Adenotonsillar Hypertrophy in Children: Surgery Improves Right Ventricular Cardiac Functions.
Swati Sharma, Jagdeep S Thakur, Payal Gupta et al.
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In 30 seconds
This randomized interventional study compared surgical and medical management of adenotonsillar hypertrophy in 50 children, assessing symptoms and right ventricular echocardiographic parameters through six months. At final follow-up, complete symptom resolution was reported in 88% of the surgical group and 36% of the medical group. Both groups showed improvement in several cardiac measures, including tricuspid annular plane systolic excursion, right ventricular outflow tract systolic excursion, pulmonary artery pressure, and pulmonary flow acceleration time; between-group analysis found significantly greater improvement with surgery.
Key findings
- At six months, complete symptom resolution occurred in 88% of the surgical group versus 36% of the medical group.
- Both groups improved in several echocardiographic parameters by six months, with significantly greater improvement in the surgical group.
- The medical group showed improvement only in right ventricular outflow tract systolic excursion, according to the abstract.
Why it matters
The findings suggest that adenotonsillar hypertrophy in children may be accompanied by measurable right ventricular changes and that these measures can improve after treatment, particularly surgery. This supports attention to cardiac parameters when evaluating affected children, while the study’s short follow-up does not establish whether the observed changes alter later cardiovascular outcomes.
What to keep in mind
Follow-up was limited to six months, and the abstract does not provide effect sizes or detailed between-group results for the cardiac parameters.