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Patricia Dayrell Neiva, Letícia Paiva Franco, Renata Noce Kirkwood, Helena Gonçalves Becker
The clinical decision for surgical treatment of children diagnosed with mouth breathing depends on the percentage of mechanical obstruction correlated with exacerbation of upper respiratory tract infections and systemic changes. The benefits of adenotonsillectomy include changes in the nasopharyngeal space, the mandibular plane and myofunctional alterations. Post-adenotonsilectomy postural benefits have not yet been described. OBJECTIVES: To investigate the kinematics of the shoulder girdle, cervical and thoracic spine in children with mouth breathing before and after adenotonsillectomy...
April 2018: International Journal of Pediatric Otorhinolaryngology
Silke Anna Theresa Weber, Raíssa Pierri Carvalho, Greta Ridley, Katrina Williams, Regina El Dib
CONTEXT: There is evidence that OSA in children can be associated with acute and chronic effects on the cardiovascular system due to repetitive episodes of apnea and hypoxemia. OBJECTIVE: To assess whether there is an association between OSA and echocardiographic findings in children and whether that association persists after adenotonsillectomy. DATA SOURCES: A literature search was conducted based on PUBMED, EMBASE and LILACS. STUDY SELECTION: Children with OSA and children who did not have OSA, who were aged ≤12 years...
October 2014: International Journal of Pediatric Otorhinolaryngology
Nergis Salman, Gulfer Ozturk, Istemihan Akin, Saffet Kilicaslan, Fatma Demirel, Namik Delibas
AIM: The purpose of this study was to search for the effects of adenotonsillectomy (A&T) on height, weight, and body mass index (BMI), as well as changes in ghrelin, leptin, and insulin-like growth factor 1 (IGF-1) levels in children with adenotonsillar hypertrophy (ATH)-related sleep-disordered breathing (SDB). METHODS: A study cohort of 39 children clinically diagnosed with ATH-related SDB was included in this study. Twenty-three healthy children were included as controls...
September 2014: Journal of Pediatric Endocrinology & Metabolism: JPEM
Masato Hosoya, Yuichi Yaguchi, Shinichi Inomata
We experienced two cases of unexpected difficult airway due to lingual tonsil hyperplasia. The first patient, a 13-year-old girl, was scheduled for plastic surgery. After induction of general anesthesia, direct laryngoscopy was performed but it was not possible to expose the epiglottis because of hypertrophic lingual tonsils. The second patieut, a 17-year-old man arrived at the emergency room with cardiopulmonary arrest. The first attempt at orotracheal intubation failed, as the pharinx could not be visualized due to lingual tonsil hyperplasia and edema...
November 2009: Masui. the Japanese Journal of Anesthesiology
Bernard Soccol Beraldin, Tatiana Rocha Rayes, Paulo Henrique Villela, Denise Marchi Ranieri
UNLABELLED: The hypertrophy of the palatine and pharyngeal tonsils is extremely common in children, being one of the most frequent causes of visits to otolaryngologists and such problem can impair the child's quality of life. AIM: to evaluate the impact of adenotonsillectomy on the lives of children with hypertrophied tonsils. MATERIALS AND METHODS: Contemporary longitudinal cohort study. A specific questionnaire used to evaluate the quality of life - OSD-6, was given to seventy five parents or guardians of children previously submitted to adenotonsillectomy, before the surgery and thirty days afterwards...
January 2009: Brazilian Journal of Otorhinolaryngology
Avichai Weissbach, Alberto Leiberman, Ariel Tarasiuk, Aviv Goldbart, Asher Tal
OBJECTIVES: To evaluate the prevalence of nocturnal enuresis (NE) in children diagnosed with obstructive sleep apnea syndrome (OSAS) and the effect of tonsillectomy and adenoidectomy on enuresis. DESIGN, SETTING, AND PARTICIPANTS: All children 4-18 years of age who underwent polysomnography (PSG) between January 2003 and May 2004 were included (n=161). The evaluation was based on a retrospective review of a standard sleep questionnaire and a full overnight PSG, followed by an additional structured telephone questionnaire performed 9 months after adenotonsillectomy (T&A) (range 5-14)...
August 2006: International Journal of Pediatric Otorhinolaryngology
M L Navarrete, C Ruiz, J Grasa, C Pollán, R Céspedes, R Calderón, M García
The HIV virus induces in the host several changes in your immunological system, which heads to the AIDS. We report two cases diagnosed by pathological studies after adenotonsilectomy for adenotonsilar hypertrophy. The diagnosis of HIV patients is suspected by epidemiologic (risk groups) or clinical features (opportunist diseases). But, it exists a early diagnosis, the histological findings in the extranodal lymphoid tissues, unusual on the literature. These phenomenons re-enforce the contamination way by means of the superior aerodigestive tract mucosis...
May 2001: Acta Otorrinolaringológica Española
J Spahis
Obstructive sleep apnea syndrome (OSAS) is a subtle but severe sleep disorder of early childhood. It occurs in 1.6%-3.4% of children between 6 months and 6 years of age. OSAS is often difficult to detect, and may have long-term consequences, including failure to thrive, behavioral disturbances, developmental delay, and cor pulmonale. Pediatric nurses are pivotal in assessing the clinical symptoms of OSAS so that prompt evaluation and treatment can be initiated. Early symptoms of OSAS include awakening with a startle or gasp, restlessness, retractions, inspiratory stridor, mouth breathing, and excessive sweating...
September 1994: Pediatric Nursing
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