Influência da adenoidectomia e/ou amigdalectomia no sistema estomatognático e na qualidade de vida de crianças respiradoras orais

Abstract

OBJECTIVE: To describe the influence of adenoidectomy and/or tonsillectomy on the stomatognathic system and the quality of life of mouth breathing children. METHODS This is an interventional, analytical, and quantitative study. A significance level of 5% was considered in all inferential analyses. Thirty children aged between four and 12 years, seven males and 23 females participated in the study, with a mean age of 7 years and five months. All of them were diagnosed with oral breathing with surgical indication performed by an otolaryngologist. The anamnesis and speech-language evaluation were based on the MBGR protocol, and a quality of life questionnaire was applied with the parents and/or guardians of the children in the post-surgical period. RESULTS: Thirty oral breathing children, with a mean age of 7 years and five months, participated in the study. 24 children (80%) underwent adenotonsillectomy surgery, 5 (16.67%) tonsillectomy and 1 (3.33%) adenoidectomy. There was a statistical difference in orofacial structures regarding habitual tongue posture and lip mobility, stomatognathic swallowing and chewing functions, and the association between sleep complaint and respiratory mode. On the questionnaire, statistically significant differences were observed in all aspects evaluated, demonstrating satisfactory results at the post-surgical moment. CONCLUSIONS: After the surgical intervention, some functions and structures showed improvement, but in many cases it was necessary to refer to the speech therapy, and according to the parents' perception, all aspects were improved in relation to the quality of life of the children.