• Anthony A Rieder and Valerie Flanary.
• Division of Pediatric Otolaryngology and Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, USA.
• Otolaryngol Head Neck Surg. 2005 Feb 1;132(2):263-7.

ObjectiveWe retrospectively investigated the effect and predictability of preoperative polysomnography (PSG) on the postoperative course of younger pediatric patients undergoing adenotonsillectomy.Study Design And SettingA retrospective chart review was performed for patients 3 years of age and younger who had undergone adenotonsillectomy between July 1997 and July 2002 at the Children's Hospital of Wisconsin.ResultsTwo hundred eighty-two patients were identified. Forty-three patients had preoperative PSG. No correlation between the severity of PSG results and postoperative course was identified.ConclusionsThe role of PSG in upper airway obstruction and OSA remains controversial. This study suggests that although the complication rate may be higher in this younger population, these complications do not appear to have a large impact on their length of stay.SignificanceThis study suggests that the 3-years-and-younger group, in the absence of other comorbidities, can safely undergo adenotonsillectomy without undergoing preoperative PSG. EBM raing: C.

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