Revista de otorrinolaringología y cirugía de cabeza y cuello
versión On-line ISSN 0718-4816
ROYER F, Michel; LOPEZ G, Maite; MAMANI J, Rossana y PINTO M, Ricardo. Effect of adenotonsíllectomy on the quality of life of asthmatic pediatric patients. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2007, vol.67, n.2, pp. 135-140. ISSN 0718-4816. doi: 10.4067/S0718-48162007000200007.
Introduction. Although it has been shown that upper and lower airways are associated, both in terms of pathologies and in therapeutic alternatives, evidence about the role of the Waldeyer's ring on the development of bronchopulmonary diseases is lacking. In this regard, the literature about the effects of adenotonsíllectomy on bronchial asthma shows contradictory results. The goal of the present study was to determine whether adenotonsíllectomy results in changes in the quality of life of asthmatic pediatric patients. Materials and methods. A prospective study in asthmatic patients, ages 5 to10, with indication of adenotonsíllectomy was carried out. Patients were evaluated by a bronchopulmonar pediatrician and by an otorhinolaryngologist, by means of the PAQL Q questionary on the life quality of pediatric asthmatic patients. Patients were evaluated prior to and six months after surgery. Results. 35 children were evaluated, with an age average of 7years old. The mean PAQLQ score prior to surgery was 5.3, while the mean score after surgery was 6.4; this difference correspond to a slight improvement in quality of life. Items thatshoweda significant improvement after surgery were nocturnal awakening, coughing and capacity to perform activities. Discussion. Adenotonsillectomy has a beneficial effect on the quality of life of asthmatic pediatric patients; symptoms improvement includes not only those affecting the upper airway, but also those related to bronchial reactivity. Thus, this procedue could contribute to the control of the disease in a group of patients
Palabras clave : Adenotonsillectomy; bronchial asthma; quality of life.