Comportamento da criança durante videonasofaringolaringoscopia: análise de 105 pacientes

Tsuji, Domingos Hiroshi; Braga, Natasha A.; Sennes, Luiz Ubirajara; Bohadana, Saramira C.; Chung, Sonia

doi:10.1590/s0034-72992002000200004

“…This finding is in contradiction of results found by Haapaniemi, 1 but in accord with that reported by Tsuji et al, 20 who were successful at performing the examination in 99% of cases, although they had to hold some of the younger children. The fact that the children were in an environment familiar to them (their school) and that they were accompanied by at least one of their parents without doubt contributed to the good level of acceptance.…”

Section: Discussioncontrasting

confidence: 71%

Escolares submetidos a videonasofaringoscopia na escola: achados e aceitação

Santos¹,

Cipolotti²,

D’Ávila³

et al. 2005

J. Pediatr. (Rio J.)

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Objective: To verify childrens acceptance of nasal fiber optic examination in a school setting and to evaluate hypertrophy of adenoid vegetation and to determine its prevalence in this population. Method:A survey was performed of a representative (n = 368) sample of school age children at elementary school (aged 6 to 13 years old) who had been subjected to fiber optic examination, in Aracaju (SE), Brazil. All students were subjected to the same study protocol, carried out at school and with no need for sedation or restraint.Results: All of the children tolerated the nasal fiber optic examination well, making possible a good evaluation of pharynx and nasal cavities. The prevalence of adenoid hypertrophy grade I was 50.6%, of grade II 35.1% and of grade III 14.3%. Grades II and III hypertrophy were related to an increase in obstructive symptoms. Conclusion:As this study performed in a school setting demonstrates, nasal fiber optic examination can be performed with excellent tolerance in settings other than hospitals and outpatient clinics, indicating that its usage could be increased and made available for an extended range of populations. The prevalence of adenoid hypertrophy in Aracaju is not comparable with prevalence rates observed in earlier studies because it this was a study of children without respiratory symptoms. J Pediatr (Rio J)

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“…Esse achado contraria os obtidos por Haapaniemi 1 , mas está de acordo com Tsuji et al 20 , que obtiveram sucesso na realização do exame em 99% dos casos, ressalvada a necessidade de contenção de algumas das crianças mais novas. O fato de estarem em ambiente que lhe é familiar (a sua escola) e a presença de pelo menos um dos seus pais certamente contribui para essa boa aceitação.…”

Section: Discussionunclassified

Schoolchildren submitted to nasal fiber optic examination at school: findings and tolerance

Santos¹,

Cipolotti²,

D’Ávila³

et al. 2005

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Objective: To verify childrens acceptance of nasal fiber optic examination in a school setting and to evaluate hypertrophy of adenoid vegetation and to determine its prevalence in this population. Method:A survey was performed of a representative (n = 368) sample of school age children at elementary school (aged 6 to 13 years old) who had been subjected to fiber optic examination, in Aracaju (SE), Brazil. All students were subjected to the same study protocol, carried out at school and with no need for sedation or restraint.Results: All of the children tolerated the nasal fiber optic examination well, making possible a good evaluation of pharynx and nasal cavities. The prevalence of adenoid hypertrophy grade I was 50.6%, of grade II 35.1% and of grade III 14.3%. Grades II and III hypertrophy were related to an increase in obstructive symptoms. Conclusion:As this study performed in a school setting demonstrates, nasal fiber optic examination can be performed with excellent tolerance in settings other than hospitals and outpatient clinics, indicating that its usage could be increased and made available for an extended range of populations. The prevalence of adenoid hypertrophy in Aracaju is not comparable with prevalence rates observed in earlier studies because it this was a study of children without respiratory symptoms.J Pediatr (Rio J). 2005;81(6):443-6: Adenoid hypertrophy, school health, school age children. ResumoObjetivo: Verificar a aceitação da videonasofaringoscopia por crianças, no ambiente escolar, para avaliação de vegetações adenoideanas e determinar a sua prevalência nessa população.Método: Estudo transversal realizado em amostra proporcional (n = 368) de escolares da primeira série do ensino fundamental de Aracaju (SE), com idades entre 6 e 13 anos, submetidos a videonasofaringoscopia flexível. Todas se submeteram à mesma rotina de exame, feito na própria escola, sem a necessidade de contenção ou qualquer tipo de sedação.Resultados: As crianças que foram submetidas a avaliação nasofibroscópica aceitaram bem o procedimento, permitindo a adequada avaliação das cavidades do nariz e nasofaringe. A prevalência de hipertrofia adenoideana grau I foi de 50,6%, a de grau II foi de 35,1% e a de grau III foi de 14,3%. As hipertrofias adenoideanas graus II e III apresentam maior número de sintomas obstrutivos.Conclusão: A videonasofaringoscopia flexível pode ser realizada, com excelente aceitação, fora do ambiente hospitalar ou consultório, como mostra este estudo realizado em ambiente escolar, indicando que sua utilização pode ser mais ampla, tornando-a mais acessível a um maior número de pessoas. A prevalência dos três graus de hipertrofia adenoideana encontrada em Aracaju difere de alguns estudos por ter sido realizada em crianças não triadas para sintomas respiratórios. J Pediatr (Rio J) IntroduçãoAs doenças do aparelho respiratório são os principais motivos de consulta pediátrica, e a obstrução nasal crônica é uma das principais queixas, sendo a vegetação adenoideana um exemplo clássico e freqüe...

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“…1,2 Topical anesthesia is a controversial subject for nasal endoscopy because it is difficult to confirm whether the sensation of from the endoscope is lesser than the sensation of being unable to swallow or breath that can arise from anesthesia of the nose and oropharynx. It is up to clinicians to decide according to their own experience.…”

mentioning

confidence: 99%

“…Additionally, other factors such as fear, discomfort due to the introduction of an object into the nostril and anxiety, principally in smaller children, can make these difficulties more evident. 1,2 Nasal fiber optic examination for the assessment of adenoid hypertrophy:…”

mentioning

confidence: 99%