Abstract

PREOPERATIVE AND POSTOPERATIVE CARDIAC FUNCTIONS AND PULMONARY ARTERY PRESSURE IN PATIENTS UNDERGOING ADENOTONSILLECTOMY

Ramazan Gümüs, *Abdullah Dalgic, Onder Mutlu, Sethat Gozel, Ferit Akgül, Ertap Akoglu and Safak Dagli.

ABSTRACT

Objective: This study aimed to compared the pre- and postoperative pulmonary areterial pressures and changes in cardiac function using echocardiography and tissue Doppler ultrasonography in patients who underwent adenotonsillectomy due to adenotonsillar hypertrophy. Methods:25 pediatric patients who adenotonsillary hypertrophy diagnosed by physical examination ,symptom scores and radiologic procedures. It was made echocardiography and tissue Doppler ultrasonography to patients before and after adenotonsillectomy 3st months. In the postoperative 3st month those patients were re-examinated for cardiac functions and the findings were compared with the control group. Results: In the study group there were significant decreases in the cadiac parameters especially in the pulmonary arterial pressure compared with the preoperative period. Pulmonary artery pressure values at baseline and at postoperative 3 months were significantly different (p=0.00 0.05). Conclusions: In the cardiologic parameters only pulmonary artery pressure improve after adenotonsillectomy significantly statistical. Other cardiologic paratmetres improved but not significantly. However, further studies are required to confirm this finding.

Keywords: Adenoidectomy, tonsillectomy, Hypertension, Pulmonary,Doppler Tissue Ultrasonography.