Estudo das medidas pôndero-estaturais em crianças adenotonsilectomizadas

Fernandes, Alexandre Augusto; Alcântara, Thiago Alves; D’Ávila, Jeferson Sampaio

doi:10.1590/s0034-72992008000300013

Cited by 3 publications

(3 citation statements)

References 7 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Adicionalmente, está reportado na literatura que indivíduos submetidos à adenotonsilectomia adquirem maior potencial de crescimento ponderoestatural em relação aos que possuem indicação e não realizam a cirurgia (FERNANDES et al, 2008). Este fato parece pertinente e indica que o potencial de crescimento mandibular pode mudar após a cirurgia de remoção das tonsilas e, assim, alterar o padrão facial do paciente o que explica a associação epidemiológica encontrada no presente estudo.…”

Section: Discussionunclassified

Adenotonsilectomia e Classe II esquelética – estudo de casocontrole

Cunha¹,

Mendes²

2021

Orthod. Sci. Pract.

View full text Add to dashboard Cite

Introduction: The maxillomandibular lateral growth imbalance with mandibular retrusion related to the maxilla indicates the skeletal Class II pattern. This craniofacial morphological abnormality is often attributed to nasorespiratory obstruction due to pharyngeal and palatine tonsils hypertrophy. The adenotonsillectomy is indicated to young patients with respiratory obstruction. However, there is no information in the scientific literature concerning the impact of tonsils surgically removal on craniofacial growth and development. Objective: To identify the association between adenotonsillectomy and skeletal Class II. Material and Methods: An unpaired case-control study was performed. Adult subjects who agreed to participate filled a questionnaire and after identification of the skeletal pattern through radiographic cephalometric analysis were allocated into two groups: CASE GROUP composed of 23 subjects with skeletal Class II malocclusion and CONTROL GROUP composed of 27 subjects without skeletal Class II malocclusion. With specific software the images were evaluated and measured to compare craniofacial measurements between the experimental groups and this data was interpreted to verify the association between skeletal Class II and the occurrence of adenotonsillectomy in early childhood. Results: the adenotonsillectomy demonstrated protective potential for skeletal Class II development due to a strong epidemiological association between adenotonsillectomy and skeletal Class II anteroposterior discrepancy (ORC = 0.33), without gender interference (ORA = 0.91). Conclusions: Among the long-term benefits of performing adenotonsillectomy in early childhood, it may be considered the prevention of craniofacial growth alterations such as Class II maxillomandibular discrepancy.

show abstract

Section: Discussionunclassified

Adenotonsilectomia e Classe II esquelética – estudo de casocontrole

Cunha¹,

Mendes²

2021

Orthod. Sci. Pract.

View full text Add to dashboard Cite

show abstract

“…Apresentam-se com destaque as alterações no desenvolvimento pôndero-estatural de pacientes portadores de hipertrofia das tonsilas, cujo retardo do crescimento abrange prevalência de até 46% dos pacientes. A possível explicação para este déficit de crescimento advém da combinação de diversos fatores: modificações anatômicas, desenvolvimento da síndrome da apneia obstrutiva do sono, alteração hormonal e infecções recorrentes (5,7,11).…”

Section: Introductionunclassified

“…A exérese das tonsilas pode ocasionar melhora no desenvolvimento pôndero-estatural, com retomada do crescimento. Já foi demonstrado que a taxa de crescimento após a realização de adenoamigdalectomia é estatisticamente significativa, com um aumento de 34% e 57% nas medidas de altura e peso, respectivamente (5,11,12).…”

Section: Introductionunclassified

Crescimento pôndero-estatural de crianças e adolescentes submetidos à adenoamigdalectomia

Ribeiro

Cândido

Nascimento

et al. 2021

Sci Med

View full text Add to dashboard Cite

Objetivo: documentar de forma sistemática o padrão de desenvolvimento pôndero-estatural de pacientes submetidos à adenoamigdalectomia.Métodos: coleta de dados secundários dos prontuários de pacientes atendidos no ambulatório de Otorrinolaringologia Pediátrica, antes e depois da cirurgia de adenoamigdalectomia.Resultados: de forma individual, os pacientes apresentaram elevação no escore Z e percentis das variáveis ao peso e a altura no período entre as análises. Especificamente em relação ao peso, a média antes do procedimento e quatro meses depois do procedimento foi, respectivamente, de 29,1 kg e 32,8 kg; no que diz respeito à altura, a média foi de 1,22 m e 1,25 m, respectivamente. Ao aplicar oTeste T de Student foi possível notar significância estatística para ambas asvariáveis em estudo. Aspecto não percebido ao avaliar os indivíduos reunidos em grupos etários (pré-escolares, escolares e adolescentes).Conclusões: as crianças submetidas à adenoamigdalectomia apresentaram ganho pôndero-estaturalapós a cirurgia. A atuação cirúrgica diante do diagnóstico da hipertrofia e da hiperplasia das amígdalas e tonsila faríngea deve ser precoce, desde que haja indicação formal, a fim de evitar a manutenção do atraso no crescimento nesses pacientes.

show abstract

Tonsillectomy for Obstructive Sleep-Disordered Breathing: A Meta-analysis

Chinnadurai¹,

Jordan²,

Sathe

et al. 2017

Pediatrics

View full text Add to dashboard Cite

CONTEXT: The effectiveness of tonsillectomy or adenotonsillectomy (hereafter, "tonsillectomy") for obstructive sleep-disordered breathing (OSDB) compared with watchful waiting with supportive care is poorly understood. OBJECTIVE:To compare sleep, cognitive or behavioral, and health outcomes of tonsillectomy versus watchful waiting with supportive care in children with OSDB.DATA SOURCES: Medline, Embase, and the Cochrane Library. STUDY SELECTION:Two investigators independently screened studies against predetermined criteria. DATA EXTRACTION:Two investigators independently extracted key data. Investigators independently assessed study risk of bias and the strength of the evidence of the body of literature. Investigators synthesized data qualitatively and meta-analyzed apnea-hypopnea index (AHI) scores. RESULTS:We included 11 studies. Relative to watchful waiting, most studies reported better sleep-related outcomes in children who had a tonsillectomy. In 5 studies including children with polysomnography-confirmed OSDB, AHI scores improved more in children receiving tonsillectomy versus surgery. A meta-analysis of 3 studies showed a 4.8-point improvement in the AHI in children who underwent tonsillectomy compared with no surgery. Sleeprelated quality of life and negative behaviors (eg, anxiety and emotional lability) also improved more among children who had a tonsillectomy. Changes in executive function were not significantly different. The length of follow-up in studies was generally <12 months. LIMITATIONS:Few studies fully categorized populations in terms of severity of OSDB; outcome measures were heterogeneous; and the durability of outcomes beyond 12 months is not known. CONCLUSIONS:Tonsillectomy can produce short-term improvement in sleep outcomes compared with no surgery in children with OSDB. Understanding of longer-term outcomes or effects in subpopulations is lacking.

show abstract

Estudo das medidas pôndero-estaturais em crianças adenotonsilectomizadas

Cited by 3 publications

References 7 publications

Adenotonsilectomia e Classe II esquelética – estudo de casocontrole

Adenotonsilectomia e Classe II esquelética – estudo de casocontrole

Crescimento pôndero-estatural de crianças e adolescentes submetidos à adenoamigdalectomia

Tonsillectomy for Obstructive Sleep-Disordered Breathing: A Meta-analysis

Contact Info

Product

Resources

About