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Developmental delays in preschool children with adenotonsillar hypertrophy

Erkan Soylu1, Nusret Soylu, Cahit Polat

  • 1Department of Otolaryngology, Medipol University, 34214 Bağcılar, İstanbul, Turkey. erkansoylu23@gmail.com.

Kulak Burun Bogaz Ihtisas Dergisi : KBB = Journal of Ear, Nose, and Throat
|April 25, 2016
PubMed

Insights

Adenotonsillar hypertrophy in children is linked to delayed general development. Language development may also be affected, warranting consideration in developmental assessments.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Otolaryngology

Background:

  • Adenotonsillar hypertrophy is a common condition in children.
  • It can potentially impact various aspects of child development.
  • Early identification of developmental delays is crucial for intervention.

Purpose of the Study:

  • To evaluate the impact of adenotonsillar hypertrophy on general development, motor skills, social communication, and language in children.
  • To utilize the Denver Developmental Screening Test-II (DDST-II) for comprehensive developmental assessment.
  • To compare developmental outcomes between children with and without adenotonsillar hypertrophy.

Main Methods:

  • A cohort of 30 children indicated for adenotonsillectomy due to adenotonsillar hypertrophy was compared to 30 control children.
  • Participants underwent physical examination, nasopharyngoscopy, tympanometry, and the DDST-II.
  • Tonsil and adenoid sizes were graded using the Brodsky scale and fiberendoscopic findings.

Main Results:

  • Children with adenotonsillar hypertrophy exhibited significantly higher rates of abnormal general development.
  • No significant differences were observed in fine motor, gross motor, or personal-social development between groups.
  • A statistically borderline difference was noted in language development between the patient and control groups.

Conclusions:

  • Adenotonsillar hypertrophy should be considered a potential factor in children presenting with delayed general development.
  • Further investigation into the effects on language development is warranted.
  • Developmental screening is essential for children with adenotonsillar hypertrophy.
Abstract

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