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Uggestive of obstructive sleep apnea (osa) but with negative polysomnography (psg) have improvement in their clinical assessment score after tonsillectomy and adenoidectomy (t&a) as compared with similar children who do not undergo surgery. buy viagra Methods: in a prospective, randomized, investigator-blinded, controlled trial, 59 otherwise healthy children (mean age: 6. generic viagra doesn't work 3 years [3. buy liquid viagra online 0]; 31 boys, 28 girls) with a clinical diagnosis of osa (clinical assessment score 40) were recruited from the pediatric otolaryngology and pediatric pulmonary private offices and clinics of a tertiary care, academic medical center. buy liquid viagra online A standardized assessment was performed on all patients, including history, physical examination, voice recording, tape recording of breathing during sleep, lateral neck radiograph, echocardiogram, and psg. cheap viagra A clinical assessment score was assigned. classicmotocrossimages.com/mbs-viagra-for-sale-generic-im/ Children with positive psg (n = 27) were scheduled for t&a, whereas children with negative psg (n = 29) were randomized to t&a (n = 15) or no surgery (n = 14). Children were reassessed in an identical manner at a planned 6-month follow-up. Results: follow-up was available for 21 patients with positive psg, 11 patients with negative psg randomized to t&a, and 9 nonsurgery patients. order viagra In the randomized subjects, the median reduction in clinical assessment score was 49 (range: 32-61) for the t&a patients as compared with 8 (range: -9 to 29) for the nonsurgery patients. cocalicovalleyhs.org/cyo-buy-viagra-cheap-price-wu/ Nine (82%) of the t&a patients were asymptomatic (clinical assessment score <20) compared with 2 (22%) of the nonsurgery patients. buy liquid viagra online Conclusion: children with a positive clinical assessment of osa but negative psg have significant improvement after t&a as compared with observation alone, thus validating the clinician's role in diagnosing upper airway obstruction. Pmid: 15231905 [pubmed - indexed for medline] free full text publication types, mesh terms, grant support publication types clinical trial comparative study randomized controlled trial research support, u. S. Gov't, p. H. S. Mesh terms adenoidectomy* child child, preschool female follow-up studies humans infant logistic models male observer variation polysomnography predictive value of tests prospective studies roc curve sensitivity and specificity severity of illness index single-blind method sleep apnea, obstructive/diagnosis sleep apnea, obstructive/surgery* tonsillectomy* grant support 5 r03 hd37386-02/hd/nichd nih hhs/united states linkout - more resources full text sources highwire press ebsco other literature sources cos scholar universe labome researcher resource - exactantigen/labome medical tonsils and adenoids - medlineplus health information supplemental content save items add to favorites loading related citations in pubmed plannin. qual usar viagra ou viagra/ viagra pills
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