Doppler echocardiography in adenotonsillar hypertrophy

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dc.authoridMiman, Murat Cem/0000-0002-2139-9239
dc.authorwosidMiman, Murat Cem/AAZ-4873-2020
dc.contributor.authorMiman, MC
dc.contributor.authorKirazli, T
dc.contributor.authorOzyurek, R
dc.date.accessioned2024-08-04T20:12:11Z
dc.date.available2024-08-04T20:12:11Z
dc.date.issued2000
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: Adenotonsillar hypertrophy causing upper airway obstruction may lead to the pulmonary hypertension and cor pulmonale. This study aimed to clarify the diagnostic methods of this complication, besides polysomnography, to find another objective criterion for surgical intervention and to demonstrate the curative effect of adenotonsillectomy on this complication using this objective criterion. Methods: We studied the outcomes of 17 children with pulmonary hypertension secondary to the adenotonsillar hypertrophy. Pulmonary arterial pressure measurement was performed noninvasively by Doppler echocardiography. Results: Mean preoperative pulmonary arterial pressure was 29.12 +/- 4.11 mmHg and decreased dramatically after relief of upper airway obstruction by adenoidectomy and/or tonsillectomy to the normal level of 12.06 +/- 3.09 mmHg. These results were analyzed by equal variances t-test and found very significant (P < 0.01). Regarding the symptoms of upper respiratory obstruction, symptom scores of these children decreased very significantly and were analyzed by equal variances t-test (P < 0.01) in the postoperative period. For all the symptoms individually (snoring, mouth-breathing during sleep and daytime, hyponasal voice, restless sleeping, daytime somnolence, enuresis nocturnal), comparing percentages of preoperative and postoperative symptoms by unequal variances t-test, we obtained very significant decrease (P < 0.01). Conclusions: This study illustrates that Doppler echocardiography is a safe, practical and noninvasive - method in diagnosing cardiovasculary disturbances - one of the complications of adenotonsillar hypertrophy and especially for measuring the pulmonary arterial pressure. All the symptoms and disorders due to the adenotonsillar hypertrophy may be reversible by performing early adeno- and/or tonsillectomy. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/S0165-5876(00)00338-4
dc.identifier.endpage26en_US
dc.identifier.issn0165-5876
dc.identifier.issue1en_US
dc.identifier.pmid10960692en_US
dc.identifier.scopus2-s2.0-0034637065en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage21en_US
dc.identifier.urihttps://doi.org/10.1016/S0165-5876(00)00338-4
dc.identifier.urihttps://hdl.handle.net/11616/93276
dc.identifier.volume54en_US
dc.identifier.wosWOS:000089043500004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ireland Ltden_US
dc.relation.ispartofInternational Journal of Pediatric Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadenotonsillar hypertrophyen_US
dc.subjectpulmonary hypertensionen_US
dc.subjectDoppler echocardiographyen_US
dc.subjectsleep apneaen_US
dc.subjectsnoringen_US
dc.titleDoppler echocardiography in adenotonsillar hypertrophyen_US
dc.typeArticleen_US

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