Key result
Adenotonsillectomy is not linked to altered PAP or RV dimensions in children without severe OSA.
Why the study?
Adenotonsillectomy is increasingly performed in children with moderate adenotonsillar hypertrophy lacking OSA, obesity, or cardiopulmonary disease to prevent complications, prompting evaluation of its necessity and associated cardiopulmonary changes.
Does adenotonsillectomy improve cardiopulmonary parameters in children with moderate adenotonsillar hypertrophy?
Observational (n=23)
Single-blind
No
Does adenotonsillectomy improve cardiopulmonary parameters in children with moderate adenotonsillar hypertrophy?
Absolute Event Rate: 16.83% vs 16.96%
p-value: p=0.77
In children with moderate adenotonsillar hypertrophy without significant OSA, adenotonsillectomy does not significantly alter cardiopulmonary parameters, suggesting a conservative approach may be appropriate.
Background: Adenotonsillectomy is commonly performed in children, increasingly even in those with moderate adenotonsillar hypertrophy (ATH) without obesity, obstructive sleep apnea (OSA), or cardiopulmonary disease, to prevent possible cardiopulmonary complications.Objectives: To assess cardiopulmonary changes in children with ATH and evaluate the necessity of adenotonsillectomy in the absence of significant OSA or cardiopulmonary involvement.Materials and methods: This observational study included 23 children aged 4-14 years with ATH.Clinical evaluation, ECG, and echocardiography were performed preoperatively and 3 months postoperatively, assessing pulmonary artery pressure (PAP), RVESD, and RVEDD.Results: The mean age was 7.43 3.13 years.Mouth breathing (100%) and snoring (95.6%) were common.Mild OSA was observed in two patients (8.7%).ECG and echocardiographic parameters remained normal with no significant postoperative changes.Conclusion: Most children with moderate ATH showed no OSA or cardiopulmonary abnormalities.ATH alone may not warrant adenotonsillectomy, supporting a conservative, individualized treatment approach.
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Kush et al. (2026) conducted an observational in Adenotonsillar hypertrophy (n=23). Adenotonsillectomy vs. Preoperative baseline was evaluated on Mean pulmonary artery pressure (PAP) in mm Hg (p=0.77). Adenotonsillectomy did not significantly alter pulmonary artery pressure or right ventricular dimensions in children with moderate adenotonsillar hypertrophy lacking severe obstructive sleep apnea.
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