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Tonsillectomy significantly improves quality of life in adult and pediatric patients
January 02, 2008New research from the journal Otolaryngology -- Head and Neck Surgery
Tonsillectomies to treat chronic and recurrent tonsillitis substantially improve a patient's quality of live in both children and adults, according to two new studies published as a supplement to the January 2008 issue of Otolaryngology-Head and Neck Surgery.
In one study involving 72 adults, patients showed improvement in all six subscales of the Tonsil and Adenoid Health Status Instrument (TAHSI), a scale used to measure the quality of life (QOL) of patients pre- and post-procedure. Among the scale-related findings, 98 percent reported fewer infections in the six months following surgery, with 76.9 percent expressing strong satisfaction with the surgery results. Patients also reported substantially fewer cases of persistent bad breath (halitosis), sore throats, and trips to the doctor because of sore throats.
In the study involving children, 92 patients also showed significant improvements when measured with the same TAHSI scale, including airway and breathing, infection, health care utilization, cost of care, eating and swallowing, and behavior. Additionally, the Child Health Questionnaire-PF28 was used on 55 of the subjects in order to measure QOL with regards to general health, physical functioning, behavior, bodily pain, and parental impact. Among the study's findings were significant decreases in number of sore throats, antibiotic courses, days missed from daycare/school, doctor visits, and persistent halitosis.
Tonsillectomy remains one of the most common procedures performed on children each year, and while the number of incidences in adults is lower, it is still a routine operation. The current clinical guidelines produced by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), which were developed using consensus of expert opinions, recommend tonsillectomy for children with three or more documented tonsil infections in the span of a year.
American Academy of Otolaryngology, Head and Neck Surgery
In the study involving children, 92 patients also showed significant improvements when measured with the same TAHSI scale, including airway and breathing, infection, health care utilization, cost of care, eating and swallowing, and behavior. Additionally, the Child Health Questionnaire-PF28 was used on 55 of the subjects in order to measure QOL with regards to general health, physical functioning, behavior, bodily pain, and parental impact. Among the study's findings were significant decreases in number of sore throats, antibiotic courses, days missed from daycare/school, doctor visits, and persistent halitosis.
Tonsillectomy remains one of the most common procedures performed on children each year, and while the number of incidences in adults is lower, it is still a routine operation. The current clinical guidelines produced by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), which were developed using consensus of expert opinions, recommend tonsillectomy for children with three or more documented tonsil infections in the span of a year.
American Academy of Otolaryngology, Head and Neck Surgery
Tonsillectomy Current Events and Tonsillectomy News RSS3-day course of antibiotics may be sufficient following tonsillectomy
Children who receive a three-day course of antibiotics following tonsillectomy rather than a seven-day course appear to have no differences in pain or how quickly they return to a normal diet and activity level.
Surgery is an option for some patients hoping to get a good night's rest
According to research recently published by an Oregon Health & Science University scientist, a form of surgery called uvopalatopharyngoplasty is effective for treating certain patients who suffer from sleep apnea, one of the most common sleep disorders.
Radiofrequency energy technique as effective as tonsillectomy surgery
Radiofrequncy-tonsillotomy, which enables surgeons to reduce the size of the tonsillar tissue instead of removing the tonsils entirely, seems to be an effective and safe method of treating children with symptoms of enlarged tonsils.
Study examines association of smoking with hemorrhage after throat surgery
Smoking appears to be associated with an increased rate of hemorrhage (bleeding) in patients who undergo uvulopalatopharyngoplasty (UPPP, a surgical procedure used to remove excess tissue from the throat) with tonsillectomy (a surgical procedure in which the tonsils are removed), but not in those who undergo tonsillectomy alone.
Mysterious fevers of unknown origin: could surgery be a cure?
A child spikes a high fever, sometimes as high as 104 or 105 degrees, and sometimes causing seizures. She's rushed to the emergency room, the hospital runs test after test, specialists are brought in, but no explanation is found.
Surgery Improves Quality of Life for Children with Sleep Apnea, SLU Study Finds
For children who suffer from obstructive sleep apnea (OSA), a tonsillectomy and adenoidectomy can provide dramatic relief and is successful in solving sleep problems for 80 to 90 percent of children, a Saint Louis University study found.
Robotic device appears useful for surgical removal of cancer involving the tonsils
A new robotic surgery technique appears promising for the removal of cancer involving the tonsil region, according to a report in the December issue of Archives of Otolaryngology-Head & Neck Surgery, one of the JAMA/Archives journals.
Certain tonsil removal technique associated with reduced postoperative pain, bleeding
Patients who have a tonsillectomy using an "intracapsular" technique-which removes at least 90 percent of tonsil tissue, but spares the tonsil capsule-appear to have less postoperative heavy bleeding and pain compared with those who undergo traditional tonsil removal surgery.
Study shows no change in sense of taste after tonsil removal
In a small study of patients undergoing tonsillectomy, or removal of the tonsils, none reported an ongoing dysfunction in their sense of taste following the procedure.
Is it worth having surgery to remove your tonsils?
Adults with recurrent sore throats may benefit from having a tonsillectomy in the short term, but the overall longer term benefit is still unclear, and any benefits have to be balanced against the side effects of the operation, according to this week's BMJ.
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