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Throat-related quality of life in peritonsillar abscess sufferers: application of the adult tonsil outcome inventory

Published online by Cambridge University Press:  20 November 2013

J Powell ,
E L Powell ,
K Conroy ,
C Hopkins ,
J W Moor  and
J A Wilson
J Powell*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne, UK
E L Powell
Affiliation:
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
K Conroy
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne, UK
C Hopkins
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Guy's Hospital, London, UK
J W Moor
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunderland Royal Hospital, UK
J A Wilson
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne, UK Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
*
Address for correspondence: Mr J Powell, Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK Fax: + 44 (0)191 223 1246 E-mail: jason.powell@doctors.org.uk
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Abstract

Objective:

To investigate throat-related quality of life in peritonsillar abscess sufferers.

Method:

The adult tonsil outcome inventory questionnaire, which is a validated throat-related quality of life tool, was administered to individuals who had recently suffered a peritonsillar abscess and to control subjects.

Results:

The mean inventory score was significantly higher (reflecting poorer throat-related quality of life) in peritonsillar abscess sufferers (n = 55, mean score 25.8 out of 100) than in age- and gender-matched controls (n = 55, mean score 8.7) (p < 0.001). Neither gender nor interval between episode of peritonsillar abscess and inventory completion date were significantly correlated with the overall questionnaire scores. However, younger abscess sufferers reported greater symptom severity and throat-related quality of life impact than older abscess sufferers.

Conclusion:

Peritonsillar abscess had a significant impact on throat-related quality of life. In many, peritonsillar abscess represented an acute episode on a background of chronic throat problems. For optimal management, notably the place and timing of tonsillectomy, this impact should be taken into account. The adult tonsil outcome inventory is an ideal tool for use in clinical practice.

Keywords

Peritonsillar AbscessTonsillectomyQuality of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 12 , December 2013 , pp. 1190 - 1193
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented orally at the American Academy of Otolaryngology-Head and Neck Surgery, 11 September 2012, Washington, DC, USA.

References

1Powell, J, Wilson, JA. An evidence-based review of peritonsillar abscess. Clin Otolaryngol 2012;37:136–45CrossRefGoogle ScholarPubMed
2Love, RL, Allison, R, Chambers, ST. Peritonsillar infection in Christchurch 2006-2008: epidemiology and microbiology. N Z Med J 2011;24:16–23Google Scholar
3Dunn, N, Lane, D, Everitt, H, Little, P. Use of antibiotics for sore throat and incidence of quinsy. Br J Gen Pract 2007;57:45–9Google ScholarPubMed
4Marom, T, Cinamon, U, Itskoviz, D, Roth, Y. Changing trends of peritonsillar abscess. Am J Otolaryngol 2010;31:162–7CrossRefGoogle ScholarPubMed
5Wikstén, J, Hytönen, M, Pitkäranta, A, Blomgren, K. Who ends up having tonsillectomy after peritonsillar infection? Eur Arch Otorhinolaryngol 2012;269:1281–4CrossRefGoogle ScholarPubMed
6Akgun, D, Seymour, FK, Qayyum, A, Crystal, R, Frosh, A. Assessment of clinical improvement and quality of life before and after tonsillectomy. J Laryngol Otol 2009;123:199–202CrossRefGoogle ScholarPubMed
7Witsell, DL, Orvidas, LJ, Stewart, MG, Hannley, MT, Weaver, EM, Yueh, B et al. Quality of life after tonsillectomy in adults with recurrent or chronic tonsillitis. Otolaryngol Head Neck Surg 2008;138:S1–8CrossRefGoogle ScholarPubMed
8Powell, HR, Mehta, N, Daly, N, Watters, GW. Improved quality of life in adults undergoing tonsillectomy for recurrent tonsillitis. Is adult tonsillectomy really a low priority treatment? Eur Arch Otorhinolaryngol 2012;269:2581–4CrossRefGoogle ScholarPubMed
9Skevas, T, Klingmann, C, Plinkert, PK, Baumann, I. Development and validation of the Tonsillectomy Outcome Inventory 14 [in German]. HNO 2012;60:801–6CrossRefGoogle ScholarPubMed
10Erskine, S, Kwong, FNK, Robinson, G, Powell, E, Moor, J, Wilson, J. Use of the tonsil outcome inventory in adults undergoing elective tonsillectomy – a prospective study. Clin Otolaryngol 2012;37(suppl 1):43Google Scholar