2012, Number 1
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Otorrinolaringología 2012; 57 (1)
Alteraciones del anillo de Waldeyer y su relación con el retraso de crecimiento
Cortina RM, Bross SD, Schimelmitz IJ
Language: Spanish
References: 16
Page: 39-43
PDF size: 145.42 Kb.
ABSTRACT
Background: In United States obstructive sleep apnea occurs in about 2 to 3% in children under 5 years old. The mechanisms which are associated with growth arrest in patients with adenoid hypertrophy, have not been clearly identified. One theory is decreased secretion of growth hormone in patients with sleep disorders; there is also evidence of increased consumption of calories during sleep to carry out proper ventilation. It would be important to review the outcome of family goal size reached –in the adulthood– by the patients who had short stature at some point in school age and who underwent adenotonsillectomy.
Objective: We will seek evidence of the association of failure to thrive and adenoidal hypertrophy.
Patients and method: We performed a literature review of five studies reported in the literature.
Results: It was demonstrated, not only clinically but also biochemically, an association between patients with obstructive sleep apnea and hormone failure and growth, as well as a significant increase in weight, height and levels of IGF-1 eighteen months after tonsillectomy. The decrease in both growth and weight gain in children with obstructive sleep apnea is a result of increased consumption of kcal overnight.
Conclusions: It is demonstrated an association between adenoid hypertrophy and failure to grow, but so far no one knows the causes of decline of growth hormone, but we know that after correcting adenoid hypertrophy and improving sleep quality of patients, the secretion of growth hormone will improve and so will the growth pattern of patients.
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