| Autor: |
Carvalho Brinckmann, Carlos Alberto, Penso Scapin, Flávia, Guerra Bernd, Luiz António, Lubianca Neto, Josß Faibes |
| Zdroj: |
Archives of Otolaryngology - Head & Neck Surgery; Aug2008, Vol. 134 Issue 8, p832-836, 5p |
| Abstrakt: |
Objective: To determine the effect of improved nasopharyngeal airflow after adenoidectomy on nasal turbinate erectile tissue in pediatric patients. Design: Clinical, prospective, before-and-after study. Setting: Pediatric Otolaryngology Clinic at Hospital da Criança Santo Antônio de Porto Alegre (Complexo Hospitalar Santa Casa de Porto Alegre). Patients: Twenty-one 5- to 11-year-old children diagnosed as having severe nasal obstruction, with an indication for adenoidectomy. Intervention: Adenoidectomy. Main Outcome Measures: Acoustic rhinometry data before and 90 days after surgery. To specifically monitor erectile tissue behavior, only the volume of the nasal turbinate region was considered (depth, 2.20-5.40 cm). Results: The volume of the turbinate region varied from 6.03 cm³ in the preoperative evaluation to 6.99 cm³ in the postoperative evaluation, representing an increase of 16%(P<.04). Multiple linear and logistic regressions did not reveal any factors other than adenoidectomy that could explain this change. Conclusions: Because the only possible explanation for the observed erectile tissue changes was improvement in nasal airflow, we can assume that adenoidectomy favor-ably affects the behavior of nasal erectile structures and is associated with a decrease in turbinate size. Combined turbinate reduction and adenoidectomy should not be the rule because children may benefit from adenoidectomy alone. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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