A hipertrofia adenoideana e sua relação com distúrbios psiquiátricos e neurocognitivos em uma população pediátrica

Authors

  • Daniel Tinôco Leite Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares https://orcid.org/0000-0003-4836-3110
  • Wilson Benini Guércio Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares
  • Natália Maria Câmara da Luz Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares
  • Marcelo Monteiro Vieira Braga Barone Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares
  • Janine Oliveira Santos Guércio Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares
  • André Costa Pinto Ribeiro Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares

DOI:

https://doi.org/10.34019/1982-8047.2024.v50.44812

Keywords:

Adenoids, Mental Disorders, Neurodevelopmental Disorders

Abstract

Introduction: Adenoid hypertrophy is the most common cause of upper airway obstruction in children and can be easily treated by adenoidectomy. In this population, mouth breathing can result in different types of sleep disorders, emotional instability, neurocognitive dysfunction, hyperactivity, conduct disorders, among other psychiatric issues. Objective: To evaluate the prevalence of psychiatric and neurocognitive disorders in children and adolescents undergoing adenoidectomy and to analyze the clinical-epidemiological characteristics of this population. Material and methods: Cross-sectional study, involving patients undergoing adenoidectomy at the University Hospital of the Federal University of Juiz de Fora (HU-UFJF), between March 2021 and December 2023. Results: 102 patients were recruited with a mean age of 8.78 years, with a standard deviation of ± 3.16 years. All patients had surgical indications, with 22.5% of them previously diagnosed with a psychiatric or neurodevelopmental disorder. The most prevalent disorder was ADHD, representing 30.1% of the total sample with a previous diagnosis. The prevalence of disorders was similar in both sexes, being 11.8% in males and 10.8% in females. Discussion: In the present study, ADHD was the most prevalent disorder, representing 30.1% of patients diagnosed with some disorder prior to surgery. Adenoidectomy, when performed in children with severe upper airway obstruction, benefits the respiratory pattern and can improve attention, behavioral disorders, cognitive functions, in addition to reducing the need for the use of psychiatric medications compared to the pre- operative. Conclusion: Psychiatric and neurocognitive disorders have a significant prevalence in the pediatric population with adenoid hypertrophy. Such disorders must always be investigated in this kind of patients and, in case of diagnostic confirmation, multidisciplinary treatment must be instituted.

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Published

2024-08-01

How to Cite

1.
Leite DT, Guércio WB, Luz NMC da, Barone MMVB, Guércio JOS, Ribeiro ACP. A hipertrofia adenoideana e sua relação com distúrbios psiquiátricos e neurocognitivos em uma população pediátrica. HU Rev [Internet]. 2024Aug.1 [cited 2024Aug.17];50:1-4. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/44812

Issue

Vol. 50 (2024)

Section

Artigos Originais

License

Copyright (c) 2024 Daniel Tinôco Leite, Wilson Benini Guércio, Natália Maria Câmara da Luz, Marcelo Monteiro Vieira Braga Barone, Janine Oliveira Santos Guércio, André Costa Pinto Ribeiro

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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