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Helena Maria Gonçalves Beckerhttp://lattes.cnpq.br/7165309884613944Ludimila LabancaSérgio Veloso Brant PinheiroSirley Alves da Silva Carvalhohttp://lattes.cnpq.br/5687938326419320Maíra Soares Torres2023-07-06T13:24:58Z2023-07-06T13:24:58Z2023-06-15http://hdl.handle.net/1843/55862https://orcid.org/0000-0003-2086-9187Introdução: a rinite alérgica (RA) e a hipertrofia adenotonsilar (HAT) são condições muito prevalentes na população pediátrica, sendo que significativa parcela das crianças afetadas exibe sinais de comprometimento comportamental e de habilidades cognitivas. Ainda não estão claras a magnitude e a reversibilidade dessa disfunção. Torna-se imprescindível a realização de estudos que avaliem esse impacto de forma objetiva. Objetivo: comparar o desempenho nos questionários Escala Swanson, Nolan e Pelham versão IV (SNAP-IV) e Questionário de Capacidades e Dificuldades (SDQ-Por) e no Potencial Evocado Auditivo Cognitivo (P300) entre pacientes com HAT e/ou RA em relação a crianças sem obstrução de vias aéreas superiores de mesma faixa etária. Métodos: foram igualmente distribuídas 44 crianças entre seis e 14 anos entre quatro grupos: controle e respiradores orais (RA, HAT e HAT+RA), conforme achados em avaliação clínica e exames complementares. Todas as crianças foram submetidas a teste cutâneo de hipersensibilidade imediata, nasofibrofaringolaringoscopia, audiometria tonal e vocal, imitanciometria, rinomanometria anterior ativa, SDQ-Por, SNAP-IV e P300. A disfunção cognitiva e/ou comportamental foi determinada por resultados anormais no SDQ-Por, SNAP-IV ou P300. Resultados: crianças com HAT e/ou RA apresentaram maiores escores nas escalas de problema emocional (p = 0,001), de conduta (p = 0,029) e hiperatividade (p = 0,001) e piores escores na escala pró-social (p = 0,015) do SDQ-Por. Manifestaram, também, mais sintomas de desatenção (p = 0,003) e de impulsividade (p = 0,000) no SNAP-IV. A latência do P300 foi maior nas crianças respiradoras orais (p = 0,017). Conclusão: as crianças respiradoras orais apresentaram resistência nasal aumentada, maior desregulação emocional, mais problemas de conduta, de hiperatividade, de desatenção e de impulsividade, menores habilidades sociais e menor desempenho em teste que avaliou atenção e memória de trabalho que crianças respiradoras nasais de mesma faixa etária. Não foi encontrada diferença estatisticamente significativa por etiologia da respiração oral.Introduction: Allergic rhinitis (AR) and adenotonsillar hypertrophy (ATH) are very prevalent conditions in pediatric population and a significant portion of affected children exhibit signs of behavioral and cognitive impairment. The magnitude and reversibility of this dysfunction is still unclear. It is essential to carry out studies that evaluate this impact objectively. Objective: Compare the performance on the Swanson, Nolan and Pelham Scale version IV (SNAP-IV) and Strengths and Difficulties Questionnaire (SDQ) and on the Cognitive Auditory Evoked Potential (P300) among patients with ATH and/or AR compared to children without upper airway obstruction of the same age group. Methods: 44 children aged 6-14 years were equally distributed into 4 groups: control and mouth breathers (AR, ATH and ATH+AR), according to findings in clinical evaluation and complementary exams. All children underwent immediate hypersensitivity skin test, nasopharyngolaryngoscopy, pure-tone, speech and impedance audiometry, active anterior rhinomanometry, SDQ, SNAP-IV and P300. The presence of cognitive and/or behavioral dysfunction was determined by the presence of abnormal results in SDQ, SNAP-IV or P300. Results: Children with ATH and/or AR presented higher scores on the emotional problems (p = 0.001), conduct (p = 0.029) and hyperactivity (p = 0.001) scales and worse scores on the prosocial scale (p = 0.015) of the SDQ. They also showed more symptoms of inattention (p = 0.003) and impulsivity (p = 0.000) on the SNAP-IV. Latency of the P300 was higher in mouth breathing children (p = 0.017). Conclusion: Children with ATH and/or AR showed increased nasal resistance, greater emotional and conduct dysregulation, more hyperactivity, inattention and impulsivity problems, lower social skills, and lower performance in a test that evaluated attention and working memory than healthy children of the same age group. No statistically significant difference was found by mouth breathing etiology.porUniversidade Federal de Minas GeraisPrograma de Pós-Graduação em Ciências da Saúde - Saúde da Criança e do AdolescenteUFMGBrasilMEDICINA - FACULDADE DE MEDICINAhttp://creativecommons.org/licenses/by-nc-nd/3.0/pt/info:eu-repo/semantics/openAccessRinite AlérgicaTonsila FaríngeaTonsila PalatinaTranstornos do Comportamento InfantilManifestações NeurocomportamentaisHumanosDissertação AcadêmicaRinite AlérgicaTonsila FaríngeaTonsila PalatinaTranstornos do Comportamento InfantilManifestações NeurocomportamentaisImpacto da rinite alérgica e da hipertrofia adenotonsilar no comportamento e em aspectos cognitivos da criança avaliado por métodos objetivos específicosImpact of allergic rhinitis and adenotonsillar hypertrophy on behavior and cognitive aspects of children evaluated by specific objective methodsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGORIGINALDissertação - Maira.pdfDissertação - Maira.pdfapplication/pdf4252119https://repositorio.ufmg.br/bitstream/1843/55862/1/Disserta%c3%a7%c3%a3o%20-%20Maira.pdf7c514a6a2c4b38d3487d1fac69e3f971MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufmg.br/bitstream/1843/55862/2/license_rdfcfd6801dba008cb6adbd9838b81582abMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82118https://repositorio.ufmg.br/bitstream/1843/55862/3/license.txtcda590c95a0b51b4d15f60c9642ca272MD531843/558622023-07-06 10:24:59.395oai:repositorio.ufmg.br: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ório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-07-06T13:24:59Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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