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Published on: January 17, 2018
[Olfactory function in children with adenoid hypertrophy who underwent adenotonsillectomy during pre- and
1Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518026, China.
Insights
Children with adenoid hypertrophy experience reduced olfactory function and appetite. Adenoidectomy significantly improves both olfaction and appetite, highlighting the impact of surgery on these senses.
Area of Science:
- Otorhinolaryngology
- Pediatric Health
- Sensory Science
Background:
- Adenoid hypertrophy commonly affects children, potentially impacting sensory functions.
- Olfactory dysfunction and appetite changes are reported in children with adenoid hypertrophy.
Purpose of the Study:
- To evaluate olfactory function in children with adenoid hypertrophy.
- To assess the impact of adenoidectomy on olfactory function and appetite.
Main Methods:
- Olfactory function assessed using the Sniffin' Sticks test.
- Appetite evaluated with the visual analog scale (VAS).
- Study included 44 children with adenoid hypertrophy and 40 healthy controls.
Main Results:
- Children with adenoid hypertrophy showed significantly lower olfactory function (TDI scores) compared to controls.
- Adenoidectomy led to significant improvements in olfactory function and appetite.
- A strong positive correlation was found between improved olfaction and increased appetite post-surgery.
Conclusions:
- Adenoid hypertrophy impairs both olfactory function and appetite in children.
- Adenoidectomy effectively restores olfactory function and enhances appetite in affected children.
Abstract:
Objective: To assess the olfactory function in children with adenoid hypertrophy and investigate the changes of both olfactory function and appetite in children with adenoid hypertrophy before and after adenoidectomy. Methods: Forty-four children with adenoid hypertrophy admitted for adenoidectomy, aged 7-12 years, mean age (10.0±2.0) years were tested by Sniffin' Sticks test and visual analog scale(VAS) of the children's appetite preoperatively between March and August 2015.In a appointment 6 months after operation, all of them returned and were tested again. The control group consisted of 40 healthy children, aged 7-12 years, mean age (11.2±0.8) years.SPSS 13.0 software was used for statistical analysis Results: The olfactory function of the study group TDI scores (32.4±3.5) preoperatively were significantly lower in comparison with the results of the control group TDI scores (37.3±2.8)(t=7.057, P<0.001). Significant improvement of olfaction TDI scores (36.8±1.9) was observed in the follow-up appointment(t=13.573, P<0.001). The VAS of the children's appetite during post-adenoidectomy was higher compared to pre-adenoidectomy(t=16.765, P<0.001). There was a strong correlation between the increase in appetite of children and the change of TDI score (r=0.59, P<0.01). Conclusions: Children with adenoid hypertrophy have a reduced ability of both olfactory function and appetite. Surgery had a greater impact on olfaction and appetite.
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