Puberte öncesi̇ çocuklarda adenotonsi̇llektomi̇ sonrasinda büyüme ve vücut kompozi̇syonundaki̇ deği̇şi̇kli̇kler

Tonsillectomy and adenoidectomy are frequently performed in childhood. Adenotonsillar hypertrophy and chronic tonsillitis have been associated with growth interruption during childhood and adenotonsillectomy have been related with growth improvement and increased body mass index scores. Yet, there is no study in the literature investigating the effect of adenotonsillectomy on distribution of body muscle and fat mass. The aim of this prospective study was to evaluate the body muscle and fat composition after adenoidectomy or adenotonsillectomy for healthy growth in children. 30 prepubertal children were followed up for 6 months after adenotonsillectomy. 28 age-matched healthy children were followed up for the same duration, as controls. Data on dietary habits and physical activity were obtained from questionnaires (0. and 6. months) that had been filled by the parents. Height, weight, the amount and ratio of body fat and muscle mass, body mass index, basal metabolic rate, relative body mass index were evaluated before and 6 months after surgery by using bioelectrical impedance analysis method. The muscle mass and basal metabolic rate of the study group increased and the relative body mass index improved significantly after adenotonsillectomy (p<0,05). In healthy children, the values of basal metabolic rate and muscle mass at 6 months were significantly higher than the initial levels but relative body mass index did not show significant difference. The increase in fat mass, percentage of body fat and BMI Z-score for both groups were not statistically significant. Growth parameters and body compositions (BMI Z-score, muscle and fat mass, percentage of body fat, relative body mass index, basal metabolic rate) did not differ between the study group and the controls, at both time points evaluated. The number of overweight and obese children did not change significantly in both groups. In conclusion, adenoidectomy or adenotonsilectomy lead to improvement in relative body mass index and promote healthy weight gain without increases in body fat precentage in prepubertal children.