Investigation of Factors Affecting Height and Weight Change after Tonsillectomy

Year 2019, Volume: 21 Issue: 1, 27 - 31, 30.04.2019

Fatih Alper Akcan , Selim Ulucanlı Şengül Cangür , İlhan Ünlü

https://doi.org/10.18678/dtfd.482074

Abstract

Aim: The aim of this study was to investigate the effect of parameters such as age, sex, indication, tonsillar grade, tonsil volume, tonsil weight on height and weight development in tonsillectomy patients.

Material and Methods: After the history and examination findings of all patients were recorded, preoperative height and weight were examined. At sixth postoperative month, patients’ height and weight were measured and recorded. Height and weight gain of the patients were calculated according to the increase in percentile. The effects of patient dependent parameters on height and weight were compared.

Results: Of the 45 patients, 25 were male and 20 were female. Patients were divided into two groups according to age, as below 7 years and above. The patients were evaluated in 3 groups according to the indications as sleep disturbed breathing (SDB), recurrent tonsillitis and SDB+recurrent tonsillitis. Patients were evaluated in three groups as Grade 1-2, Grade 3 and Grade 4 according to the tonsil size. The patients were divided into two groups according to the tonsil volume, below 7 cc and above. The patients were divided into two groups as below 7 grams and above according to tonsil weight. It was revealed that the variables related to the patients were not significant effect on the change of height and weight percentile.

Conclusion: There were no statistically significant differences in the evaluation of the factors that affected the development after tonsillectomy. In order to obtain more detailed information, large patient participation and longer follow-up periods are needed.

Keywords

tonsillectomy, growth, pediatric

Tonsillektomi Sonrası Boy ve Kilo Değişimi Üzerine Etkili Faktörlerin Araştırılması

Abstract

Amaç: Bu çalışmanın amacı tonsillektomi hastalarında yaş, cinsiyet, endikasyon, tonsiller grade, tonsil hacmi ve tonsil ağırlığı gibi değişkenlerin boy ve kilo gelişimi üzerine etkisinin araştırılmasıdır.

Gereç ve Yöntemler: Tüm hastaların anamnez ve muayene bulguları kaydedildikten sonra, ameliyat öncesi boy ve kilolarına bakıldı. Postoperatif 6. ayda hastaların tekrar boy ve kiloları ölçülerek kaydedildi. Hastaların boy ve kilo gelişimleri persentil artışına göre hesaplandı. Hastaya bağlı değişkenlerin boy ve kilo gelişimine etkisi karşılaştırıldı.

Bulgular: Çalışmaya katılan toplam 45 hastanın 25’i erkek olup 20’si ise kızdır. Hastalar yaşa göre 7 yaş altı ve 7 yaş üstü olmak üzere iki gruba ayrıldı. Cerrahi endikasyona göre hastalar uykuda solunum bozukluğu (USB), rekürren tonsillit ve USB+rekürren tonsillit olmak üzere 3 grupta değerlendirildi. Hastalar tonsil büyüklüğüne göre Grade 1-2, Grade 3 ve Grade 4 olmak üzere üç grupta değerlendirildi. Hastalar tonsil hacmine göre 7 cc altı ve üstü olacak şekilde iki gruba ayrıldı. Hastalar tonsil ağırlığına göre 7 gr altı ve üstü olacak şekilde iki gruba ayrıldı. Bakılan hastaya bağlı değişkenlerin boy ve kilo persentil değişimi üzerine anlamlı etkisinin olmadığı görüldü.

Sonuç: Tonsillektomi sonrası gelişmeyi etkileyen hastaya bağlı faktörler açısından yapılan değerlendirmede istatistiksel olarak anlamlı sonuçlar çıkmamıştır. Bu konuda daha ayrıntılı bilgi edinebilmek için geniş hasta katılımının ve daha uzun takip sürelerinin olduğu çalışmalara ihtiyaç vardır.

Keywords

tonsillektomi, büyüme-gelişme, pediatrik

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