The effect of adenotonsillectomy on right ventricle function and pulmonary artery pressure in children with adenotonsillar hypertrophy

Adenotonsillektomi ve Adenoidektominin Mean Platelet Volüm (MPV) düzeyleri üzerine etkisi

“…Previous studies showed that adenotonsillectomy is curative treatment for PAH, which is caused by adenotonsillar hypertrophy. After adenotonsillectomy, right ventricle function improves significantly [2,3,[5][6][7]23]. Our study revealed that adenoidectomy and adenotonsillectomy cause a significant decrease in MPV levels.…”

“…This event causes respiratory acidosis, increase tendency for hypercoagulopathy and releasing vaso-active mediators, which leads to reversible or irreversible cardiopulmonary vascular changes. Hypoxemic pulmonary vasoconstriction may result in PAH, right ventricle dysfunction, and even cor pulmonale [5][6][7]. MPV levels have been reported to be higher in patients with PAH, nasal septal deviation and adenoid hypertrophy [4,8,16,17,18].…”

Pulmonary hypertension evaluation by Doppler echocardiogram in children and adolescents with mouth breathing syndrome

“…15,23 In spite of its low-cost and potential for an early assessment of cardiac complications, it is not routinely performed in patients with UAO, being restricted to severe cases of OSA with evident cardiovascular deterioration. 6,7,9,12,13 This study aimed to evaluate the presence of PH in MB with UAO caused by ATH and AR in children and adolescents treated in a referral center through the Doppler echocardiographic method.…”

Type 5 and 6 nasal septal deformities: Could we predict and prevent acute coronary syndrome attacks in the future?

“…Undisturbed nasal breathing is essential for normal breathing physiology as a whole and the effects of nasal obstruction on the respiratory and cardiovascular systems have been well studied: right ventricle problems 1,2 , ischemic heart diseases 3,4,5,,6,7,8,9 , sleep disorders 10,11,12,13 , mucociliary clearance system disturbances 14,15 , paranasal sinus pathology 16,17 , have all been described as a result of impaired nasal breathing. The connection between the upper and lower respiratory systems has been recognized in allergic rhinitis and asthma as well, resulting in united airways concept.…”