Developmental delays in preschool children with adenotonsillar hypertrophy

Abstract

Objectives: This study aims to investigate the effects of adenotonsillar hypertrophy on general development, as well as fine and gross motor capabilities, social communication, and language development in children with adenotonsillar hypertrophy by applying the Denver Developmental Screening Test-II. Patients and Methods: The study included 30 patients 12 boys, 18 girls; mean age 53.3±12.2 months; range 32 to 72 months who were indicated for adenotonsillectomy due to adenotonsillar hypertrophy between February 2013 and July 2013. The control group comprised 30 children participants 12 boys, 18 girls; mean age 53.1±12.8 months; range 32 to 72 months with no adenotonsillectomy indication. All participants included in the study were performed routine physical examination, flexible fiberoptic nasopharyngoscopy, and tympanometry. Brodsky scale and fiberendoscopic findings were used to categorize tonsil and adenoid sizes, respectively. Following ear, nose, and throat evaluation, a psychologist conducted Denver Developmental Screening Test-II in all participants blindly. Results: Adenotonsillar hypertrophy patients had higher abnormal levels of general development c2 =7.13, p=0.028 . Although patients and controls had similar levels of fine motor, gross motor, and personal-social development levels, there was a statistically borderline difference between them in terms of language development t=1.82, p=0.074 . Conclusion: The possibility of adenotonsillar hypertrophy should definitely be considered in children with delayed general and language developments.

Keywords

• possibility of adenotonsillar hypertrophy should definitely be considered in children with delayed general and language developments. Adenotonsillar hypertrophy, general development, language development, preschool children

Adenotonsiller hipertrofisi olan okul öncesi çocuklarda gelişimsel gecikmeler

Abstract

Amaç: Bu çalışmada adenotonsiller hipertrofili çocuklarda Denver Gelişimsel Tarama Testi-2 uygulanarak adenotonsiller hipertrofinin genel gelişimin yanı sıra ince ve kaba motor yetenekler, sosyal iletişim ve dil gelişimi üzerindeki etkileri araştırıldı.Hastalar ve Yöntemler: Şubat 2013 - Temmuz 2013 tarihleri arasında adenotonsiller hipertrofi nedeniyle adenotonsillektomi endikasyonu konulan 30 hasta 12 erkek, 18 kız; ort. yaş 53.3±12.2 ay; dağılım 32-72 ay çalışmaya dahil edildi. Kontrol grubuna adenotonsillektomi endikasyonu olmayan 30 çocuk katılımcı 12 erkek, 18 kız; ort. yaş 53.1±12.8 ay; dağılım 32-72 ay dahil edildi. Çalışmaya alınan tüm katılımcılara rutin fizik muayene, fleksibl fiberoptik nazofarengoskopi ve timpanometri uygulandı. Tonsil ve adenoid boyutlarını sınıflandırmak için sırasıyla Brodsky skalası ve fiberendoskopik bulgular kullanıldı. Kulak, burun, boğaz değerlendirmesinin ardından tüm katılımcılara bir psikolog tarafından kör olarak Denver Gelişimsel Tarama Testi-2 uygulandı.Bulgular: Adenotonsiller hipertrofi hastalarının anormal genel gelişim seviyeleri daha yüksek idi c2=7.13, p=0.028 . Hastalar ve kontrollerin ince ve kaba motor ile kişisel-sosyal gelişim düzeyleri benzer olmasına karşın dil gelişimi açısından aralarında istatistiksel olarak sınır düzeyde farklılık vardı t=1.82, p=0.074 .Sonuç: Genel gelişim ve dil gelişimi geriliği olan çocuklarda adenotonsiller hipertrofi olasılığı mutlaka akla getirilmelidir

Keywords

• Adenotonsiller hipertrofi, genel gelişim, dil gelişimi, okul öncesi çocuklar

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