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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제11권 제1호
- 발행연도
- 2018.1
- 수록면
- 52 - 57 (6page)
이용수
초록· 키워드
오류제보하기
Objectives. It is well known that allergic rhinitis (AR) has positive association with adenotonsillectomy. However, the impact of AR on symptom improvement after adenotonsillectomy is not well documented. Hence, we aimed to evaluate the effect of AR on the symptom improvement after adenotonsillectomy between AR and nonallergic patients. Methods. A retrospective analysis was performed on 250 pediatric patients younger than 10 years old who received adenotonsillectomy from June 2009 to June 2014 in a tertiary referral hospital. All patients underwent skin prick test or multiple allergen simultaneous test (MAST) before surgery and classified into AR group and control group. Obstructive and rhinitis symptoms including snoring, mouth breathing, nasal obstruction, rhinorrhea, itching, and sneezing were evaluated before and 1 year after surgery using questionnaire and telephone survey. Results. AR group was 131 and control group was 119, showing higher prevalence (52.4%) of AR among adenotonsillectomized patients. Both groups showed dramatic improvement of symptoms such as snoring and mouth breathing after surgery (all P<0.05). However, AR group showed significantly less improvement than control group in snoring, mouth breathing, nasal obstruction, and rhinorrhea (all P<0.05). Multivariate analysis showed that preoperative mouth breathing and snoring were dependent on tonsil grade and postoperative symptoms were mainly dependent on presence of AR. Nasal obstruction was dependent on tonsil grade and presence of AR preoperatively and presence of AR postoperatively. These suggest the importance of AR as a risk factor for mouth breathing, snoring, and nasal obstruction. Conclusion. AR has positive association with adenotonsillectomy and not only allergic symptoms but also obstructive symptoms such as snoring and mouth breathing improved less in AR group than control group. Hence, patients with AR should be monitored for long-term basis and more carefully after adenotonsillectomy.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Mitchell RB / 2007 / Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography / Laryngoscope 117(10):1844~1854
Mitchell RB / 2004 / Long-term changes in quality of life after surgery for pediatric obstructive sleep apnea / Arch Otolaryngol Head Neck Surg 130(4):409~412
Mitchell RB / 2004 / Quality of life after adenotonsillectomy for obstructive sleep apnea in children / Arch Otolaryngol Head Neck Surg 130(2):190~194
Sadeghi-Shabestari M / 2011 / Is there any correlation between allergy and adenotonsillar tissue hypertrophy? / Int J Pediatr Otorhinolaryngol 75(4):589~591
Friedman M / 2004 / Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment / Laryngoscope 114(3):454~459
Mitchell RB / 2004 / Long-term changes in quality of life after surgery for pediatric obstructive sleep apnea / Arch Otolaryngol Head Neck Surg 130(4):409~412
Mitchell RB / 2004 / Quality of life after adenotonsillectomy for obstructive sleep apnea in children / Arch Otolaryngol Head Neck Surg 130(2):190~194
Sadeghi-Shabestari M / 2011 / Is there any correlation between allergy and adenotonsillar tissue hypertrophy? / Int J Pediatr Otorhinolaryngol 75(4):589~591
Friedman M / 2004 / Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment / Laryngoscope 114(3):454~459
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