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Evaluation of Hyperactivity, Attention Deficit, and Impulsivity Before and After Adenoidectomy/Adenotonsillectomy Surgery

Ayral, Muhammed*; Baylan, Muzeyyen Yildirim*; Kinis, Vefa*; Bez, Yasin; Bakir, Salih*; Ozbay, Musa*; Yorgancilar, Ediz*; Gun, Ramazan*; Topcu, Ismail*

Journal of Craniofacial Surgery: May 2013 - Volume 24 - Issue 3 - p 731–734
doi: 10.1097/SCS.0b013e31828011ea
Original Articles

Objective The objective of this study was to determine the severity of attention deficit, hyperactivity, and impulsivity symptoms in patients with obstructive airway problems scheduled to undergo adenoidectomy or adenotonsillectomy operation. The effects of the surgical treatment on these symptoms will also be investigated in a case-control design.

Methods This prospective study included 63 patients (29 girls, 34 boys) who were operated on at the Department of Otorhinolaryngology, Dicle University Medical School, between January 2010 and May 2011 because of obstructive symptoms caused by adenoid or adenotonsillar hypertrophy. The age range of the patients was between 4 and 13 years. The control group consisted of 33 (17 girls, 16 boys) healthy children.

Results Among the patients, 15 children underwent adenoidectomy because of adenoid hypertrophy; 13 patients had adenotonsillectomy because of adenotonsillar hypertrophy, and the remaining patients underwent adenotonsillectomy related with chronic or recurrent tonsillitis with adenoid hypertrophy. Based on the preoperative data, statistically significant difference was observed between the patient and control groups. The patients’ attention deficit, hyperactivity, and impulsivity symptoms preoperatively and postoperatively have shown statistically significant differences.

Conclusions Attention deficit, hyperactivity, and impulsivity symptoms were common among the children who show signs of airway obstruction due to adenotonsillar hypertrophy. Adenoidectomy or adenotonsillectomy operations were both observed to be associated with improvement in these symptoms.

From the *Department of Otorhinolaryngology, University Medical School, and†Department of Psychiatry, Dicle University Medical School, Diyarbakir, Turkey.

Received June 9, 2012.

Accepted for publication November 3, 2012.

Address correspondence and reprint requests to Vefa Kinis, MD, Dicle University, Medical Faculty Department of Otorhinolaryngology, Kitilbil Mahallesi Sur, Diyarbakir, Turkey, 21280; E-mail:

The authors report no conflicts of interest.

© 2013Wolters Kluwer Health | Lippincott Williams & Wilkins