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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

OBERREUTER E, Gerardo et al. The influence of overweight in the success of adenotonsillectomy in patients with adenotonsillar symptomatic hyperplasia. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2018, vol.78, n.4, pp.399-405. ISSN 0718-4816.  http://dx.doi.org/10.4067/s0717-75262018000400399.

Introduction:

In pediatric population with malnutrition by excess, the role of the adenotonsillar hyperplasia in the etiology of breathing-related sleep disorders, and the effectivity of the adenotonsillectomy for reducing symptoms remains controversial.

Aim:

To compare and evaluate the effectiveness of the adenotonsillectomy between eutrophic and malnutrition by excess pediatric patients submitted to adenotonsillectomy by adenotonsillar hyperplasia, regarding to symptoms resolution.

Material and method:

A retrospective study was performed collecting data from clinical records between June 2016 and January 2017 of patients submitted to adenotonsillectomy by symptomatic adenotonsillar hyperplasia. Patients were assigned to 4 groups according to age and nutrional status and the rate of symptoms resolution was evaluated through interrogation to parents/guardians.

Results:

We included 98 patients, with an average age of 6.3 years. A 44.9% of patients were eutrophic and 55.1% had malnutrition by excess. Comparing eutrophic and malnutrition by excess patients, no significant differences were observed regarding to symptoms resolution.

Conclusion:

The adenotonsillectomy by symptomatic adenotonsillar hyperplasia was associated to an amelioration of the rate of snoring and respiratory pauses during sleeping in pediatric patients, independently of the nutritional status.

Palabras clave : Adenotonsillar; hypertrophy; hyperplasia; adenotonsillectomy; overweight; obesity.

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