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September 18, 2025Acta Oto-LaryngologicaOpen Access

Adult obstructive sleep apnea treated with tonsillectomy: a randomized controlled clinical trial

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Authors

JMJessi MakkonenHBHenry BlomsterARAntti Raappana

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Overview

Randomized controlled trial found tonsillectomy improved OSA severity in adults, suggesting surgical options may be viable alternatives to CPAP.

Key Points

  • The tonsillectomy group showed a significant reduction in apnea-hypopnea index, shifting OSA severity from moderate to mild.
  • In contrast, the lifestyle counseling group experienced no significant change in OSA severity over the one-year period.
  • This randomized controlled trial involved 29 patients with mild to moderate OSA and a BMI of 35 or less.
  • These results highlight tonsillectomy as a potential alternative treatment for adults with non-severe OSA who are non-adherent to CPAP.

Cite This Study

Makkonen et al. (2025) studied this question.

synapsesocial.com/papers/68d463e231b076d99fa6311ehttps://doi.org/10.1080/00016489.2025.2557566
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Tonsil surgery is an effective treatment for pediatric obstructive sleep apnea irrespective of underlying comorbidities2026 · 1 citations
  2. 2Effect of Treating Obstructive Sleep Apnea by Tonsillectomy and/or Adenoidectomy on Obesity in Children1999 · 136 citations
  3. 3Intracapsular tonsillectomy in adults with obstructive sleep apnoea and large tonsils2026
  4. 4Treatment of pediatric obstructive sleep apnea2024
  5. 5Clinical Course of Surgical Treatment for Adult Obstructive Sleep Apnea and the Natural Course of Untreated Patients2026