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Cardiopulmonary functions and adenotonsillectomy: surgical indications need revision

Published online by Cambridge University Press:  27 October 2016

M Mahajan ,
J S Thakur ,
R K Azad ,
N K Mohindroo  and
P C Negi
M Mahajan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
J S Thakur*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
R K Azad
Affiliation:
Department of Otolaryngology – Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
N K Mohindroo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
P C Negi
Affiliation:
Department of Cardiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
*
Address for correspondence: Dr Jagdeep S Thakur, Department of Otolaryngology – Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP 171001, India E-mail: [email protected]
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Abstract

Objective:

To assess cardiac functions in adenotonsillar or tonsillar hypertrophy.

Methods:

A prospective, interventional, academic centre based study was conducted on 25 children with adenotonsillar or tonsillar hypertrophy. All patients underwent pulsed 2-dimensional Doppler echocardiography, pulse oximetry and 12-lead electrocardiography. These assessments were repeated three months later to determine the impact of adenotonsillectomy.

Results:

There were significant differences in mean arterial oxygen saturation, pulmonary flow acceleration time and mean pulmonary artery pressure post-operatively. Adenotonsillectomy led to significant improvements in pulmonary flow acceleration time and pulmonary flow velocity time index, while tonsillectomy resulted in right ventricular early and late diastolic velocity index improvement.

Conclusion:

Upper airway obstruction in children affects cardiac functioning and this can subsequently lead to morbidity and delayed growth. Hence, revision of surgical indications is advocated in adenotonsillar hypertrophy to avoid irreversible damage to cardiopulmonary functions.

Keywords

AdenoidsPalatine TonsilHypertrophyTonsillitisPulmonary HypertensionCardiac Failure
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1120 - 1124
Copyright
Copyright © JLO (1984) Limited 2016 

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Footnotes

Presented at the All India Rhinology Society annual conference, 2 December 2015, Bareilly, Uttar Pradesh, India.

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