[The influence of tonsillar and adenoidal hypertrophy on mental behavior of children]

Yan Song1, Wenyue Ji

  • 1Department of Otorhinolaryngology, the Shengjing Hospital of China Medical University, Shenyang,110004, China.

Insights

Tonsillar and adenoidal hypertrophy significantly impact children's behavior, causing distinct abnormalities. Surgical intervention improved behavioral issues in both boys and girls, highlighting the need for psychological support.

Area of Science:

  • Pediatric Otolaryngology
  • Child Psychology
  • Behavioral Science

Background:

  • Enlarged tonsils and adenoids (tonsillar and adenoidal hypertrophy) are common in children.
  • The impact of this condition on children's mental behavior requires further investigation.

Purpose of the Study:

  • To investigate the influence of tonsillar and adenoidal hypertrophy on the mental behavior of children.
  • To assess the effects of surgical intervention (tonsillectomy and adenoidectomy) on behavioral outcomes.

Main Methods:

  • Sixty-one children with tonsillar and adenoidal hypertrophy were assessed using the Achenbach Child Behavior Checklist (CBCL).
  • Behavioral assessments were repeated three months after tonsillectomy and adenoidectomy.

Main Results:

  • Children with hypertrophy exhibited significantly abnormal mental behavior compared to controls (P<0.01).
  • Boys showed divisiveness, social difficulties, and hyperactivity; girls displayed hyperactivity and aggression.
  • Post-surgery, significant reductions in behavioral issues were observed in both genders (P<0.05).

Conclusions:

  • Tonsillar and adenoidal hypertrophy demonstrably affect children's mental and behavioral development.
  • Psychological and behavioral interventions are crucial for children with this condition.
Abstract

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