Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is very common in pediatric clinical practice. OSAHS is characterized by breath-holding and snoring. If not treated appropriately, it can have a direct impact on the body’s development and may even endanger the respiratory system. Therefore, providing scientific treatment measures to improve the child's ventilation function is of great importance^[1].

 

Research^[2]has found that TNF-a is an important inflammatory cytokine, playing a key role in the occurrence and development of various diseases. IL-6 is a pro-inflammatory cytokine that shows a significant increase in many inflammatory diseases, while IL-10 is an anti-inflammatory cytokine that can control the inflammatory response.

 

Adenoid low-temperature plasma radiofrequency ablation (ELTPRA) has shown significant effects in reducing the levels of inflammatory factors in children with OSAHS. This method not only shortens the time for symptom relief and hospital stay but also effectively reduces intraoperative blood loss, thus accelerating the recovery process.

 

The reason for this effect lies in the fact that ELTPRA is a minimally invasive technique. Using low-temperature plasma radiofrequency as the core technological principle, it applies appropriate ion temperatures to ablate the diseased tissue, thereby improving the child’s ventilation function. Additionally, by utilizing endoscopic technology, the diseased tissue can be magnified and displayed more clearly, ensuring better surgical safety. This ultimately shortens the operation time and reduces bleeding.

 

Additionally, treatment via the plasma system can help reduce systemic inflammatory responses in pediatric patients. This is attributed to the technology's precise techniques, which minimize damage to surrounding tissues, thereby lowering inflammatory factor levels. Meanwhile, ELTPRA is a technique that combines hemostasis, perforation, cutting and irrigation, carried out with a multi-angle high-definition nasal endoscopy, which helps the surgeons to carry out precise operations, reduce intraoperative bleeding, and avoid harm to adjacent normal tissues, ultimately shortening hospitalization time ^[1]. 

 

Study^[3] found that ELTPRA, with its precision and standardised intervention on

the turbinate, tongue base and soft palate, helps to maximise the preservation of nasal mucosal function, reduces the adverse effects on ventilation and improves sleep quality. 

 

 

References: 

[1] Chen X. Effects of adenoid low-temperature plasma radiofrequency ablation on AHI and ODI in children with snoring disease. Guizhou Medical Journal, 2025;49(03):407-409.  

[2] Liu H, Li S, Xin Y, et al. Clinical characteristics of sleep quality and cognitive function in patients with chronic insomnia co-morbid OSAHS and their correlation with serum NLRP3 inflammatory vesicles,IL-1β,and IL-18 levels. China Journal of Modern Medicine. 2023;33(13):78-87.  

[3] Xu M, Jin X, Sun Y, et al. Sonological analysis of voice training on the recovery of voice function after plasma radiofrequency ablation of early-stage glottic carcinoma. *Chinese Journal of Otorhinolaryngology-Skull Base Surgery. 2022;28(02):95-98.