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Arch Otolaryngol Head Neck Surg. 2000 Apr;126(4):494-8.

Impact of tonsillectomy and adenoidectomy on child behavior.

Author information

1
Division of Pediatric Otolaryngology, State University of New York Health Science Center at Brooklyn 11203-2098, USA. ngoldstein@netmail.hscbklyn.edu

Abstract

OBJECTIVE:

To measure the impact of tonsillectomy and adenoidectomy (T&A) on children's behavioral and emotional problems using a standardized assessment.

DESIGN:

Prospective study.

SETTING:

Tertiary care children's hospital.

PATIENTS:

Thirty-six children, aged 2 through 18 years, with symptoms of nighttime snoring, observed apneas, and daytime mouth breathing and physical examination results demonstrating 3+ or 4+ tonsils scheduled for T&A.

INTERVENTION:

Parents completed a standard survey of their children's symptoms of sleep apnea and a standardized measure of children's competencies and problems, the Child Behavior Checklist for ages 2 through 3 years or 4 through 18 years, before T&A and 3 months postoperatively.

MAIN OUTCOME MEASURE:

The Child Behavior Checklist total problem score.

RESULTS:

The preoperative Child Behavior Checklist total problem score was consistent with abnormal behavior for 10 children (28%). After T&A (n = 15), only 2 scores were abnormal, but the change was not statistically significant. In contrast, the mean total problem score was 7.5 points lower after surgery (95% confidence interval, 5.1-9.7), indicating a significant decrease (P<.001, matched t test).

CONCLUSIONS:

This pilot study demonstrates a high prevalence (28%) of abnormal behavior in children undergoing T&A for chronic upper airway obstruction. Scores on a standardized measure of behavior improve following T&A, but larger studies with increased statistical power are needed to clarify the degree of improvement and its clinical importance.

PMID:
10772303
[Indexed for MEDLINE]

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