Treatment of Allergic Patients with Adenotonsillar Hypertrophy: Surgery Versus Medication Therapy

  • Mahnaz Sadeghi Shabestari Immunology Research Center, TB and Lung Disease Research Center of Tabriz, Children Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
  • Yalda Jabbari Moghaddam Department of Otorhinolaryngology, School of Medicine, Sina Medical Research and Training Hospital, Children Medical Research and Training Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
  • Navid Kalani Research Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran
  • Fariborz Brumdanpur Department of Otorhinolaryngology, School of Medicine, Sina Medical Research and Training Hospital, Children Medical Research and Training Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
  • Amin Dakhili Ardestani Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran
  • Mojtaba Sohrabpour Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
Keywords: Allergic, Adenotonsillar Hypertrophy, Medication, Tonsillectomy

Abstract

Background: Adenotonsillar hypertrophy (AH) is the most common cause of respiratory obstruction of the upper airway, and tonsillectomy is one of the most frequently performed surgical interventions in children. It has been proposed that medical treatment in an allergic state could decrease the size of AH. Therefore, this study aimed to compare the outcomes of surgery and medical therapies among allergic children with AH. Materials and Methods: This case-control study was carried out on 68 children with AH in an allergic state who were referred to the Pediatrics Hospital of Tabriz Medical University. They were divided into two groups and matched according to sex, age, and primary clinical signs and symptoms. Patients received surgery (case group) and medication (control groups) for treated AH. Finally, they were compared according to the results of treatment and recurrence rate. Results: The mean age of children in the case and control groups was 6.3±2.3 and 6.8±2.1 years, respectively. There was no significant difference in improving clinical signs and symptoms between the two groups. In the case group, no improvement of clinical signs and symptoms was observed in one patient compared with two patients in the control group. In the control group, no decrease in the size of the tonsils was observed in three patients. Recurrence of clinical signs of AH was observed in six (17.6%) patients of the control group, and there was a significant difference between the two groups (P<0.001). Conclusion: Our findings showed no significant differences in the outcomes of the two therapeutic methods for AH in an allergic state. However, medical treatment needs a long time to affect, but surgery can act quickly. Recurrence of AH after medical therapy could occur.

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Published
2022-12-13
How to Cite
Sadeghi Shabestari, M., Jabbari Moghaddam, Y., Kalani, N., Brumdanpur, F., Dakhili Ardestani, A., & Sohrabpour, M. (2022). Treatment of Allergic Patients with Adenotonsillar Hypertrophy: Surgery Versus Medication Therapy. Galen Medical Journal, 11, e2317. https://doi.org/10.31661/gmj.v11i.2317
Section
Original Article