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Changes in growth pattern after adenotonsillectomy in children under 12 years old

Farnaz Hashemian1, Farhad Farahani, Mehdi Sanatkar

  • 1Department of Otorhinolaryngology, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, Iran. hashemianf@yahoo.com

Acta Medica Iranica
|February 3, 2011
PubMed

Insights

Adenotonsillectomy improves appetite, height, and weight in children. However, it may increase the risk of overweight, necessitating careful monitoring post-surgery.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Endocrinology
  • Childhood Obesity Research

Background:

  • Airway obstruction in children can affect growth and weight.
  • Adenotonsillectomy is a common surgical intervention for conditions like sleep-disordered breathing.
  • The impact of adenotonsillectomy on growth parameters and overweight risk requires further investigation.

Purpose of the Study:

  • To assess the effects of adenotonsillectomy on height, weight, and BMI in children under 12.
  • To evaluate the risk of overweight in children following adenotonsillectomy.
  • To analyze changes in appetite and sleep-disordered breathing post-surgery.

Main Methods:

  • A case-control study involving 120 children (2-12 years old), with 60 undergoing adenotonsillectomy and 60 controls.
  • Measurements of height, weight, and BMI were taken preoperatively and 6 months postoperatively.
  • Appetite status and sleep breathing disorders were assessed in the case group.

Main Results:

  • Significant improvements in height, weight, and BMI were observed in the adenotonsillectomy group compared to controls (P<0.05).
  • Appetite significantly improved post-surgery, with low appetite decreasing from 80% to 8.3% (P=0.01).
  • BMI percentiles shifted, increasing the proportion of children at risk of overweight and overweight (P=0.02).

Conclusions:

  • Adenotonsillectomy positively impacts growth and appetite in children, including those with normal or overweight BMI.
  • The procedure is associated with an increased risk of overweight, which should be considered a potential outcome.
  • Long-term monitoring for weight management is recommended after adenotonsillectomy in pediatric patients.

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