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Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children

INTRODUCTION: Adenotonsillar hypertrophy is a typical cause of surgery in children. Evaluation and identification of patients as potential candidates tonsillectomy is a primary concern for otolaryngologists. This study focuses on the results of pulmonary function tests (PFTs) after tonsillectomy in...

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Autores principales: Samareh Fekri, Mitra, Arabi Mianroodi, Aliasghar, Shakeri, Hossein, Khanjani, Narges
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mashhad University of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735618/
https://www.ncbi.nlm.nih.gov/pubmed/26878005
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author Samareh Fekri, Mitra
Arabi Mianroodi, Aliasghar
Shakeri, Hossein
Khanjani, Narges
author_facet Samareh Fekri, Mitra
Arabi Mianroodi, Aliasghar
Shakeri, Hossein
Khanjani, Narges
author_sort Samareh Fekri, Mitra
collection PubMed
description INTRODUCTION: Adenotonsillar hypertrophy is a typical cause of surgery in children. Evaluation and identification of patients as potential candidates tonsillectomy is a primary concern for otolaryngologists. This study focuses on the results of pulmonary function tests (PFTs) after tonsillectomy in children. MATERIALS AND METHODS: This cross-sectional study examined 50 patients suffering from tonsillar hypertrophy in 2013. Full details and results of otolaryngology examinations were recorded. Moreover, patients were examined with respect to forced inspiratory flow at 50% of vital capacity (FIF50%), forced expiratory flow at 50% of vital capacity (FEF50%), forced expiratory volume in 1 second (FEV1)/peak expiratory flow rate (PEFR), and FEV1/forced expired volume in 0.5 seconds (FEV0.5) before and after surgery using spirometry. All data were analyzed using SPSS Software (version 19), and central descriptive measures, and data were compared by performing T-test and Chi-square tests. RESULTS: According to tonsil size, patients were distributed as follows: 18 patients (36%) with +1 tonsil size, 18 patients (36%) with +2 tonsil size, and seven patients (14%) with +3 tonsil size, and seven patients (14%) with +4 tonsil size. Thirty-three (66%) and 17 patients (34%) were female and male, respectively, with a mean of age of 9.7 [Formula: see text] 2.97 years (range, 7–18 years). Seventy-eight percent of patients were aged 10 years or less. Moreover, 25 patients (50%), 17 patients (34%), and eight patients (16%), respectively, reported obstructive symptoms, recurrent tonsillitis, and both symptoms. In patients with +3 and +4 tonsil size, spirometric parameters indicated relief of symptoms of obstruction. Only in patients with +4 tonsil size were the changes statistically significant. CONCLUSION: Tonsillectomy can relieve obstructive symptoms in patients with tonsils larger than +3 to a great extent. Additionally, spirometry can identify patients with +3 and +4 tonsils who do not have clinical signs of an obstructive upper airway.
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spelling pubmed-47356182016-02-12 Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children Samareh Fekri, Mitra Arabi Mianroodi, Aliasghar Shakeri, Hossein Khanjani, Narges Iran J Otorhinolaryngol Original Article INTRODUCTION: Adenotonsillar hypertrophy is a typical cause of surgery in children. Evaluation and identification of patients as potential candidates tonsillectomy is a primary concern for otolaryngologists. This study focuses on the results of pulmonary function tests (PFTs) after tonsillectomy in children. MATERIALS AND METHODS: This cross-sectional study examined 50 patients suffering from tonsillar hypertrophy in 2013. Full details and results of otolaryngology examinations were recorded. Moreover, patients were examined with respect to forced inspiratory flow at 50% of vital capacity (FIF50%), forced expiratory flow at 50% of vital capacity (FEF50%), forced expiratory volume in 1 second (FEV1)/peak expiratory flow rate (PEFR), and FEV1/forced expired volume in 0.5 seconds (FEV0.5) before and after surgery using spirometry. All data were analyzed using SPSS Software (version 19), and central descriptive measures, and data were compared by performing T-test and Chi-square tests. RESULTS: According to tonsil size, patients were distributed as follows: 18 patients (36%) with +1 tonsil size, 18 patients (36%) with +2 tonsil size, and seven patients (14%) with +3 tonsil size, and seven patients (14%) with +4 tonsil size. Thirty-three (66%) and 17 patients (34%) were female and male, respectively, with a mean of age of 9.7 [Formula: see text] 2.97 years (range, 7–18 years). Seventy-eight percent of patients were aged 10 years or less. Moreover, 25 patients (50%), 17 patients (34%), and eight patients (16%), respectively, reported obstructive symptoms, recurrent tonsillitis, and both symptoms. In patients with +3 and +4 tonsil size, spirometric parameters indicated relief of symptoms of obstruction. Only in patients with +4 tonsil size were the changes statistically significant. CONCLUSION: Tonsillectomy can relieve obstructive symptoms in patients with tonsils larger than +3 to a great extent. Additionally, spirometry can identify patients with +3 and +4 tonsils who do not have clinical signs of an obstructive upper airway. Mashhad University of Medical Sciences 2016-01 /pmc/articles/PMC4735618/ /pubmed/26878005 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Samareh Fekri, Mitra
Arabi Mianroodi, Aliasghar
Shakeri, Hossein
Khanjani, Narges
Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title_full Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title_fullStr Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title_full_unstemmed Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title_short Effects of Tonsil size on Pulmonary Function test Results after Tonsillectomy in Children
title_sort effects of tonsil size on pulmonary function test results after tonsillectomy in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735618/
https://www.ncbi.nlm.nih.gov/pubmed/26878005
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