Evaluation of Hyperactivity, Attention Deficit, and Impulsivity Before and After Adenoidectomy/Adenotonsillectomy Surgery

May 30, 2013The Journal of craniofacial surgery

Changes in Hyperactivity, Attention, and Impulsivity Before and After Adenoid or Tonsil Removal Surgery

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Abstract

A total of 63 patients, aged 4 to 13 years, were evaluated for symptoms of attention deficit, hyperactivity, and impulsivity related to obstructive airway problems.

Significant differences in attention deficit, hyperactivity, and impulsivity symptoms were observed between children with airway obstruction and healthy controls before surgery.
Postoperative assessments indicated a statistically significant improvement in these symptoms following adenoidectomy or adenotonsillectomy.
The surgical interventions were associated with alleviation of symptoms in children experiencing airway obstruction due to adenotonsillar hypertrophy.

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OBJECTIVE: The objective of this study was to determine the severity of attention deficit, hyperactivity, and impulsivity symptoms in patients with obstructive airway problems scheduled to undergo adenoidectomy or adenotonsillectomy operation. The effects of the surgical treatment on these symptoms will also be investigated in a case-control design.

METHODS: This prospective study included 63 patients (29 girls, 34 boys) who were operated on at the Department of Otorhinolaryngology, Dicle University Medical School, between January 2010 and May 2011 because of obstructive symptoms caused by adenoid or adenotonsillar hypertrophy. The age range of the patients was between 4 and 13 years. The control group consisted of 33 (17 girls, 16 boys) healthy children.

RESULTS: Among the patients, 15 children underwent adenoidectomy because of adenoid hypertrophy; 13 patients had adenotonsillectomy because of adenotonsillar hypertrophy, and the remaining patients underwent adenotonsillectomy related with chronic or recurrent tonsillitis with adenoid hypertrophy. Based on the preoperative data, statistically significant difference was observed between the patient and control groups. The patients' attention deficit, hyperactivity, and impulsivity symptoms preoperatively and postoperatively have shown statistically significant differences.

CONCLUSIONS: Attention deficit, hyperactivity, and impulsivity symptoms were common among the children who show signs of airway obstruction due to adenotonsillar hypertrophy. Adenoidectomy or adenotonsillectomy operations were both observed to be associated with improvement in these symptoms.

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