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How Does Adenotonsillectomy Affect the Olfactory Threshold in Children?

Samireh Farshchi1, Osman Mohammad Karim2, Mohammad Amir Korani3

  • 11Department of Otorhinolaryngology, Imam Khomaini Hospital, Kermanshah University of Medical Sciences, Jomhouri Eslami (Naghlieh) BLV, Kermanshah, 6718743161 Iran.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 20, 2019
PubMed

Insights

Adenotonsillectomy surgery in children significantly improves olfactory threshold and sleep quality. This study found reduced allergic rhinitis symptoms post-operation, suggesting benefits beyond airway improvement.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Sensory Science

Background:

  • Adenotonsillectomy is a common pediatric head and neck surgery.
  • Enlarged tonsils and adenoids can obstruct airways and impact sleep quality.
  • Potential effects on other senses, like smell, are less understood.

Purpose of the Study:

  • To compare olfactory threshold changes in children before and after adenotonsillectomy.
  • To evaluate the impact of adenotonsillectomy on associated symptoms like allergic rhinitis and nocturia.
  • To assess changes in sleep quality post-adenotonsillectomy.

Main Methods:

  • A comparative study of 152 children undergoing adenotonsillectomy.
  • Olfactory threshold assessment using phenyl butyl alcohol in propylene glycol via orthonasal strip test.
  • Data collection included pre- and post-operative symptom evaluation for allergic rhinitis, nocturia, and sleep quality.

Main Results:

  • Olfactory thresholds significantly improved after adenotonsillectomy (P=0.034).
  • Allergic rhinitis prevalence decreased from 83.6% pre-operation to 16.4% post-operation.
  • Sleep quality scores significantly improved (P=0.001), with nocturia decreasing, though not significantly.

Conclusions:

  • Adenotonsillectomy leads to a significant improvement in olfactory function in children.
  • The surgery also positively impacts sleep quality and reduces allergic rhinitis symptoms.
  • These findings highlight broader benefits of adenotonsillectomy beyond airway management.

Keywords:
AdenotonsillectomyAllergic rhinitisNocturiaOlfactory thresholdSleep quality score

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