ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020
Effect of adenoids and tonsil tissue on pediatric obstructive sleep apnea severity determined by computational fluid dynamics.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 26 citations in OpenAlex.
- Application of numerical simulation of upper airway flow field in pediatric obstructive sleep apnea with adenoid hypertrophy.Quantitative imaging in medicine and surgery · 2026Article
- Biomechanical analysis of upper airway airflow characteristics in children.Sleep & breathing = Schlaf & Atmung · 2026Article
- The impact of tonsillar hypertrophy on skeletal relapse in skeletal Class III patients treated with two-jaw orthognathic surgery.Head & face medicine · 2026Article
- Maxillary Arch Expansion and Adenotonsillectomy in Prepubertal Children Diagnosed with Paediatric Obstructive Sleep Apnoea: An Interventional Study.Journal of clinical medicine · 2026Article
- Upper airway dimensions in adolescents with different craniofacial growth patterns: a retrospective cross-sectional comparison of independent samples from 2005 and 2020.BMC oral health · 2026Article
- Adenotonsillar Microbiome Shifts in Children With Obstructive Sleep Apnea Syndrome.The Laryngoscope · 2026Article
- [The value of tonsil ultrasound measurement in pediatric obstructive sleep apnea].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Article
- Independent association of serum IgA levels with moderate-to-severe obstructive sleep apnea in children with adenotonsillar hypertrophy.Frontiers in pediatrics · 2026Article
- Anatomical Determinants of Tracheal Breathing Sounds: A Computational Study of Airway Narrowing and Obstructive Sleep Apnea.Diagnostics (Basel, Switzerland) · 2025Article
- Low Tongue Posture Improvement Effect of Orofacial Myofunctional Therapy Comprehensive Study of Nasal Ventilation Condition Using Computational Fluid Dynamics and Dental Arch Morphology.Orthodontics & craniofacial research · 2025Article
- Differences in attention abilities, growth, development, and quality of life between Chinese children with obstructive sleep apnea and healthy controls.The Journal of international medical research · 2025Article
- How palatine tonsil grades shape the architecture of dental arches: a cross-sectional study.BMC oral health · 2025Article
- Optimized deep learning model for diagnosing tonsil and adenoid hypertrophy through X-rays.Frontiers in oncology · 2025Article
- Factors influencing hospital charges for tonsillectomy to treat obstructive sleep apnea in children.Sleep & breathing = Schlaf & Atmung · 2024Article
- Article
- The impact of mouth breathing on dentofacial development: A concise review.Frontiers in public health · 2022Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesObstructive sleep apnea (OSA) is a respiratory disorder caused by the obstruction of the upper airway during sleep. The most common cause of pediatric OSA is adenotonsillar hypertrophy. Adenotonsillectomy is the first-line treatment for pediatric OSA; however, OSA persists in a significant number of patients due, in part, to the method of evaluating enlarged adenoids and tonsil tissue. The reason for these effects on OSA severity is not clear. This study aimed to establish a method to diagnose the need for adenoidectomy or tonsillectomy.
methodsTwenty-seven Japanese children (mean age 6.6 years) participated in this study, undergoing polysomnography and computed tomography examination. Pharyngeal airway morphology (adenoids and tonsil tissue size, volume, and cross-sectional area [CSA]) and pressure on the upper airway were evaluated at each site using computational fluid dynamic analysis.
resultsApnea-hypopnea index (AHI) showed a strong linear association with maximum negative pressure (P
conclusionsIn children, when the CSA for each site is ≤ 50 mm², AHI is likely to be elevated, and the patient may require tonsillectomy or adenoidectomy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.