Impaired right ventricular function in adenotonsillar hypertrophy

Duman, Dursun; Naiboğlu, Barış; Esen, Hande Senem; TOROS, Sema ZER; Demirtunç, Refik

doi:10.1007/s10554-007-9265-1

Cited by 70 publications

(76 citation statements)

References 29 publications

(35 reference statements)

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“…The symptomatology of obstructive adenoids reported in our series (Table 1) is similar to the findings in previous similar studies [5,11]. Most of our patients presented with mouth breathing, recurrent mucopurulent nasal discharge and snoring.…”

Section: Discussionsupporting

confidence: 91%

“…Most of our patients presented with mouth breathing, recurrent mucopurulent nasal discharge and snoring. These symptoms have been linked with obstructive adenoids in children, but they are not really specific for the condition, as some other rhinologic conditions in children could present with similar symptoms [11]. Bitar et al devised a validated and reliable clinical score for identifying children that will require adenoidectomy [7].…”

Section: Discussionmentioning

confidence: 99%

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Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

Fasunla

Onakoya

Ogunkunle

et al. 2011

Indian J Otolaryngol Head Neck Surg

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To evaluate the relevance of routine electrocardiographic request in pre-operative work-up of children undergoing adenoidectomy. This is a two year prospective study of children with obstructive adenoid that had adenoidectomy. This is a tertiary hospital based study at the Otorhinolaryngology Department of University College Hospital, Ibadan. Children (B12 years) with clinical and radiological evidence of an obstructive adenoid were investigated. Information obtained with an interviewer assisted questionnaire included the biodata, clinical presentation of the patients, ECG findings, echocardiographic findings, cardiothoracic ratio, palatal airway and ratio of adenoid diameter to the nasopharyngeal diameter. The adenoid volume was measured after adenoidectomy. The results were analyzed using SPSS version 14 and level of statistical significance was P \ 0.05. There were seventy four patients; 45 (60.8%) males and 29 (39.2%) females with a mean age of 38.35 months, S.D ± 30.32 (range 5-144 months). All the patients presented with mouth breathing and recurrent mucopurulent rhinorrhea. Mild snoring was detected in 18 (25%) patients, moderate snoring in 39 (54.17%) patients and severe snoring in 15 (20.83%) patients. Mild apnea was observed in 55 (74.32%) patients and moderate in 19 (25.68%) patients. Only seven (9.46%) patients had abnormal electrocardiographic findings but their ejection fraction on echocardiography ranged from 63 to 72% with a mean value of 68.17%, S.D ± 3.22. Cardiac complications of enlarged obstructive adenoid appear not to be common. Routine preoperative electrocardiography should therefore be restricted to only the high risk patients.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

Fasunla

Onakoya

Ogunkunle

et al. 2011

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

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“…Chronic hypoxia and hypercapnia cause pulmonary arterial vasoconstriction and PH. If left untreated, this condition may lead to overloading, hypertrophy and dilatation of the right ventricle due to already increased pulmonary vascular resistance and pulmonary arterial pressure, which consequently causes right ventricular (RV) insufficiency and death (5,6). Thus, early detection and treatment of myocardial disease are essential in such patients to prevent cardiopulmonary complications.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of right ventricular functions in patients with nasal polyposis: an observational study

Şimşek¹,

Şimşek²,

Taş³

et al. 2013

Anadolu Kardiyol Derg

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Objective: The aim of this study was to assess the right ventricular functions in patients with nasal polyposis using the strain (S) and strain rate (SR) echocardiography. Methods: A prospective, cross-sectional observational study was performed. The study included 40 patients with nasal polyposis (NP) (Group 1), and 25 healthy controls (Group 2). The study comprised patients with Stage 2 and Stage 3 nasal obstruction and no symptoms that could be associated with right ventricular heart failure. Longitudinal peak systolic strain (PSS) and peak systolic strain rate (PSSR) were measured from the basal-mid and apical segments of the right ventricle free wall. Student's t-test, Pearson's correlation analysis and Bland-Altman test were used for statistical analysis. Results: Pulmonary arterial systolic pressure was significantly higher in group 1 than group 2 (31.2±5.8, 19.7±4.3, respectively, p<0.001). PSS and PSSR values at the basal, mid and apical segments of the right ventricular lateral wall of the group I were significantly lower compared to the control group (p<0.001, p=0.002 and p=0.002 for PSS, p=0.003, p<0.001 and p<0.001 for PSSR, respectively). The comparison of Stage 2 and Stage 3 NP patients revealed a significant difference only in the SR measurement of the right ventricular mid segment (p=0.002). There was a significant correlation between the systolic pulmonary arterial pressure (sPAP) and right ventricular S and SR values (p<0.001). Conclusion: In this study, S/SR echocardiography showed a subclinical deficit of the right ventricular longitudinal functions in patients with NP who are considered to have normal right ventricular functions. (Anadolu Kardiyol Derg 2013; 13: 251-6)

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“…-early onset of cardio-vascular difficulties, primarily arterial hypertension, and changes in the dimensions of the cardiac chambers 4,5,6,23,24,40,56,57,58,63,98 ; -metabolic changes, which are the most recently identified complications 55,82,86 ;…”

Section: -Introductionmentioning

confidence: 99%

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

Seailles¹,

Couloigner²,

Cohen-Lévy³

2009

J Dentofacial Anom Orthod

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Obstructive Sleep Apnea Syndrome (OSAS) is a frequently occurring childhood malady, whose is incidence is largely underestimated, that can lead to serious complications. Because of their understanding of the anatomy and physiology of the masticatory apparatus and of the upper airways, orthodontist are in a strategic position to detect in their young patients developing disorders in these regions; accordingly when they suspect the existence of OSAS they should ask systematic and well targeted questions of parents who may not be aware of the relationship between certain symptoms their children display and sleep breathing problems. The goal of this article is to provide practitioners with a better understanding of the symptoms and the physio-pathological mechanics of OSAS so that they can spare their afflicted patients the complications it provokes by seeing that early treatment is undertaken. KEYWORDSObstructive sleep apnea syndrome Children Diagnosis Polysomnography.

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Impaired right ventricular function in adenotonsillar hypertrophy

Abstract: Our findings support that advanced stage of ATH is associated with impaired RV functions, which were recovered postoperatively.

Cited by 70 publications

References 29 publications

Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

Evaluation of right ventricular functions in patients with nasal polyposis: an observational study

How to detect Obstructive Sleep Apnea Syndrome (OSAS) in children

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