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Long-term impact of paediatric tonsillectomy and adenotonsillectomy on the Paediatric Throat Disorders Outcome Test: a prospective observational study

Published online by Cambridge University Press:  01 October 2021

S Bennett Open the ORCID record for S Bennett [Opens in a new window] ,
J Gao ,
E Osen  and
T Myuran
S Bennett*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Mid and South Essex NHS Foundation Trust, Broomfield Hospital, Chelmsford, UK
J Gao
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Mid and South Essex NHS Foundation Trust, Broomfield Hospital, Chelmsford, UK
E Osen
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Mid and South Essex NHS Foundation Trust, Broomfield Hospital, Chelmsford, UK
T Myuran
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Mid and South Essex NHS Foundation Trust, Broomfield Hospital, Chelmsford, UK
*
Author for correspondence: Mr Stephen Bennett, Department of Otolaryngology and Head and Neck Surgery, Mid and South Essex NHS Foundation Trust, Broomfield Hospital, Court Road, ChelmsfordCM1 7ET, UK E-mail: stevebennett@doctors.org.uk
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Abstract

Background

The clinical value of tonsillectomy continues to cause much debate, despite tonsil disease representing a significant burden to patients, caregivers and healthcare systems. This study assessed the long-term effect of adenotonsillectomy or tonsillectomy on the Paediatric Throat Disorders Outcome Test (‘T-14’), a validated tool used to objectively assess obstructive and infective symptoms in paediatric throat disorders.

Methods

Patients aged under 16 years undergoing adenotonsillectomy or tonsillectomy were recruited consecutively from 2018 into our prospective observational study. The Paediatric Throat Disorders Outcome Test questionnaire was completed by the children's caregivers pre-operatively (n = 80), and at 21 days (n = 68) and 2 years (n = 66) post-operatively.

Results

Significant reductions were noted in mean total Paediatric Throat Disorders Outcome Test scores at 21 days and 2 years post-operatively (p ≤ 0.003).

Conclusion

Our results provide supporting evidence that paediatric adenotonsillectomy or tonsillectomy significantly improves quality of life up to two years post-operatively, and therefore remains a valuable use of healthcare resources.

Keywords

Infectious DiseasesTonsillitisAdenoidsSleep-Disordered BreathingSnoringTonsillectomyResearchQuality Of Life
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1066 - 1070
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr S Bennett takes responsibility for the integrity of the content of the paper

References

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