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

Ozlem Yagız Agayarov; Aynur Aliyeva; Sayad Kocahan

Article Details

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

Authors:

Ozlem Yagız Agayarov | Aynur Aliyeva | Sayad Kocahan

Publisher:

Prusa Medical Publishing

Main Topics:

Otorhinolaryngology

Journal:

The European Research Journal Vol.9 Issue 5, pp.1185-1193

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288131

pISSN:

2149-3189

Keywords:

Abstract:

 Objectives: Adenotonsillar hypertrophy 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 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 PEF  p  0.002, the first second of expiration FEV1  p  0.001, and the ratio of FEV1FVC  p  0.001 significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity FVC  p  0.39 and mid-expiratory forced expiratory flow FEF25-75  p  0.2. Rising of the FVC, PEF, FEV1, and FEV1FVC 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  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.

 Objectives: Adenotonsillar hypertrophy 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 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 PEF  p  0.002, the first second of expiration FEV1  p  0.001, and the ratio of FEV1FVC  p  0.001 significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity FVC  p  0.39 and mid-expiratory forced expiratory flow FEF25-75  p  0.2. Rising of the FVC, PEF, FEV1, and FEV1FVC 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  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.

 Objectives: Adenotonsillar hypertrophy 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 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 PEF  p  0.002, the first second of expiration FEV1  p  0.001, and the ratio of FEV1FVC  p  0.001 significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity FVC  p  0.39 and mid-expiratory forced expiratory flow FEF25-75  p  0.2. Rising of the FVC, PEF, FEV1, and FEV1FVC 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  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.

 Objectives: Adenotonsillar hypertrophy 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 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 PEF  p  0.002, the first second of expiration FEV1  p  0.001, and the ratio of FEV1FVC  p  0.001 significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity FVC  p  0.39 and mid-expiratory forced expiratory flow FEF25-75  p  0.2. Rising of the FVC, PEF, FEV1, and FEV1FVC 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  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.

Article Details

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

Authors: Ozlem Yagız Agayarov | Aynur Aliyeva | Sayad Kocahan

Publisher: Prusa Medical Publishing

Main Topics: Otorhinolaryngology

Journal: The European Research Journal Vol.9 Issue 5, pp.1185-1193

Document Type: Article

Publication Date: 4/2023

Document Language: English

Document ID (Org No.): 2001288131

pISSN: 2149-3189

Adenotonsillar hypertrophy

pulmonary function tests

adenoidectomy

spirometric parameters

upper airway obstruction

Issues

Authors:

Ozlem Yagız Agayarov | Aynur Aliyeva | Sayad Kocahan

Publisher:

Prusa Medical Publishing

Main Topics:

Otorhinolaryngology

Journal:

The European Research Journal Vol.9 Issue 5, pp.1185-1193

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288131

pISSN:

2149-3189