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Effect of enlarged adenoids on arterial blood gases in children

Published online by Cambridge University Press:  29 June 2007

Mohammed S. Khalifa ,
Reda H. Kamel ,
Mona Abu Zikry  and
Tarek M. Kandil
Mohammed S. Khalifa
Affiliation:
Cairo, Egypt
Reda H. Kamel*
Affiliation:
Cairo, Egypt
Mona Abu Zikry
Affiliation:
Cairo, Egypt
Tarek M. Kandil
Affiliation:
Cairo, Egypt
*
DrReda Kamel, M.D., 5 Dokky Street (Flat 6), Dokky 12311, Giza, Cairo, Egypt.
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Abstract

The enlarged adenoid is a common disorder in children resulting in nasopharyngeal obstruction. Many authors suggest that increased nasal resistance to respiration may cause disturbances in the pulmonary ventilation and carry the risk of obstructive sleep apnoea and/or cardiopulmonary syndrome.

This study comprised 30 children complaining of long-standing nasal obstruction due to enlarged adenoids. Adenoidectomy was performed and the arterial blood gases were measured before and one month after surgery. Twelve normal children were also included as controls. Statistical evaluation of the results showed that O2 saturation and arterial O2 tension (PaO2) were significantly low before the operation, and increased significantly after surgery. Arterial CO2 tension (PaCO2) was insignificantly low before operation, but decreased significantly after adenoidectomy. It was concluded that enlarged adenoid may be associated with ventilatory impairment which is reversible after adenoidectomy.

Keywords

AdenoidsBlood gas monitoringtranscentaneous

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 6 , June 1991 , pp. 436 - 438
Copyright
Copyright © JLO (1984) Limited 1991

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References

Belenky, W. (1983) In Pediatric Otolaryngology. First edition. Vol. 1, (Stool, Arjona and Bluestone, , Eds)., p 712.Google Scholar
Cayler, G. G., Johnson, E. E., Lewis, B. E., Kortzeborn, J. D., Jordan, J., Fricker, G. A. (1969) Heart failure due to enlarged tonsils and adenoids. American Journal of Diseases of Children, 118: 708–717.CrossRefGoogle ScholarPubMed
edison, B. D., Kerth, J. D. (1973) Tonsilloadenoid hypertrophy resulting in cor pulmonale. Archives of Otolaryngology, 98: 205–207.CrossRefGoogle ScholarPubMed
Luke, M. J., Mehrizi, A., Folger, G. M., Rowe, R. D. (1966) Chronic nasopharyngeal obstruction as a cause of cardiopulmonary, cor pulmonale and pulmonary edema. Pediatrics, 37: 762–768.CrossRefGoogle Scholar
Macartney, F. J., Pandy, J., Scott, O. (1969) Cor pulmonale as a result of chronic nasopharyngeal obstruction due to hypertrophied tonsils and adenoids. Archives of Disease in Childhood, 44: 585–592.CrossRefGoogle ScholarPubMed
Menashe, V. D., Farrehi, C., Miller, M. (1965) Hypoventilation and cor pulmonale due to chronic upper airway obstruction. Pediatrics, 66: 198–203.Google Scholar
Ogura, J. H., Nelson, J. R., Dammkoehler, R., Togawa, K., Kawasaki, M. (1964) Experimental observation of the relationship between upper airway obstruction and pulmonary function. Annals of Otology, Rhinology and Laryngology, 73: 381–403.CrossRefGoogle Scholar
Sofer, S., Weinhouse, E., Tal, A., Wanderman, K. L., Margulis, G., Leiberman, A., Gueron, M. (1988) Cor pulmonale due to adenoidal or tonsillar hypertrophy in children. Chest, 93: 119–122.CrossRefGoogle ScholarPubMed
Talaat, A. M., Nahhas, M. M. (1983) Cardio pulmonary changes secondary to chronic adenotonsillitis. Archives of Otolaryngology, 109: 30–34.CrossRefGoogle ScholarPubMed
Talbot, A. R., Robertson, L. W. (1973) Cardiac failure with tonsil and adenoid hypertrophy. Archives of Otolaryngology, 98: 277–281.CrossRefGoogle ScholarPubMed
Woodson, G. R., Robbins, K. T. (1985) Nasal obstruction and pulmonary function. Otolaryngology—Head and Neck Surgery, 93: 505–509.CrossRefGoogle ScholarPubMed
Yonkers, A. J., Spaur, R. C. (1987) Upper airway obstruction and the pharyngeal lymphoid tissue. Otolaryngologic Clinics of North America, 20, 2: 235–239.CrossRefGoogle ScholarPubMed