Evaluation of Cognitive and Social Behavior After Adenotonsillectomy in Children

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):6444-6447. doi: 10.1007/s12070-020-02287-w. Epub 2020 Nov 21.

Abstract

To evaluate improvement in cognitive and social behavior of children after adenotonsillectomy. This prospective, observational study was done on 50 patients between November 2016 to September 2019 with clinical features suggestive of adenoid and palatine tonsillar hypertrophy (grade 3, 4) at department of otorhinolaryngology in our institute. We used 10 questions of Glasgow Children's Benefit Inventory (GCBI), to evaluate the cognitive and social behavior of children after adenotonsillectomy. After surgery, we evaluated cognitive functions (distractibility, learning, concentration and irritability) and social behavior (Progress and development, liveliness, family harmony, fun with friends, happiness and leisure) of children. p value of comparison at 1 month and 6 months postoperative was significant (< 0.05) for all questions of GCBI. Adenotonsillectomy definitely have positive impact on cognitive and social behavior of children. So early surgical intervention in form of adenotonsillectomy is recommended in children having clinical symptoms of adenotonsillar hypertrophy and sleep disordered breathing.

Keywords: Adenotonsillectomy; Apnea; Behavior; GCBI.