Paper Information

Title: 

ASSESSMENT OF ADENOTONSILLECTOMY EFFECT ON ADHD IN PATIENTS WITH ADENOTONSILLAR HYPERTROPHY AND ADHD

Type: PAPER
Author(s): DADGARNIA M.H.,AHSANI A.H.
 
 
 
Name of Seminar: INTERNATIONAL CONNGRESS OF IRANIAN SOCIETY OF OTOLARYNGYOLOGY / HEAD AND NECK SURGERY
Type of Seminar:  CONGRESS
Sponsor: 
Date:  2010Volume 1
 
 
Abstract: 

OBJECTIVE: ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) IS A COMMON BEHAVIORAL DISORDER IN CHILDREN. ADHD WAS DIAGNOSED WITH 6 CRITERIA OF ATTENTION DEFICIT, HYPERACTIVITY AND IMPULSIVITY BASED ON DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FOURTH EDITION (DSM-IV) CRITERIA FOR AT LEAST SIX MONTHS. ON THE OTHER HAND, SLEEP-DISORDERED BREATHING IS A FREQUENT PRESENTATION IN CHILDREN WITH ADENOTONSILLAR HYPERTROPHY, AND THIS DISORDER CAN LEAD TO SOME SIGNIFICANT COGNITIVE AND BEHAVIORAL COMPLICATIONS SUCH AS HYPERACTIVITY AND AGGRESSIVENESS. THE AIM OF THIS STUDY WAS THE EVALUATION OF THE EFFECT OF ADENOTONSILLECTOMY ON THE IMPROVEMENT OF ADHD SYMPTOMS.
METHODS: IN THIS PROSPECTIVE STUDY, 36 PATIENTS AGED 5-12 YEARS OLD WERE ENROLLED BETWEEN SEPTEMBER 2008 AND JULY 2010. ONE PATIENT MISSED THE FOLLOW UP BECAUSE OF THE LONG-DISTANCE JOURNEY INVOLVED. THE MAIN CRITERIA FOR ENTRANCE WERE TO HAVE SLEEP-DISORDERED BREATHING SECONDARY TO ADENOTONSILLAR HYPERTROPHY THAT WAS DIAGNOSED BY AN OTOLARYNGOLOGIST AND TO HAVE ADHD BASED ON DSM-IV CRITERIA QUESTIONNAIRE COMPLETED BY PARENTS PREOPERATIVELY. AFTER ADENOTONSILLECTOMY, 35 CHILDREN WERE FOLLOWED FOR SIX MONTHS.
RESULTS: AMONG 35 PATIENTS WITH ADENOTONSILLAR HYPERTROPHY AND PREOPERATIVE ADHD, ADHD IMPROVED IN 14 PATIENTS AFTER THE SURGERY, (P=0.001). THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN THE PREVALENCE OF ATTENTION DEFICIT, HYPERACTIVITY AND IMPULSIVITY BEFORE AND AFTER THE SURGERY. ADHD, ATTENTION DEFICIT, AND HYPERACTIVITY SCORES WERE SIGNIFICANTLY DIFFERENT PREOPERATIVELY AND SIX MONTHS AFTER THE SURGERY. THE SCORE DIFFERENCE WAS NOT SIGNIFICANT FOR IMPULSIVITY.
CONCLUSION: UPPER AIRWAY OBSTRUCTION IS AN IMPORTANT BUT TREATABLE CAUSE OF ADHD AND SHOULD BE CONSIDERED DURING THE EVALUATION OF AFFECTED CHILDREN. THIS STUDY SUGGESTS THAT SURGICAL TREATMENT FOR CHILDREN WITH ADENOTONSILLAR HYPERTROPHY AND ADHD IS ASSOCIATED WITH IMPROVEMENT IN BEHAVIOR AND COGNITIVE FUNCTION.

 
Keyword(s): ADENOTONSILLECTOMY, ADHD, ATTENTION DEFICIT, HYPERACTIVITY, IMPULSIVITY
 
Yearly Visit 12   tarjomyar
 
Latest on Blog
Enter SID Blog