Perfil clínico de crianças com indicação da cirurgia das tonsilas em um hospital terciário universitário

• Autor(a) principal: Carvalho, Raissa Pierri [UNESP]
• Data de Publicação: 2013
• Outros Autores: Montovani, Jair Cortez [UNESP], Weber, Silke Anna Theresa [UNESP], Bertoz, André Pinheiro de Magalhães [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://www.archhealthinvestigation.com.br/index.php/ArcHI/article/view/131; http://hdl.handle.net/11449/132969
• topic: Adenoids; Epidemiology; Patient care planning; Tonsila faríngea; Epidemiologia; Planificación de atención al paciente; Tonsila faríngea; Epidemiologia; Planejamento de assistência ao paciente

The indications for adenotonsillectomy in pediatric patients have changed considerably during the 90th decade. Local or systemic complications of the adenoid or tonsil hypertrophy itself have now been substituted by signs of obstructive ventilatory disturbances, including obstructive sleep apnea as the major indications for surgery. Objective: This study analyses the clinical profile of children submitted to adenotonsilectomy in their pre and postoperative state, at Botucatu Medical School-State University São Paulo, UNESP. Methods: 332 children of both genders, aged 1 to 12 years, who underwent adenotonsillectomy between 1999 and 2004, were studied, focused on epidemiological profile, pre and postoperative (1 month) symptoms, obtained from medical records. Height and weight were compared to brazilian normal age related values. Results: We found a predominance of the male gender, except in he group aged from 10 to 12 years. Considering wheight and height, we found important failure to thrive, mostly for height deficit. Among clinical aspects, we found a significant reduction in obstructive symptoms like snoring or apneia (p<0001) in the postoperative period. Conclusion: Our results were similar to the literature findings of patients clinical profile. The major indication for adenotonsillectomy in our service was clinical diagnosis of obstructive sleep apnea.