Adenotonsillectomy leads to behavioral benefits for children with ASD and OSA

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Takeaway 

  • Children with autism spectrum disorder (ASD) and obstructive sleep apnea (OSA) who undergo adenotonsillectomy experience a relaxation of their behavioral difficulties after the surgery.

Why this matters  

  • This population of children might benefit from an assessment for OSA and appropriate management.

Key results 

  • Behavioral scale scores were much better after the surgery in the children with OSA (P<.01 and P<.05), but in control children no such improvements were seen.
  • Social and attentional issues significantly decreased (P<.01), as did being withdrawn, thought problems, and behaviors that seemed aggressive (P<.05).
  • Obesity, OSA severity, and sex were not different between the improved and no improvement groups.

Study design

  • Children with ASD aged 5-14 y with OSA diagnosis (n=30) and control child...