Chorney Stephen R, Suresh Rishi, Kline Neila, Johnson Romaine F, Mitchell Ron B
Department of Otolaryngology-Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA.
Department of Pediatric Otolaryngology Children's Medical Center Dallas Dallas Texas USA.
Laryngoscope Investig Otolaryngol. 2025 May 14;10(3):e70147. doi: 10.1002/lio2.70147. eCollection 2025 Jun.
To analyze short-term weight gain among obese children after intracapsular tonsillectomy.
A retrospective cohort included all children with a body mass index (BMI) > 95th percentile obtaining intracapsular tonsillectomy between 2021 and 2023 at a tertiary children's hospital. Measurements at least 30 days and at least 90 days postoperatively were recorded. BMI was expressed as a percentage of the 95th percentile (%BMIp95) and grouped by initial %BMIp95 ≤ 120 (class I obesity) or %BMIp95 > 120 (class II and III obesity).
There were 68 children that underwent intracapsular tonsillectomy at a mean age of 7.2 years (SD: 3.8) with obstructive breathing indications for 91% ( = 62). Mean %BMIp95 at surgery was 121 (95% confidence interval [CI]: 117-125). Class I obesity was noted for = 39 (57%) and class II/III obesity was noted for = 29 children (43%). At a mean of 6.9 months (SD: 5.3), the change in %BMIp95 was 1.77 (95% CI: -1.03 to 4.57) for class I and 3.27 (95% CI: 0.55 to 6.00) for class II/III obese children ( = 0.45). Measurements at least 90 days after surgery (mean: 12.8 months (SD: 5.2) showed no differences in %BMIp95 change between children with class I (1.17; 95% CI: -3.63 to 5.96) and class II/III obesity (3.00; 95% CI: -2.25 to 8.25) ( = 0.60).
Weight gain after intracapsular tonsillectomy was similar between children with low and high obesity class. Consistent growth trajectories continued beyond 3 months, suggesting intracapsular tonsillectomy may be an appropriate technique to address obstructive breathing in obese children.
III.
分析肥胖儿童行囊内扁桃体切除术后的短期体重增加情况。
一项回顾性队列研究纳入了2021年至2023年在一家三级儿童医院接受囊内扁桃体切除术、体重指数（BMI）>第95百分位数的所有儿童。记录术后至少30天和至少90天的测量数据。BMI以第95百分位数的百分比（%BMIp95）表示，并根据初始%BMIp95≤120（I类肥胖）或%BMIp95>120（II类和III类肥胖）进行分组。
68名儿童接受了囊内扁桃体切除术，平均年龄7.2岁（标准差：3.8），91%（n = 62）有阻塞性呼吸指征。手术时的平均%BMIp95为121（95%置信区间[CI]：117 - 125）。I类肥胖有39名（57%），II/III类肥胖有29名儿童（43%）。平均6.9个月（标准差：5.3）时，I类肥胖儿童的%BMIp95变化为1.77（95% CI： - 1.03至4.57），II/III类肥胖儿童为3.27（95% CI：0.55至6.00）（P = 0.45）。术后至少90天（平均：12.8个月（标准差：5.2））的测量显示，I类肥胖儿童（1.17；95% CI： - 3.63至5.96）和II/III类肥胖儿童（3.00；95% CI： - 2.25至8.25）的%BMIp95变化无差异（P = 0.60）。
囊内扁桃体切除术后，低肥胖等级和高肥胖等级儿童的体重增加情况相似。3个月后体重持续稳定增长，提示囊内扁桃体切除术可能是解决肥胖儿童阻塞性呼吸的一种合适技术。
III级。
