Retrospective analysis shows improved pulmonary hypertension outcomes in children after adenotonsillectomy, highlighting the need for early intervention.
Aim: To determine the prevalence of pulmonary hypertension (PH), identify associated factors, and evaluate outcomes after adenotonsillectomy in children and adolescents with adeno-tonsillar hypertrophy (ATH) in a low-resource setting. Methods: We retrospectively analyzed 1500 patients ≤ 20 years undergoing adenotonsillectomy for ATH in Hawassa, Ethiopia (2022-2025). Pulmonary pressure was estimated via tricuspid regurgitation or pulmonary acceleration time; right ventricular function was assessed with TAPSE and RVMPI. Logistic regression identified PH predictors, and the Friedman test compared pre- and 12-week postoperative measurements. Results: PH prevalence was 5.9%. Independent predictors included wasting, overweight/obesity, AN ratio > 0.75, daytime mouth breathing, stertor, and obstructive sleep apnea. Among 89 affected patients, 8 had longitudinal and 6 global RV dysfunction. PH and RV dysfunction resolved by 12 weeks post-surgery ( P < .001). Conclusion: PH affects a subset of children with ATH but is showed significant improvement following adenotonsillectomy, emphasizing early detection and surgical intervention.
No takes yet. Share an insight, caveat, or question.
Nasir et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: