Pulse-oximetery is useful in determining the indications for adeno-tonsillectomy in pediatric sleep-disordered breathing

Hideyuki Saito, Kouji Araki, Hiroyuki Ozawa, Kunio Mizutari, Kouji Inagaki, Noboru Habu, Taku Yamashita, Ryouichi Fujii, Soichiro Miyazaki, Kaoru Ogawa

Research output: Contribution to journalArticlepeer-review

27 Citations (Scopus)


Objective: Although first line therapy of sleep-disordered breathing (SDB) in children is adeno-tonsillectomy, the indications for this operation have not yet been clearly established. We investigated whether pulse-oximetry is useful for determining the optional treatment modality for pediatric SDB. Method: Two hundred and thirty-two children presenting with snoring and gasping had their oxygen saturation levels examined during sleep. Among them, 86 underwent on adeno-tonsillectomy and were evaluated pre- and post-surgery. We also examined 25 healthy children as controls. Results: Little desaturation was observed in healthy children. The difference in oxygen saturation levels of the patients between pre- and post-surgery was closely correlated with the pre-surgery levels. We examined the reaction operation characteristics and concluded that children with an oxygen desaturation index of 4% or more (ODI4) of more than 1.5 and/or ODI3 of more than 3.5 should undergo surgery. Conclusion: Pulse-oximetry is useful in determining the indications for adeno-tonsillectomy.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalInternational Journal of Pediatric Otorhinolaryngology
Issue number1
Publication statusPublished - 2007 Jan


  • Adenoid-tonsillectomy
  • Child
  • Pulse-oximetry
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology


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