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2008 | 3 | 4 | 482-486
Tytuł artykułu

Effect of tonsillectomy and/or adenoidectomy on pulmonary arterial pressure in adults

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to determine the mean pulmonary pressure in adult with hypertrophic tonsils and adenoids and to clarify whether tonsillectomy and adenoidectomy has any effect on mean pulmonary arterial pressure of these adult. The study was carried out on 50 patients with diagnosis of upper airway obstruction resulting from hypertrophied tonsils and adenoids (group1). 25 adults were assigned as control with similar age and sex distribution (group2). For study subjects Routine general Examinations, BMI, ECG, Chest X ray, Arterial blood gases and Echocardiography were done. Mean pulmonary arterial pressure was measured by using Doppler Echocardiography preoperatively and mean 3–4 months postoperatively in all subjects. Elevated PAP (pulmonary artery pressure) was found in 15 patients (30%) in group 1 preoperatively. Mean PAP was 28.34 ±5.11 mmHg preoperative in group 1 and 19.84 ± 5.0 mmHg in group 2 (p <0.001). PAP decrease to 22.38 ±4.28 mmHg postoperatively in group 1 (p <0.001). Arterial oxygen saturation (spo2%) increase from 93.5 ± 1.9% preoperatively to 95.3 ± 1.3% post operatively (p < 0.001). percent reduction of PAP postoperatively correlates to age (t=−2.3, p= 0.02), preoperative PAP (p =0.01) but no correlation was found with BMI. In conclusions, this Study showed that obstructed adenoid and hypertrophy of tonsils causes higher mean pulmonary artery pressure in adult & revealed that tonsil& adenoid is effective therapeutic measure in such patients. With early intervention is necessary to avoid progressive cardiopulmonary disease.
Wydawca

Czasopismo
Rocznik
Tom
3
Numer
4
Strony
482-486
Opis fizyczny
Daty
wydano
2008-12-01
online
2008-10-22
Twórcy
  • Faculty of Medicine, Alazhar University, 2322, Cairo, Egypt
autor
  • Faculty of Medicine, Zagazeg University, 2311, Zagazeg, Egypt
  • Faculty of Medicine, Zagazeg University, 23115, Zagazeg, Egypt
autor
  • Faculty of Medicine, Alexandria University, 23110, Alexandria, Egypt
Bibliografia
  • [1] Gorur K., Doven O., Unal M., Akkus N., Ozcan C., Preoperative and postoperative cardiac and clinical findings of patients with adenotonsillar hypertrophy, Int. J. Pediatr.Otorhinolaryngol., 2001, 59, 41–46. http://dx.doi.org/10.1016/S0165-5876(01)00449-9[Crossref]
  • [2] Sie K.C.Y., Perkins J.A., Clarke W.R., Acute right heart failure due to adenotonsillar hypertrophy, Int. J. Pediatr. Otorhinolaryngol., 1997, 41, 53–58 http://dx.doi.org/10.1016/S0165-5876(97)00034-7[Crossref]
  • [3] Ainger L.E., Large tonsils and adenoids in small children with cor pulmonale, Heart, 1968, 30, 356–362 http://dx.doi.org/10.1136/hrt.30.3.356[Crossref]
  • [4] Broadsky L., Tonsillitis, tonsillectomy, and adenoidectomy, Philadelphia, J.B. Lippincott, 1993.
  • [5] Di Martino E., Mlynski G., Mlynski B., Effect of adenoid hyperplasia on nasal airflow, Laryngorhinootologie, 1998, 77, 272–274
  • [6] Fung J.W., Li T.S., Choy D.K., Yip G.W., Ko F.W., Sanderson J.E., et al., Severe obstructive sleep apnea is associated with left ventricular diastolic dysfunction. Chest, 2002, 121, 422–429 http://dx.doi.org/10.1378/chest.121.2.422[Crossref]
  • [7] Yilmaz M.D., Onrat E., Altuntaş A., Kaya D., Kahaveci O.K., Ozel O., et al., The effects of tonsillectomy and adenoidectomy on pulmonary arterial pressure in children, Am. J. Otolaryngol., 2005, 26, 18–21. http://dx.doi.org/10.1016/j.amjoto.2004.06.008[Crossref]
  • [8] Ugur M.B., Dogan S.M., Sogut A., Uzun L., Cinar F., Altin R., et al., Effect of adenoidectomy and/or tonsillectomy on cardiac functions in children with obstructive sleep apnea. ORL J. Otorhinolaryngol. Relat. Spec., 2008, 70, 202–8 [WoS]
  • [9] Sie KC, Perkins JA, Clarke WR: Acute right heart failure due to adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 1997;41:53–58 http://dx.doi.org/10.1016/S0165-5876(97)00034-7[Crossref]
  • [10] Potsic W.P., Pasquariello P.S., Baranak C.C., Relief of upper airway obstruction by adenotonsillectomy, Otolaryngol. Head Neck. Surg., 1986, 94, 476–480
  • [11] Cronje R.E., Human G.P., Simson I., Hypoxemic pulmonary hypertension in children, S. Afr. Med. J., 1966, 40, 2–8
  • [12] Marcus C.L., Carroll J.L., Koerner C.B., Determinants of growth in children with the obstructive sleep apnea syndrome, J. Pediatr., 1994, 125, 556–562 http://dx.doi.org/10.1016/S0022-3476(94)70007-9[Crossref]
  • [13] Duman D., Naiboglu B., Esen H.S., Toros S.Z., Demirtunc R., Impaired right ventricular function in adenotonsillar hypertrophy, Int. J. Cardiovasc. Imaging., 2008, 24, 261–267 http://dx.doi.org/10.1007/s10554-007-9265-1[Crossref][WoS]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0074-2
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