Study of weight and height development in children after adenotonsillectomy

Braz J Otorhinolaryngol. 2008 May-Jun;74(3):391-4. doi: 10.1016/s1808-8694(15)30573-5.

Abstract

The daily clinical observation of weight-height growth delays in children with obstructive hypertrophy of the pharyngeal and palatine tonsils is a workaday practice in pediatric otorhinolaryngology, and the surgical correction of this condition, when properly done in time, through adenotonsillectomy, can lead to a "catch up growth".

Aim: To investigate the real weight-height gain present in this population when they are surgically treated.

Materials and methods: Through a clinical prospective study, two groups of children carrying pharyngopalatine hypertrophy were followed up: group 1 was submitted to surgical intervention, and group 2 was not. All patients underwent standardization of anthropometrical measurements (weight and height), including their age-related percentiles, in the beginning and at the end of 06 (six) months.

Results: While group 1 increased its height average in relation to the initial average in 6.66 cm, the control group increased its average in 1.9 cm (p=0.0004). In relation to weight, group 1 increased 2150 g in average, while group 2 presented an average increase of 690 g (p=0.0010).

Conclusions: The children that underwent adenotonsillectomy acquired a higher weight-height growth potential in relation to those children who were not operated.

MeSH terms

  • Adenoidectomy*
  • Adenoids / pathology*
  • Adenoids / surgery
  • Body Size*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Hypertrophy / pathology
  • Hypertrophy / surgery
  • Male
  • Palatine Tonsil / pathology*
  • Palatine Tonsil / surgery
  • Prospective Studies
  • Severity of Illness Index
  • Tonsillectomy*