Impact of Chronic Adenoid Hypertrophy on Quality of Life Index in Children and Role of Adenoidectomy.

Autor: Shivnani D; Department of Otorhinolaryngology and Head & Neck Surgery, Children's Airway & Swallowing Center, Manipal Hospital Bangalore, Bangalore, Karnataka India., Kobal MR; Department of Paediatrics, Mahadevappa Rampure Medical College, Kalaburagi, Karnataka India., Raman EV; Department of Otorhinolaryngology and Head & Neck Surgery, Children's Airway & Swallowing Center, Manipal Hospital Bangalore, Bangalore, Karnataka India., Shruthi MS; Department of Otorhinolaryngology and Head & Neck Surgery, Mahadevappa Rampure Medical College, Kalaburagi, Karnataka India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2023 Dec; Vol. 75 (4), pp. 3396-3401. Date of Electronic Publication: 2023 Jun 24.
DOI: 10.1007/s12070-023-04000-z
Abstrakt: Objectives : To analyze the effects of chronic adenoid hypertrophy on quality of life (QOL) of children and caregivers and compare quality of life of child before and after adenoidectomy. Materials & Methods : Prospective, observational before and after questionnaire based assessment study at a pediatric otorhinolaryngology specialty center in a metropolitan quaternary care hospital. Children aged between 2 and 12 years undergoing adenoidectomy were included. Parents were asked to fill the Obstructive Sleep Apnea-18 (OSA-18) Quality of Life Index Questionnaire one day before surgery and after one month of surgery during their scheduled follow-up visit. The study was conducted over a period of 1 year and total of 40 children's assessment was done. Results were tabulated and analyzed. Results : The mean age of presentation was 6 years. Based on OSA-18 quality of life assessment scoring the total pre-operative mean score was 73.3 and post-operative was 40.5. There was significant change in OSA-18 total score and individual domain scores post-operatively indicating significant improvement in QOL post adenoidectomy. The domains most affected due to chronic adenoid hypertrophy were physical suffering, caregiver concerns and sleep disturbance (p value < 0.001). Conclusion : Chronic adenoid hypertrophy has major impact on quality of life of a child along with caregiver concern and they show significant improvement after adenoidectomy.
Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-023-04000-z.
Competing Interests: Conflict of InterestAll authors declare the following:
(© Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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