Original Articles
Vol. 16 (2021)
https://doi.org/10.3269/1970-5492.2021.16.35

PEDIATRIC OSAS TREATED WITH ADENOIDECTOMY: A COHORT STUDY CONDUCTED AT THE UNIVERSITY HOSPITAL OF PALERMO, ITALY

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Received: October 15 2025
Published: October 15 2025
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Authors

Donatella Marchese
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
francesco Dispenza
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
Federico Sireci
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
Carmelo Saranti
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
Rosalia Gargano
Section of Otorhinolaryngology, Department of Biomedicine, Neurosciences Diagnostic, University of Palermo, Palermo, Italy;, Italy.
Marco Pollarolo
dott.marcopollarolo@gmail.com
Section of Otorhinolaryngology, Department of Biomedicine, Neurosciences Diagnostic, University of Palermo, Palermo, Italy;, Italy.
Francesco Riggio
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
Francesco Lorusso
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Palermo, Palermo, Italy, Italy.
Riccardo Anzalone
Section of Otorhinolaryngology, Department of Biomedicine, Neurosciences and Advanced Diagnostic, University of Palermo, Palermo, Italy;, Italy.
Salvatore Gallina
Section of Otorhinolaryngology, Department of Biomedicine, Neurosciences and Advanced Diagnostic, University of Palermo, Palermo, Italy;, Italy.
The incidence of Obstructive Sleep Apnea Syndrome (OSAS) in the pediatric population is about 2%. The
diagnosis is based on the employment of questionnaires, and polysomnography (PSG) that is the gold
standard also among children. The PSG allows to classify OSAS as mild in case of 1< Apnea Hypopnea
Index (AHI) ≤5, moderate if 5< AHI ≤10 and severe OSAS when the AHI is >10. If polysomnography is
not available, we need alternative diagnostic tests such as nocturnal oximetry studies and respiratory
polygraphy. The risk factors identified are different from adults, first tonsillar hypertrophy wins over
others. The symptoms and signs described are similar to adult population, but sleep enuresis,
neurocognitive impairment and behavioral problems (attention-deficit/hyperactivity disorder, learning
problems) are typical of pediatric OSAS.

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PEDIATRIC OSAS TREATED WITH ADENOIDECTOMY: A COHORT STUDY CONDUCTED AT THE UNIVERSITY HOSPITAL OF PALERMO, ITALY. (2025). EuroMediterranean Biomedical Journal, 16. https://doi.org/10.3269/1970-5492.2021.16.35
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