| dc.creator |
Abraham, Zephania S |
|
| dc.creator |
Kahinga, Aveline A |
|
| dc.creator |
Mapondella, Kassim B |
|
| dc.creator |
Massawe, Enica R |
|
| dc.creator |
Ntunaguzi, Daudi |
|
| dc.creator |
Lengine, ,Emmanuel Ole |
|
| dc.date |
2020-11-24T10:23:02Z |
|
| dc.date |
2020-11-24T10:23:02Z |
|
| dc.date |
2020 |
|
| dc.date.accessioned |
2022-10-20T14:01:38Z |
|
| dc.date.available |
2022-10-20T14:01:38Z |
|
| dc.identifier |
Abraham, Z. S., Kahinga, A. A., Mapondella, K. B., Massawe, E. R., Lengine, E. O., & Ntunaguzi, D. (2020). Effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: A hospital based prospective cohort study in Dar es Salaam, Tanzania. International Journal of Otorhinolaryngology and Head and Neck Surgery, 6(1), 155-158. |
|
| dc.identifier |
DOI:10.18203/issn.2454-5929.ijohns20195707 |
|
| dc.identifier |
http://hdl.handle.net/20.500.12661/2531 |
|
| dc.identifier.uri |
http://hdl.handle.net/20.500.12661/2531 |
|
| dc.description |
Full text article. Also available at http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195707 |
|
| dc.description |
Background:
Adenotonsillar hypertrophy remains to be the commonest causes of sleep disordered breathing in paediatric patients and has been implicated as a cause of primary and secondary enuresis. The aim of this study was to determine the effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing.
Methods:
A hospital based prospective cohort study was conducted at Ekenywa Specialised Hospital in Dar es Salaam, from May 2018 to February 2019. Two hundred children aged 3 to 15 years with obstructive adenotonsillar hypertrophy who were admitted ready to undergo adenotonsillectomy were evaluated. Upon such evaluation, the primary outcome was the number of bedwetting incidents (nocturnal enuresis) post-operatively compared with pre-operative incidents. Patients were kept under follow-up for 3 months. Data were collected using structured questionnaires regarding number of bedwetting incidents, type of enuresis (primary or secondary) and family history of enuresis. Data was analyzed using SPSS version 21 and p-values <0.05 were considered to be statistically significant.
Results:
Of 200 children admitted for adenotonsillectomy, 80 (40%) had a positive history of preoperative enuresis, including 35 (43.8%) girls and 45 (56.2%) boys. All parents for the children consented to participate in the study. Three months after adenotonsillectomy, enuresis had resolved completely in 50 (62.5%) children and had shown relative improvement in 25 (31.3%) children. Enuresis had not improved in the remaining 5 (6.3%) children (p<0.05).
Conclusions:
Findings from this study indicates that adenotonsillectomy can improve nocturnal enuresis and day-time incontinence in the majority of children with adenotonsillar hypertrophy. |
|
| dc.language |
en |
|
| dc.publisher |
Scientific Research Publishing |
|
| dc.subject |
Adenotonsillectomy |
|
| dc.subject |
Enuresis |
|
| dc.subject |
Sleep-disordered breathing |
|
| dc.subject |
Adenotonsillar hypertrophy |
|
| dc.subject |
Children |
|
| dc.subject |
Nocturnal enuresis |
|
| dc.subject |
Sleep disorder |
|
| dc.title |
Effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: A hospital based prospective cohort study in Dar es Salaam, Tanzania |
|
| dc.type |
Article |
|