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Romanian Journal of Medical Practice | Vol. X, No. 2 (39), 2015
ISSN 1842-8258  |  e-ISSN 2069-6108
ISSN-L 1842-8258
DOI: 10.37897/RJMP

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Acute respiratory infections in children from an ENT perspective

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ABSTRACT

Background. Adenoidectomy remains a frequent surgical approach for recurrent upper respiratory tract infections (URTI) in children. We research if only age and collectivity are responsible for recurrences, or other anatomic conditions can account for the history of the patient.

Design. Retrospective case series review.

Material and method. Questionnaire about respiratory symptoms and correlations observed between the history of the patient and the presence or absence of short soft palate.

RESULTS: 102 children could provide enough data to be included in the study. Frequent URTI were observed in 30% of the affected children and only 16% of their normal peers. 41% of URTIs each persisted longer than 10 days in short soft palate children vs. 17% in normal patients. Broncho-pulmonary complications were encountered in 44% of children with short palate as opposed to 27% in others.

Conclusions. Short velli palatini can disturb normal swallowing process and allow rhinopharyngeal chronic inflammation. That can lead to persistent recurrent URTIs, more probable chronic obstruction through the adenoids and other diseases in pediatric ENT practice.

Keywords: adenoidectomy, URTIs, short soft palate

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