Impact of Adenotonsillectomy on Weight Gain in Children
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Abstract
Introduction
‘Failure to thrive’ is considered to be an indication for adenotonsillectomy in children. There is contrasting evidence regarding weight gain in children following adenotonsillectomy. The objective of this study is to evaluate weight change post adenotonsillectomy.
Materials and Methods
A prospective study conducted on 45 children of age between 5 to 15 years, who underwent adenotonsillectomy in our hospital. Weight is calculated at three different period i.e. preoperative, postoperatively at 3 and 6 months and compared with standard Indian Academy of Paediatrics (IAP) weight for age.
Results
Out of 45 children 62.2% were less than 10 years of age with a male preponderance of 60%. 55.6% had normal birth weight. Preoperatively the average weight of the participants was 25.69 kg when compared to IAP normal weight for age which was 29.67 kg. Postoperatively at 6 months it was 28.19 kg as opposed to the expected weight of 31.88 kg.
Conclusion
The weight gain post adeno-tonsillectomy failed to meet the expected IAP value and was below the expected value. Hence there was no significant weight change following adenotonsillectomy.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Baradaranfar MH, Dodangeh F, Atar ST. Humoral and cellular immunity parameters in children before and after adenotonsillectomy. Acta Medica Iranica 2007;345-50
Gray LP. The T's and A's problem-assessment and reassessment. J Laryngol Otol. 1977; 91(1):11-32
Böck A, Popp W, Herkner KR. Tonsillectomy and the immune system: a long-term follow up comparison between tonsillectomized and non-tonsillectomized children. European archives of Oto-rhino-laryngology 1994; 251(7):423-7
Grundfast KM, WittichJr DJ. Adenotonsillar hypertrophy and upper airway obstruction in evolutionary perspective. The Laryngoscope 1982; 92(6):650-6
Lind MG, Lundell BP. Tonsillar hyperplasia in children: a cause of obstructive sleep apneas, CO2 retention, and retarded growth. Archives of Otolaryngology 1982;108(10):650-4
Deutsch ES. Tonsillectomy and adenoidectomy: changing indications. Pediatric Clinics of North America 1996; 43(6):1319-38
Schiffmann R, Faber J, Eidelman AI. Obstructive hypertrophic adenoids and tonsils as a cause of infantile failure to thrive: reversed by tonsillectomy and adenoidectomy. Int J Pediatr Otorhinolaryngol. 1985; 9(2):183-7
Williams III EF, Woo P, Miller R, Kellman RM. The effects of adenotonsillectomy on growth in young children. Otolaryngol Head Neck Surg. 1991 Apr;104(4):509-16
Hodges S, Wailoo MP. Tonsillar enlargement and failure to thrive. British Medical Journal (Clinical research ed.) 1987; 295(6597):541
Czechowicz JA, Chang KW. Analysis of growth curves in children after adenotonsillectomy. JAMA Otolaryngol Head Neck Surg. 2014; 140(6):491-6
Smith DF, Vikani AR, Benke JR, Boss EF, Ishman SL. Weight gain after adenotonsillectomy is more common in young children. Otolaryngol Head Neck Surg. 2013; 148(3):488-93
Vontetsianos HS, Davris SE, Christopoulos GD, Dacou-Voutetakis C. Improved somatic growth following adenoidectomy and tonsillectomy in young children. Possible pathogenetic mechanisms. Hormones (Athens) 2005; 4(1):49-54
Selimoğlu E, Selimoğlu MA, Orbak Z. Does adenotonsillectomy improve growth in children with obstructive adenotonsillar hypertrophy? Journal of International Medical Research 2003; 31(2):84-7
Ahlqvist-Rastad J, Hultcrantz E, Melander H, Svanholm H. Body growth in relation to tonsillar enlargement and tonsillectomy. Int J Pediatr Otorhinolaryngol. 1992; 24(1):55-61
Roche AF. The influence of tonsillectomy on growth and caloric intake. J Pediatr. 1964; 65(3):360-7
Mills RP, Hibbert J. The effects of recurrent tonsillitis on growth and cervical lymphadenopathy in children. Int J Pediatr Otorhinolaryngol. 1983;6(1):77-82. doi:10.1016/s0165-5876(83)80105-0
Aydogan M, Toprak D, Hatun Ş, Yüksel A, Gokalp AS. The effect of recurrent tonsillitis and adenotonsillectomy on growth in childhood. Int J Pediatr Otorhinolaryngol. 2007; 71(11):1737-42
Conlon BJ, Donnelly MJ, McShane OP. Tonsillitis, tonsillectomy and weight disturbance. Int J Pediatr Otorhinolaryngol. 1997; 42(1):17-23.