Ayral Muhammed, Baylan Muzeyyen Yildirim, Kinis Vefa, Bez Yasin, Bakir Salih, Ozbay Musa, Yorgancilar Ediz, Gun Ramazan, Topcu Ismail
Department of Otorhinolaryngology, University Medical School, Dicle University Medical School, Diyarbakir, Turkey.
J Craniofac Surg. 2013 May;24(3):731-4. doi: 10.1097/SCS.0b013e31828011ea.
The objective of this study was to determine the severity of attention deficit, hyperactivity, and impulsivity symptoms in patients with obstructive airway problems scheduled to undergo adenoidectomy or adenotonsillectomy operation. The effects of the surgical treatment on these symptoms will also be investigated in a case-control design.
This prospective study included 63 patients (29 girls, 34 boys) who were operated on at the Department of Otorhinolaryngology, Dicle University Medical School, between January 2010 and May 2011 because of obstructive symptoms caused by adenoid or adenotonsillar hypertrophy. The age range of the patients was between 4 and 13 years. The control group consisted of 33 (17 girls, 16 boys) healthy children.
Among the patients, 15 children underwent adenoidectomy because of adenoid hypertrophy; 13 patients had adenotonsillectomy because of adenotonsillar hypertrophy, and the remaining patients underwent adenotonsillectomy related with chronic or recurrent tonsillitis with adenoid hypertrophy. Based on the preoperative data, statistically significant difference was observed between the patient and control groups. The patients' attention deficit, hyperactivity, and impulsivity symptoms preoperatively and postoperatively have shown statistically significant differences.
Attention deficit, hyperactivity, and impulsivity symptoms were common among the children who show signs of airway obstruction due to adenotonsillar hypertrophy. Adenoidectomy or adenotonsillectomy operations were both observed to be associated with improvement in these symptoms.
本研究的目的是确定计划接受腺样体切除术或腺样体扁桃体切除术的气道阻塞性疾病患者注意力缺陷、多动和冲动症状的严重程度。还将采用病例对照设计研究手术治疗对这些症状的影响。
这项前瞻性研究纳入了63例患者（29名女孩，34名男孩），他们于2010年1月至2011年5月期间在迪克莱大学医学院耳鼻喉科因腺样体或腺样体扁桃体肥大引起的阻塞性症状而接受手术。患者年龄在4至13岁之间。对照组由33名（17名女孩，16名男孩）健康儿童组成。
在患者中，15名儿童因腺样体肥大接受了腺样体切除术；13名患者因腺样体扁桃体肥大接受了腺样体扁桃体切除术，其余患者因慢性或复发性扁桃体炎合并腺样体肥大接受了腺样体扁桃体切除术。根据术前数据，患者组和对照组之间观察到统计学上的显著差异。患者术前和术后的注意力缺陷、多动和冲动症状显示出统计学上的显著差异。
注意力缺陷、多动和冲动症状在因腺样体扁桃体肥大而出现气道阻塞迹象的儿童中很常见。腺样体切除术或腺样体扁桃体切除术均被观察到与这些症状的改善有关。
