The effect of adenoidectomy on pulmonary function in children: prospective controlled study

Authors : Ozlem YAGIZ AGAYAROV, Aynur ALİYEVA, Sayad KOCAHAN

Pages : 1185-1193

Doi:10.18621/eurj.1340980

View : 41 | Download : 59

Publication Date : 2023-09-04

Article Type : Research Paper

Abstract :Objectives: Adenotonsillar hypertrophy insert ignore into journalissuearticles values(AH); is a prevalent condition in children that can cause significant complications if left untreated. In this study, we investigated the impact of adenoidectomy on pulmonary function tests insert ignore into journalissuearticles values(PFTs); and explored the relationship between spirometric parameters in affected children. By evaluating these factors, we can better understand the post-surgical outcomes and the potential benefits of surgical intervention. Methods: The present study utilized a prospective controlled design to conduct a before and after clinical trial involving 23 children diagnosed with upper airway obstruction resulting from AH. Five specific spirometric parameters were selected to evaluate pulmonary function before and 1-3 months following the adenoidectomy procedure. Additionally, adenoid grade scores and gender differences were recorded for each patient to assess their effect on the lung. Results: Peak expiratory flow insert ignore into journalissuearticles values(PEF); insert ignore into journalissuearticles values( p = 0.002);, the first second of expiration insert ignore into journalissuearticles values(FEV1); insert ignore into journalissuearticles values( p < 0.001);, and the ratio of FEV1/FVC insert ignore into journalissuearticles values( p = 0.001); significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity insert ignore into journalissuearticles values(FVC); insert ignore into journalissuearticles values( p = 0.39); and mid-expiratory forced expiratory flow insert ignore into journalissuearticles values(FEF25-75); insert ignore into journalissuearticles values( p = 0.2);. Rising of the FVC, PEF, FEV1, and FEV1/FVC was observed in AH grade III patients compared to AH grade IV patients following the surgical intervention, in comparison to the preoperative baseline, especially statistical significance was FEV insert ignore into journalissuearticles values( p = 0.047);, indicating a noteworthy change in lung function. Conclusions: These findings emphasize the beneficial effects of adenoidectomy on PFTs and highlight that adenoidectomy positively affects the upper and lower airways.
Keywords : Adenotonsillar hypertrophy, pulmonary function tests, adenoidectomy, spirometric parameters, upper airway obstruction