Children with obstructive sleep apnea (OSA) who also suffer from nocturnal enuresis (NE) may experience significant improvements in their condition following adenoidectomy and/or tonsillectomy, with more than half showing remission, according to a recent review published in the European Archives of Oto-Rhino-Laryngology.
The study, led by Zhe Wang from the General Hospital of Northern Theater Command in Shenyang, China, systematically examined the effectiveness of adenoidectomy and tonsillectomy in treating NE in children diagnosed with OSA.
The review revealed that among children with NE who underwent the procedures, the combined overall remission rate (OR), complete remission (CR), and partial remission rates were 67%, 57%, and 4%, respectively. For children with primary NE, the OR and CR were 67% and 59%, respectively. The highest remission rates were observed in children treated with adenotonsillectomy, with a pooled OR of 72% and CR of 65%.
In children over the age of 5 with OSA, the pooled OR was 67%, while the CR stood at 58%. Follow-up results within three months post-surgery showed a pooled OR of 64% and CR of 52%. Additionally, randomized controlled trials indicated a lower remission rate, with both the OR and CR for NE at 37.3%.
The researchers cautioned that while these results appear promising, the actual remission rates could be lower than anticipated. “We should be relatively cautious in interpreting these results,” the authors emphasized.
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