Nutritional evaluation in surgical treatment of children with hypertrophic tonsils and or adenoids

Area of Science:

• Pediatric Otolaryngology
• Pediatric Endocrinology

Background:

• Adenotonsillar hypertrophy and adenoidal hypertrophy are common conditions in children.
• These conditions can potentially impact growth and overall health.

Purpose of the Study:

• To evaluate the effect of surgical intervention for adenotonsillar and adenoidal hypertrophy on children's growth.
• To assess pre- and post-operative growth parameters in pediatric patients.

Main Methods:

• Study included 87 children aged 2-10 years, divided into four groups based on hypertrophy type and surgical status.
• Evaluations included ENT and fiberoptic examinations, with height and weight measurements taken four months apart.
• Growth was assessed using National Center for Health Statistics (NCHS) percentiles and Jelliffe's criteria.

Main Results:

• Pre-surgery, underweight prevalence was low (8.8% for adenotonsillar hypertrophy, 10% for adenoidal hypertrophy).
• Children who underwent surgery for adenotonsillar hypertrophy (Group I) demonstrated a significant increase in growth four months post-operatively.
• No significant growth changes were reported for non-surgically treated groups.

Conclusions:

• Surgical treatment for adenotonsillar hypertrophy is associated with significant growth improvement in children.
• Early intervention may be beneficial for children experiencing growth impairment due to airway obstruction.