title: Evaluation of hyperactivity, attention deficit, and impulsivity before and after adenoidectomy/adenotonsillectomy surgery.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, University Medical School, Dicle University Medical School, Diyarbakir, Turkey.
authors.forename: Muhammed
authors.initials: M
authors.lastname: Ayral
authors.forename: Muzeyyen Yildirim
authors.initials: MY
authors.lastname: Baylan
authors.forename: Vefa
authors.initials: V
authors.lastname: Kinis
authors.forename: Yasin
authors.initials: Y
authors.lastname: Bez
authors.forename: Salih
authors.initials: S
authors.lastname: Bakir
authors.forename: Musa
authors.initials: M
authors.lastname: Ozbay
authors.forename: Ediz
authors.initials: E
authors.lastname: Yorgancilar
authors.forename: Ramazan
authors.initials: R
authors.lastname: Gun
authors.forename: Ismail
authors.initials: I
authors.lastname: Topcu
mesh_terms: D000233:Adenoidectomy / Q000379:methods*; D000234:Adenoids / Q000473:pathology; D000293:Adolescent; D000402:Airway Obstruction / Q000523:psychology / Q000601:surgery; D001288:Attention / Q000502:physiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000145:classification*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006948:Hyperkinesis / Q000145:classification*; D006984:Hypertrophy; D007175:Impulsive Behavior / Q000502:physiology*; D008297:Male; D014066:Palatine Tonsil / Q000473:pathology; D011446:Prospective Studies; D014068:Tonsillectomy / Q000379:methods*; D014069:Tonsillitis / Q000601:surgery