A STUDY OF OXYGEN SATURATION LEVELS IN CHILDREN WITH CHRONIC ADENO TONSILLAR HYPERTROPHY.

DR.G.VENKATESWARLU

Volume : VIII, Issue : VII, July - 2019

A STUDY OF OXYGEN SATURATION LEVELS IN CHILDREN WITH CHRONIC ADENO TONSILLAR HYPERTROPHY.

Dr. G. Venkateswarlu

Abstract :

BACKGROUND: The adenoids & palatine tonsils are lymphoid structures located in the nasopharynx & oropharynx respectively. They are found at the entrance of the upper aero digestive tract. Most infections or inflammations of the palatine &nasopharyngeal tonsils in children are usually due to bacteria & viruses1. OBJECTIVES: 1)To analyse the oxygen saturation profiles of children with chronic adeno tonsillar hypertrophy. 2) To determine the role of enlarged adenoids and tonsils may be associated with ventilator impairment which is reversible after adeno tonsillectomy. 3) To examine the improvements or otherwise, any sleep disturbances and eathing difficulties after adeno tonsillectomy for chronic upper airway obstruction in children. METHODS AND METHODOLOGY: Patients presenting to OPD, ENT department were examined for adenotonsillitis. A complete ENT examination was done to know about grade of tonsils and adenoids. 75 Patients who are diagnosed with adenotonsillitis were included in this study after taking written informed consent considering inclusion and exclusion criteria. SPO2 was done pre operatively and patients were advised for surgery. After surgery, test patients were checked for spo2 in post operative visits. In post operative visits, symptoms and clinical findings were compared clinically and radiologically. Pre and postoperative oximetric variables were analyzed using paired Student t–test or wilcoxon test. Depend on variables; correlation between variables was considered using pearson correlation test. The data were analyzed statistically with SPSS version. CONCLUSION: From this study, we concluded that children with obstructive adeno tonsillar enlargement had lower nocturnal oximetric profiles than children with no features of obstructive adenotonsillar hypertrophy