Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
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Long-Term Effects of Adenotonsillectomy on Growth and Symptoms in Childhood

소아 성장 및 편도 비대 증상에 미치는 편도절제술의 장기 효과

  • Park, Woo Sung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Ji, Yong Bae (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Lee, Seung Hwan (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Jeong, Jin Hyeok (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Song, Chang Myeon (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Tae, Kyung (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University)
  • 박우성 (한양대학교 의과대학 이비인후과학교실) ;
  • 지용배 (한양대학교 의과대학 이비인후과학교실) ;
  • 이승환 (한양대학교 의과대학 이비인후과학교실) ;
  • 정진혁 (한양대학교 의과대학 이비인후과학교실) ;
  • 송창면 (한양대학교 의과대학 이비인후과학교실) ;
  • 태경 (한양대학교 의과대학 이비인후과학교실)
  • Received : 2018.03.27
  • Accepted : 2018.07.04
  • Published : 2018.12.25
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Abstract

Background and Objectives This study was performed to evaluate the long-term effect of adenotonsillectomy on childhood growth by examining preoperative growth status and presenting symptoms. Subjects and Method One hundred and four patients who underwent adenotonsillectomy from January to December 2009 were enrolled in this study. Clinical data were collected from medical record reviews and through the administered questionnaire. We investigated symptoms and growth changes during 5 years following the surgery. Results The mean age of patients was $6.0{\pm}1.94$ years (range, 3-10), with the male to female ratio of 62:42. Pre-operative symptoms were significantly improved after the surgery. The mean pre-operative height and weight percentiles were $53.6{\pm}27.4$ and $59.6{\pm}29.2$ at initial evaluation, and $67.1{\pm}26.4$ and $59.6{\pm}28.6$ at 5 years post adenotonsillectomy (p<0.001, p=0.989), respectively. An increase in height percentile was more prominent in patients whose pre-operative height percentile was less than 50 compared to those with a percentile of 50 or more (p<0.001). Weight percentile was significantly increased in those with the pre-operative weight percentile of less than 50 and decreased in patients with a percentile of 50 or more. Conclusion Adenotonsillectomy has a positive effect on height growth in children with adenotonsillar hypertrophy, especially in patients whose height percentile is less than 50. Weight gain also can be expected in preoperative low-weight children.

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References

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