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Acta Medica Iranica، جلد ۵۰، شماره ۸، صفحات ۵۴۷-۵۵۱
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عنوان انگلیسی Effect of Adenotonsillectomy on ADHD Symptoms of Children with Adenotonsillar Hypertrophy
چکیده انگلیسی مقاله Adenotonsillar hypertrophy and obstructive sleep disordered breathing can lead to attention deficit/hyperactivity disorder (ADHD). The purpose of this study was to evaluate effect of adenotonsillectomy on improvement of ADHD symptoms in a quasi-experimental (before and after) study. The efficacy of adenotonsillectomy on improvement of ADHD symptoms of 35 children aged 5-12 years with adenotonsillar hypertrophy and ADHD was evaluated six months after surgery. Diagnosis of ADHD was based on the DSM-IV criteria in three subtypes (predominantly inattentive type, predominantly hyperactive-impulsive type and combined type). Seventeen boys (49%) and eighteen girls (51%) with mean (± SD) age of 7.4 ± 3.8 years (range: 1-10 years) were evaluated. Frequency of combined type of ADHD decreased significantly six months after adenotonsillectomy (54.3% versus 22.9%, P=0.003). ADHD inattention score (2.26 ± 1.93 versus 0.96 ± 0.45, P=0.005), hyperactivity score (4.23 ±3.57 versus 3.57 ±8, P=0.03) as well as ADHD combined score (9.66 ±2.58 versus 7.2 ±3.67, P=0.0001) improved significantly after surgery. Upper air way obstruction due to adenotonsillar hypertrophy might be an important and treatable cause of ADHD and should be considered in evaluation of affected children. Adenotonsillectomy in these children is associated with improvements in ADHD symptoms.
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نویسندگان مقاله محمد حسین دادگرنیا | mohammad hossein dadgarnia
department of otolaryngology, head and neck surgery, shahid sadoughi university of medical sciences, yazd, iran.


محمد حسین برادران فر | mohammad hossein baradaranfar
department of otolaryngology, head and neck surgery, shahid sadoughi university of medical sciences, yazd, iran.


راضیه فلاح | razieh fallah
department of pediatrics, shahid sadoughi university of medical sciences, yazd, iran.


سعید عتیقه چی | saeid atighechi
department of otolaryngology, head and neck surgery, shahid sadoughi university of medical sciences, yazd, iran.


امیر حسین احسنی | amir hossein ahsani
department of otolaryngology, head and neck surgery, shahid sadoughi university of medical sciences, yazd, iran.


امین برادران فر | amin baradaranfar
student of medical school, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/3946
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