Do sleepiness and sleep study variables including the apnea-hypopnea index (AHI) and lowest oxygen saturation (LSAT) improve following isolated tonsillectomy for adult obstructive sleep apnea (OSA)?
Bottom Line: Isolated tonsillectomy can be successful as treatment for adult OSA, especially among patients with large tonsils and mild to moderate OSA (AHI < 30 per hour).
Explore this issue:September 2016
Background: Tonsillectomy is not mentioned as an isolated surgery option for treating adult OSA in the American Academy of Sleep Medicine practice guidelines, but a consensus statement for the academy’s Adult Obstructive Sleep Apnea Task Force has stated that it can be considered for patients with mild OSA who have severe obstructing anatomy that is surgically correctible (e.g., tonsillar hypertrophy obstructing the pharyngeal airway).
Study design: Systematic review and meta-analysis of 17 case reports, case series, and case control studies (216 patients) from nine databases searched through November 24, 2015.