recently, frequency of tonsillectomy realated with SDB has been incresed. Surgical treatment of tonsil is considered as an active solution of SDB.

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