Evaluation of Cognitive and Social Behavior After Adenotonsillectomy in Children
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ORIGINAL ARTICLE
Evaluation of Cognitive and Social Behavior After Adenotonsillectomy in Children Manju Silu1
•
Gaurav Gupta2
•
Deep Chand2 • Monika Patidar2
Received: 4 September 2020 / Accepted: 16 November 2020 Ó Association of Otolaryngologists of India 2020
Abstract To evaluate improvement in cognitive and social behavior of children after adenotonsillectomy. This prospective, observational study was done on 50 patients between November 2016 to September 2019 with clinical features suggestive of adenoid and palatine tonsillar hypertrophy (grade 3, 4) at department of otorhinolaryngology in our institute. We used 10 questions of Glasgow Children’s Benefit Inventory (GCBI), to evaluate the cognitive and social behavior of children after adenotonsillectomy. After surgery, we evaluated cognitive functions (distractibility, learning, concentration and irritability) and social behavior (Progress and development, liveliness, family harmony, fun with friends, happiness and leisure) of children. p value of comparison at 1 month and 6 months postoperative was significant (\ 0.05) for all questions of GCBI. Adenotonsillectomy definitely have positive impact on cognitive and social behavior of children. So early surgical intervention in form of adenotonsillectomy is recommended in children having clinical symptoms of adenotonsillar hypertrophy and sleep disordered breathing.
Introduction
Keywords Adenotonsillectomy Apnea Behavior GCBI
Aims and Objectives
Children with hypertrophy of nasopharyngeal and palatine tonsil generally presents with chief complaints of snoring and sometimes with obstructive sleep apnea. Parents reveal symptoms of restlessness, unusual position, and multiple awakening episodes during sleep, mouth breathing, daytime sleepiness, lack of concentration, poor school performance and lethargy. Cognitive function of children is a group of functions which includes learning, language, orientation, attention, concentration, judgment, memory and general intelligence. Social behavior is the domain that includes child’s interaction with others in his surroundings. The incidence of obstructive sleep apnea (OSA) as indication for surgery had increased from 0% in 1978 to 19% in 1986. Adenotonsillectomy is commonly performed in these cases but indications for surgery are still not well defined [1–3]. There are many studies which revealed that obstructive sleep apnea and snoring affects cognitive and social behavior of children [4–10].
To evaluate the cognitive and social behavior of children after adenotonsillectomy.
Materials and Methods & Manju Silu [email protected] 1
Department of Otorhinolaryngology, Ravindra Nath Medical College, Udaipur, Rajasthan 313001, India
2
Department of Otorhinolaryngology, Sardar Patel Medical College, Bikaner, Rajasthan, India
Institute ethical clearance was taken to conduct this study. This was a prospective, observational study done on 50 patients between November 2016 to September 2019 with clinical features suggestive of adenoid and palatine tonsillar h
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