Estudo das medidas pôndero-estaturais em crianças adenotonsilectomizadas

A observacao clinica diaria do retardo de crescimento pondero-estatural em criancas portadoras de hipertrofia obstrutiva das tonsilas faringeas e palatinas e pratica rotineira na otorrinolaringologia pediatrica e a correcao cirurgica dessa condicao, em tempo habil, atraves da adenotonsilectomia permite a retomada desse crescimento ("catch up growth"). OBJETIVO: Investigar o real ganho pondero-estatural presente nessa populacao quando tratadas cirurgicamente. MATERIAL E METODO: Atraves de um estudo clinico prospectivo, acompanhou-se durante 6 (seis) meses dois grupos de criancas portadoras de hipertrofia tonsilar faringopalatina, sendo o grupo 1 submetido a intervencao cirurgica e o grupo 2, nao. Todos os pacientes passaram pela afericao das medidas antropometricas (peso e altura), incluindo seus percentis para idade, no inicio e ao fim dos 6 (seis) meses. RESULTADOS: Enquanto o grupo 1 aumentou sua media final de altura em relacao a media inicial em 6,66cm, o grupo controle aumentou sua media em 1,9cm (p=0,0004). Em relacao ao peso, o grupo 1 aumentou em media 2150g, sendo que o grupo 2 apresentou aumento medio de 690g (p=0,0010). CONCLUSAO: As criancas submetidas a adenotonsilectomia adquirem um maior potencial de crescimento pondero-estatural em relacao as criancas que nao foram tratadas cirurgicamente. The daily clinical observation of weight-height growth delays in children with obstructive hypertrophy of the pharyngeal and palatine tonsils is a workaday practice in pediatric otorhinolaryngology, and the surgical correction of this condition, when properly done in time, through adenotonsillectomy, can lead to a "catch up growth". AIM: To investigate the real weight-height gain present in this population when they are surgically treated. MATERIALS AND METHODS: Through a clinical prospective study, two groups of children carrying pharyngopalatine hypertrophy were followed up: group 1 was submitted to surgical intervention, and group 2 was not. All patients underwent standardization of anthropometrical measurements (weight and height), including their age-related percentiles, in the beginning and at the end of 06 (six) months. RESULTS: While group 1 increased its height average in relation to the initial average in 6.66cm, the control group increased its average in 1.9cm (p=0.0004). In relation to weight, group 1 increased 2150g in average, while group 2 presented an average increase of 690g (p=0.0010). CONCLUSIONS: The children that underwent adenotonsillectomy acquired a higher weight-height growth potential in relation to those children who were not operated.