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KMID : 0378120030300020229
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Chungnam Medical Journal
2003 Volume.30 No. 2 p.229 ~ p.236
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The Effects of Adenoidectomy and Tonsillectomy on Nasal Airway Resistance and Nasal Geometry
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Rha Ki-Sang
Park Yong-Ho
Park Chan-Hee
Koo Bon-Seok
Kim Young-Deog
Kim Kwan-Ho
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Abstract
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The aim of this study was to determine whether adenoid or tonsillar hypertrophy and subsequent adenoidectomy and tonsillectomy affect pediatric nasal airway resistance and nasal geometry and to evaluate the relationships between the degree of hypertrophy and nasal airway resistance or nasal geometry.
Thirty-two children, aged 3 to 15 years, selected for adenoidectomy and tonsillectomy due to chronic nasal obstruction and mouth breathing were enrolled. The size of adenoid was evaluated by cephalometric radiograph. The degree of tonsillar hypertrophy was graded clinically. Nasal airway resistance and nasal geometry was evaluated by active anterior rhinomanometry and acoustic rhinometry respectively. These measurements were repeated one month and three months post-operatively.
The size of adenoid was found well correlated to preoperative nasal airway resistance. However, there were no correlations between the degree of tonsillar hypertrophy and preoperative nasal airway resistance or nasal geometry. Nasal geometry was not changed after operation. However, nasal airway resistance was reduced significantly at 3 months after operation and the size of adenoid was found well correlated to postoperative changes of nasal airway resistance.
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KEYWORD
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Adenoid, Palatine tonsul, Nasal airway resistance
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