Benefit from tonsillectomy in adult patients with chronic tonsillitis

  • Ingo BaumannEmail author
  • Hanka Kucheida
  • Gunnar Blumenstock
  • Ilse M. Zalaman
  • Marcus M. Maassen
  • Peter K. Plinkert


The objective of this study was to determine the benefits of tonsillectomy in adult patients with chronic tonsillitis with special emphasis on the influence of age and gender. Cross-sectional survey analysis of patients at least 1 year after undergoing adult tonsillectomy at a university department. We used the Glasgow Benefit Inventory and a specifically constructed illness inventory (Specific Benefits from Tonsillectomy Inventory). One hundred and nine patients completed the survey. Significant improvements were demonstrated in three out of four GBI scores [‘total score’ (+16.9), ‘general health’ (+12.9), ‘physical functioning’ (+46.6), all P<0.0001] and in all SBTI scores [‘symptom change’ (+58.3), ‘reduced use of resources’ (+70.9), ‘general benefit’ (+52.1), all P<0.0001]. Gender did not play a significant role in benefit evaluation whereby younger patients evaluated the surgery as more beneficial than older patients. Adult patients with chronic tonsillitis definitely benefit significantly from tonsillectomy. Younger adult patients perceived greater surgical benefits than older adult patients. Patient gender did not significantly influence tonsillectomy benefit evaluation.


Quality of life Subjective assessment Gender Age 


  1. 1.
    Federal Statistic Office Germany. Aus dem Krankenhaus entlassene vollstationäre Patientinnen und Patienten. Häufigste Diagnosen 2000.
  2. 2.
    Stewart MG, Friedman EM, Sulek M, Hulka GF, Kuppersmith RB, Harrill WC, Bautista MH (2000) Quality of life and health status in pediatric tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 126:45–48PubMedGoogle Scholar
  3. 3.
    Goldstein NA, Fatima M, Campbell TF, Rosenfeld RM (2002) Child behaviour and quality of life before and after tonsillectomy and adenoidectomy. Arch Otolaryngol Head Neck Surg 128:770–775PubMedGoogle Scholar
  4. 4.
    Stewart MG, Friedman EM, Sulek M, DeJong A, Hulka GF, Bautista MH, Anderson SE (2001) Validation of an outcomes instrument for tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 127:29–35PubMedGoogle Scholar
  5. 5.
    Stewart MG (2000) Pediatric outcomes research: development of an outcomes instrument for tonsil and adenoid disease. Laryngoscope 110(Suppl 94):12–15CrossRefPubMedGoogle Scholar
  6. 6.
    Fischer D, Stewart AL, Bloch DA, Lorig K, Laurent D, Holman H (1999) Capturing the patient’s view of change as a clinical outcome measure. JAMA 282:1157–1162CrossRefPubMedGoogle Scholar
  7. 7.
    Deutsche Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie. AWMF Reg.-Nr. 017–024 Leitlinie Chronische Tonsillitis.
  8. 8.
    Medical Research Council, Institute of Hearing Research, Scottish Section. Glasgow Health Status Questionnaires.
  9. 9.
    Robinson K, Gatehouse S, Browning GG (1996) Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 105:415–422PubMedGoogle Scholar
  10. 10.
    Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA (1984) Efficacy of tonsillectomy for recurrent throat infections in severely affected children: results of parallel randomized and nonrandomized clinical trials. N Engl J Med 310:674–683PubMedCrossRefGoogle Scholar
  11. 11.
    Bhattacharyya N, Kepnes LJ, Shapiro J (2001) Efficacy and quality-of-life impact of adult tonsillectomy. Arch Otolaryngol Head Neck Surg 127:1347–1350PubMedGoogle Scholar
  12. 12.
    Bhattacharyya N, Kepnes LJ (2002) Economic benefit of tonsillectomy in adults with chronic tonsillitis. Ann Otol Rhinol Laryngol 111:983–988PubMedGoogle Scholar
  13. 13.
    Mui S, Rasgon BM, Hilsinger RL (1998) Efficacy of tonsillectomy for recurrent throat infection in adults. Laryngoscope 108:1325–1328CrossRefPubMedGoogle Scholar
  14. 14.
    Timmerman A, Anteunis LJC, Meesters CMG (2003) Response-shift bias and parent-reported quality of life in children with otitis media. Arch Otolaryngol Head Neck Surg 129:987–991CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Ingo Baumann
    • 1
    Email author
  • Hanka Kucheida
    • 2
  • Gunnar Blumenstock
    • 3
  • Ilse M. Zalaman
    • 2
  • Marcus M. Maassen
    • 2
  • Peter K. Plinkert
    • 1
  1. 1.Department of Otolaryngology; Head & Neck SurgeryUniversity of HeidelbergHeidelbergGermany
  2. 2.Department of Otolaryngology; Head & Neck SurgeryUniversity of Tuebingen TuebingenGermany
  3. 3.Department of Medical Information ProcessingUniversity of TuebingenTuebingenGermany

Personalised recommendations