Evaluation of the Functional Impact of Adenotonsilectomy

Spirometric assessment of respiratory function before and after adenotonsillectomy surgery Study site at CHUPorto: Department of Otorhinolaryngology at CHUPorto, Portugal.

Study design: Institutional, observational, cohort, prospective. Classification of studies according to the law of clinical investigation (Dec. Law No. 21/2014): Clinical study without intervention. Main objective of the study: To collect a database referring to pediatric patients enrolled for surgery in an outpatient setting, in order to compare vital, spirometric and clinical parameters at two different times: pre and post surgical intervention.

Secondary objectives of the study: Based on validated indices, to assess the impact of surgical intervention on the child's respiratory and cardiovascular system. Participants: Patients undergoing surgery in the field of Pediatric Otorhinolaryngology at CHUPorto, a tertiary referral Hospital in Portugal.

Inclusion criteria

• Age between 4-14 years;
• Patients with surgical indication for any combination of:

• tonsillectomy
• adenoidectomy
• turbinoplasty
• myringotomy;
• naive children (not submitted to previous ENT surgery);
• signature of informed consent by the parent entity.

Exclusion criteria

• Age under 4 years and over 14 years;
• surgery: myringotomy+TT placement exclusively;
• associated co-morbidities:

• asthma/other obstructive lung diseases
• congenital facial or thoracic dysmorphism
• neurological disease with cognitive impairment
• cardiopulmonary disease
• patients without surgical indication
• other causes of nasal obstruction (severe septum deviation or polyps).