Sizer Bilal, Akdağ Mehmet, Sizer Esra, Yılmaz Ümit, Demir Songül
Department of Otolaryngology Clinic, Selehattin Eyyubi Public Hospital, Diyarbakır, Turkey.
Department of Otolaryngology Clinic, Dicle University School of Medicine, Diyarbakır, Turkey.
Int J Pediatr Otorhinolaryngol. 2020 Jul;134:110072. doi: 10.1016/j.ijporl.2020.110072. Epub 2020 Apr 27.
Adenoidectomy and adenotonsillectomy are very common operations in childhood. It is important to clarify their effects on this age group; in this study, we aimed to investigate the effects of the causative agent on children's mental health by using scales that help to screen for indications of mental disorders in children, who have had adenoidectomy or adenotonsillectomy, both before and after surgery. In this way, we aimed to investigate the effects of this factor on children's mental health.
The study included 82 children aged 6-12 years with signs of upper respiratory tract obstruction or recurrent adenotonsilitis. Adenotonsillectomy was performed in 41 patients included in the study and adenoidectomy was performed in 41 patients included in the study. 40 healthy children matched with the patient groups in terms of age and gender were included in the control group. Patients, were divided into three groups, those who underwent adenoidectomy, patients undergoing adenotonsillectomy and those in the control group Preoperative and postoperative questionnaires were used to investigate the effect of tonsillectomy or adenoidectomy on the mental health of children. The Parents' Form for the Strengths and Difficulties Questionnaire, the Parental Form for the Children's Anxiety Screening Scale, the Sleeping Scale for Children and the Quality of Life Scale for Children were used in the screening.
In children, who underwent adenoidectomy/adenotonsillectomy due to recurrent infection and adeno/adenotonsillar hypertrophy; it was seen that there was a significant decrease in the scores for the Strengths and Difficulties Questionnaire, the Anxiety Screening Scale in Children, and the Sleep Scale in Children, and a significant increase in Quality of Life Scale for Children scores.
In conclusion, adenoidectomy/adenotonsillectomy in children with sleep apnea due to recurrent episodes of infection and adeno/adenotonsillar hypertrophy was thought to prevent further neurobehavioral problems, likely to become more complex in the future, and to improve quality of life.
腺样体切除术和腺扁桃体切除术是儿童时期非常常见的手术。明确它们对这个年龄组的影响很重要；在本研究中，我们旨在通过使用有助于筛查儿童精神障碍迹象的量表，调查腺样体切除术或腺扁桃体切除术前和术后的致病因素对儿童心理健康的影响。通过这种方式，我们旨在研究该因素对儿童心理健康的影响。
该研究纳入了82名6至12岁有上呼吸道阻塞迹象或复发性腺扁桃体炎的儿童。研究中的41名患者接受了腺扁桃体切除术，41名患者接受了腺样体切除术。对照组纳入了40名在年龄和性别方面与患者组匹配的健康儿童。患者被分为三组，即接受腺样体切除术的患者、接受腺扁桃体切除术的患者和对照组。术前和术后问卷用于调查扁桃体切除术或腺样体切除术对儿童心理健康的影响。筛查中使用了优势与困难问卷家长版、儿童焦虑筛查量表家长版、儿童睡眠量表和儿童生活质量量表。
在因反复感染和腺样体/腺扁桃体肥大而接受腺样体切除术/腺扁桃体切除术的儿童中；发现优势与困难问卷、儿童焦虑筛查量表和儿童睡眠量表的得分显著降低，儿童生活质量量表得分显著提高。
总之，对于因反复感染和腺样体/腺扁桃体肥大导致睡眠呼吸暂停的儿童，腺样体切除术/腺扁桃体切除术被认为可以预防未来可能变得更加复杂的进一步神经行为问题，并提高生活质量。
