Developmental delays in preschool children with adenotonsillar hypertrophy.
OBJECTIVE
This study aims to investigate the effects of adenotonsillar hypertrophy on general development, as well as fine and gross motor capabilities, social communication, and language development in children with adenotonsillar hypertrophy by applying the Denver Developmental Screening Test-II.


METHODS
The study included 30 patients (12 boys, 18 girls; mean age 53.3±12.2 months; range 32 to 72 months) who were indicated for adenotonsillectomy due to adenotonsillar hypertrophy between February 2013 and July 2013. The control group comprised 30 children participants (12 boys, 18 girls; mean age 53.1±12.8 months; range 32 to 72 months) with no adenotonsillectomy indication. All participants included in the study were performed routine physical examination, flexible fiberoptic nasopharyngoscopy, and tympanometry. Brodsky scale and fiberendoscopic findings were used to categorize tonsil and adenoid sizes, respectively. Following ear, nose, and throat evaluation, a psychologist conducted Denver Developmental Screening Test-II in all participants blindly.


RESULTS
Adenotonsillar hypertrophy patients had higher abnormal levels of general development (c2=7.13, p=0.028). Although patients and controls had similar levels of fine motor, gross motor, and personal-social development levels, there was a statistically borderline difference between them in terms of language development (t=1.82, p=0.074).


CONCLUSIONS
The possibility of adenotonsillar hypertrophy should definitely be considered in children with delayed general and language developments.
Department of Otolaryngology, Medipol University, 34214 Bağcılar, İstanbul, Turkey. erkansoylu23@gmail.com.
Erkan
E
Soylu
Nusret
N
Soylu
Cahit
C
Polat
Öner
Ö
Sakallıoğlu
Ömer
Ö
Uçur
Gökçe
G
Bozdoğan
D000233:Adenoidectomy; D000234:Adenoids / Q000473:pathology* / Q000601:surgery; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000150:complications*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000150:complications / Q000601:surgery; D007223:Infant; D007805:Language Development Disorders; D008297:Male; D014066:Palatine Tonsil / Q000473:pathology* / Q000601:surgery; D014068:Tonsillectomy