PMID- 30244562
OWN - NLM
STAT- MEDLINE
DCOM- 20191108
LR  - 20191108
IS  - 2208-7958 (Electronic)
VI  - 47
IP  - 9
DP  - 2018 Sep
TI  - Incidence of allergic rhinitis in children with residual snoring and sleep 
      symptoms after adenotonsillectomy.
PG  - 632-637
LID - 10.31128/AJGP-01-18-4476 [doi]
AB  - BACKGROUND AND OBJECTIVES: Allergic rhinitis may contribute to sleep disordered 
      breathing (SDB) in children. Although adenotonsillectomy is commonly performed to 
      treat SDB, some patients will return to their primary practitioners with residual 
      sleep symptoms. The aim of this study was to assess the incidence of allergic 
      rhinitis via radioallergosorbent testing (RAST) in children undergoing 
      adenotonsillectomy who had residual snoring or sleep symptoms. METHOD: A 
      retrospective analysis of 500 patients post-adenotonsillectomy was undertaken. 
      The incidence of residual snoring, residual sleep symptoms and results of RAST, 
      as well as total immunoglobulin E (IgE) after surgical intervention, were 
      documented. RESULTS: Children with positive RAST results or elevated total IgE 
      had a significantly greater incidence of residual snoring post-adenotonsillectomy 
      (P = 0.049) and residual sleep symptoms after surgery (P <0.0001). DISCUSSION: A 
      positive RAST or elevated IgE in children with SDB was associated with incomplete 
      resolution of snoring and residual sleep symptoms after adenotonsillectomy. Thus, 
      there should be raised suspicion of allergic rhinitis in this population.
FAU - Sarkissian, Lernik
AU  - Sarkissian L
AD  - BAppScExSS, MPhty, MBBS, Otolaryngology, Head @ Neck registrar, Wollongong 
      Hospital; Illawarra ENT Head and Neck Clinic Wollongong, NSW. 
      ls095@uowmail.edu.au.
FAU - Sarkissian, Lala
AU  - Sarkissian L
AD  - BMedSc (Hons), Medical student, The University of Notre Dame, Sydney, NSW.
FAU - Stewart, Thomas
AU  - Stewart TE
AD  - BMedSc, MBBS, MMed,@ Otolaryngology, Head @ Neck Fellow, Wollongong Hospital, 
      Sydney, NSW.
FAU - Guy, Thomas
AU  - Guy T
AD  - PHD, Medical student, Wollongong Hospital, Wollongong, NSW.
FAU - Mackay, Stuart
AU  - Mackay SG
AD  - BScMed, MBBS(Hons), Professor in Otolaryngology, Head @ Neck Surgery, Wollongong 
      Hospital; Illawarra ENT Head and Neck Clinic; The Woolcock Institute of Medical 
      Research, Wollongong, NSW.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Aust J Gen Pract
JT  - Australian journal of general practice
JID - 101718099
SB  - IM
MH  - Adenoidectomy/methods/standards
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Male
MH  - Radioallergosorbent Test/methods
MH  - Retrospective Studies
MH  - Rhinitis, Allergic/epidemiology/*physiopathology
MH  - Sleep Wake Disorders/*physiopathology
MH  - Snoring/*physiopathology
MH  - Surveys and Questionnaires
MH  - Tonsillectomy/methods/standards
EDAT- 2018/09/25 06:00
MHDA- 2019/11/09 06:00
CRDT- 2018/09/25 06:00
PHST- 2018/09/25 06:00 [entrez]
PHST- 2018/09/25 06:00 [pubmed]
PHST- 2019/11/09 06:00 [medline]
AID - 10.31128/AJGP-01-18-4476 [doi]
PST - ppublish
SO  - Aust J Gen Pract. 2018 Sep;47(9):632-637. doi: 10.31128/AJGP-01-18-4476.