Skip to main content

Advertisement

Log in

The Effect of Adenotonsillectomy on Quality of Life in Adults and Pediatric Patients

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the benefits, impact, and overall efficacy of tonsillectomy or adenotonsillectomy on quality of life in patients with recurrent, chronic tonsillitis or adenotonsillar hypertrophy before and after surgery in adults and children. A multi-center, observational, retrospective study of all adults and children who had undergone tonsillectomy in adults (14 years or older) and adenotonsillectomy in children for chronic, recurrent tonsillitis or adenotonsillar hypertrophy between September 2003–September 2008 in Ahwaz Imam and Apadana Hospitals. Patients were asked by questionnaire to compare their symptoms 6-months period before and after tonsillectomy or adenotonsillectomy. Outcome measures included the frequency of tonsillitis per year, days off work (or school), doctor visits and feelings of well-being. 812 adults and children were sent a questionnaire regarding their symptoms in the 6 months before and 6 months after surgery. A total of 812 patients (81 adults and 731 children) were enrolled in the study. The age of the patients ranged from 3 to 42 years. In adults group there were 34 men and 47 women. In child group there were 325 boys and 406 girls. The mean age of the children patients was 8.6 years and adults 26.5 years. The mean duration of symptoms was 3.6 years. The mean frequency of tonsillitis per year, days off work (or school), doctor visits decreased postoperatively. We concluded that tonsillectomy in adult and adenotonsillectomy in children is benefit for patients with adenotonsillar hypertrophy and/or recurrent, chronic tonsillitis and results in significant improvement in overall quality of life, physical health and general well-being.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Ersoy B, Yücetürk A, Taneli F, Ürk V, Uyanik B (2005) Changes in growth pattern, body composition and biochemical markers of growth after adenotonsillectomy in prepubertal children. Int J Pediatr Otorhinolaryngol 69:1175–1181. doi:10.1016/j.ijporl.2005.02.020

    Article  PubMed  Google Scholar 

  2. Derkay C, Darrow D, Welch C, Sinacori J (2006) post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and adenoid: microdebrider vs eletrocautery. Otolaryngol Head Neck Surg 134:114–120. doi:10.1016/j.otohns.2005.10.039

    Article  PubMed  Google Scholar 

  3. Mitchell R, Kelly J (2006) Long-term changes in behavior after adenotonsillectomy for obstructive sleep apnea syndrome in children. Otolaryngol Head Neck Surg 134:374–378. doi:10.1016/j.otohns.2005.11.035

    Article  PubMed  Google Scholar 

  4. Mitchell R, Kelly J (2005) Quality of life after adenotonsillectomy for SDB in children. Otolaryngol Head Neck Surg 133:569–572. doi:10.1016/j.otohns.2005.05.040

    Article  PubMed  Google Scholar 

  5. Glover JA (2008) The incidence of tonsillectomy in school children. Int J Epidemiol 37(1):9–19. doi:10.1093/ije/dym258

    Article  PubMed  Google Scholar 

  6. Alho OP, Koivunen P, Penna T, Tepp H, Koskela M, Luotonene J (2007) Tonsillectomy versus watchful waiting in recurrent streptococcal pharyngitis in adults: randomized controlled trial. BMJ 334:939

    Article  PubMed  Google Scholar 

  7. Burton MJ, Glasziou PP (2009) Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis (Review). evidence-based child health. Cochrane Rev J 4:1291–1326

    Google Scholar 

  8. Russo CA, Owens P, Steiner C, Josephsen J. Ambulatory Surgery in U.S. Hospitals, 2003—HCUP Fact Book No. 9. AHRQ Publication No. 07-0007, January 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/data/hcup/factbk9/

  9. Flanary VA (2003) Long-term effect of adenotonsillectomy on quality of life in pediatric patients. Laryngoscope 113(10):1639–1644 [PMID: 14520088]

    Article  PubMed  Google Scholar 

Download references

Financial Support

Research Deputy of Ahwaz Jondishapour University of Medical Sciences.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nader Saki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nikakhlagh, S., Rahim, F., Boostani, H. et al. The Effect of Adenotonsillectomy on Quality of Life in Adults and Pediatric Patients. Indian J Otolaryngol Head Neck Surg 64, 181–183 (2012). https://doi.org/10.1007/s12070-011-0244-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-011-0244-4

Keywords

Navigation