Redução amigdalina por radiofrequência na SAOS pediátrica: impacto na qualidade de vida avaliada pelo OSA-18
DOI:
https://doi.org/10.34631/sporl.3169Palavras-chave:
apneia obstrutiva do sono, criança, radiofrequência, OSA-18, qualidade de vida, obesidadeResumo
Objetivo: Avaliar o impacto da redução amigdalina por radiofrequência com adenoidectomia na qualidade de vida de crianças com síndrome de apneia obstrutiva do sono utilizando o questionário OSA-18.
Material e Métodos: Estudo prospetivo incluindo 44 crianças (2–15 anos) com SAOS, submetidas a adenoidectomia e redução amigdalina por radiofrequência. A qualidade de vida foi avaliada no pré-operatório e 3–6 meses após cirurgia através da versão portuguesa do questionário OSA-18.
Resultados: Observou-se uma redução significativa no score OSA-18 de 71,02 para 35,16 (p < 0,001), com melhoria em todos os domínios, particularmente nos distúrbios do sono e na preocupação dos cuidadores. A obesidade associou-se a menor melhoria (p = 0,015) e a scores pós-operatórios mais elevados (p = 0,028).
Conclusão: A redução amigdalina por radiofrequência com adenoidectomia melhora significativamente a qualidade de vida, constituindo uma alternativa eficaz à amigdalectomia total. A obesidade constitui fator independente de piores resultados.
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Direitos de Autor (c) 2026 Constança Oom, João Fernandes, João Barbosa, Inês Delgado, Alberto Santos, Carlos Macor
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-CompartilhaIgual 4.0.
