Adenotonsillectomy improves the strength of respiratory muscles in children with upper airway obstruction

Abstract 

Objective

The aim of this paper is to study the respiratory muscle strength by evaluating the maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP) and lung volume before and 3 and 6 months after adenotonsillectomy. This is an interventional, before and after trial. It was set at the Department of Otolaryngology, University of São Paulo, School of Medicine. We included 29 children (6–13 years old), both genders, consecutively recruited from the waiting list for adenotonsillectomy. Children were submitted to maximal inspiratory pressures (MIP), maximal expiratory pressure (MEP) evaluation using an analog manovacuometer, lung volume, using incentive expirotometer and thoracic and abdominal perimeter using a centimeter tape. Children were evaluated in 3 different moments: 1 week before and 3 and 6 months after surgery.

Results

MIP improved significantly 3 months (p<0.001) after adenotonsillectomy and MEP did not change (p=1). There were increases in lung volume (p=000), chest (p=0.017) and abdominal perimeter (p=0.05). Six months after surgery, all parameters improved. MIP (p=0), MEP (p=0), lung volume (p=0.02), chest (p=0.034) and abdominal perimeter (p=0.23).

Conclusion

This study suggests that there was an improvement in respiratory muscular strength, once there was a significant improvement in maximal inspiratory pressure, lung volume and other parameters after adenotonsillectomy.

Keywords: Respiratory muscular strength, Tonsil, Adenoids, Child, Adenoidectomy, Tonsillectomy