The importance of pulmonary function tests in adenotonsillectomy indications

Children who had undergone adenotonsillectomy for recurrent adenotonsillitis showing no signs of clinical or radiological obstructive manifestations were evaluated with pulmonary function tests before, and one month after the operation. In relation to the result obtained by function tests, 60% of 45...

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Bibliographic Details
Published in:Indian journal of pediatrics 1993-03, Vol.60 (2), p.249-255
Main Authors: KAVUKCU, S, SOCKUN, S, CEVIK, N, KUSCU, B, AKKOCLU, A
Format: Article
Language:English
Subjects:
Adenoidectomy
Adenoids - pathology
Adolescent
Biological and medical sciences
Child
Child, Preschool
Female
Humans
Hypertrophy
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Recurrence
Respiratory Function Tests
Tonsillectomy
Tonsillitis - physiopathology
Tonsillitis - surgery
Tropical medicine
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Summary:Children who had undergone adenotonsillectomy for recurrent adenotonsillitis showing no signs of clinical or radiological obstructive manifestations were evaluated with pulmonary function tests before, and one month after the operation. In relation to the result obtained by function tests, 60% of 45 cases (27) had the findings of mild obstructive pulmonary disease whereby these findings were in transient character that vanished after the operation. The following parameters were measured and found that they were all increased, mean FVC from 82.22 +/- 6.82 to 93.11 +/- 7.81 (p < 0.01), mean PEF from 77.60 +/- 8.38 to 88.60 +/- 5.57 (P < 0.01), mean FEVI from 74.28 +/- 11.68 to 90.15 +/- 7.28 (p < 0.01), mean FEF 25 from 71.44 +/- 11.53 to 83.53 +/- 6.40 (p < 0.01), mean FEF 50 from 69.53 +/- 14.53 to 84.37 +/- 7.72 (p < 0.01), mean FEF 75 from 70.08 +/- 12.15 to 85.48 +/- 7.15 (p < 0.01). In conclusion, pulmonary function tests could reveal the obstructive effects of adenotonsillar hypertrophy with no clinical or radiological obstructive findings, and could be useful in surgical indications of adenotonsillar hypertrophy dur to recurrent infections in children.
ISSN:0019-5456
0973-7693
DOI:10.1007/bf02822185