Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T16:21:35.994Z Has data issue: false hasContentIssue false
  • English
  • Français

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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

Konieczny, KM, Pitts-Tucker, TN, Biggs, TC, Pringle, MB. A five-year follow-up observational study of the T-14 paediatric throat disorders outcome measure in tonsillectomy and adenotonsillectomy. Ann R Coll Surg Engl 2019;101:40–3CrossRefGoogle ScholarPubMed
Hopkins, C, Almeyda, R, Alreefy, H, Ismail-Koch, H, Lim, J, Possamai, V et al. Multicentre prospective clinical application of the T14 paediatric outcome tool. J Laryngol Otol 2015;129:980–5CrossRefGoogle ScholarPubMed
Scottish Intercollegiate Guidelines Network. Management of Sore Throat and Indications for Tonsillectomy: A National Clinical Guideline (SIGN publication no. 117). Edinburgh: SIGN, 2010Google Scholar
Lau, AS, Upile, NS, Wilkie, MD, Leong, SC, Swift, AC. The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011. Ann R Coll Surg Engl 2014;96:307–10CrossRefGoogle Scholar
Šumilo, D, Nichols, L, Ryan, R, Marshall, T. Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records. Br J Gen Pract 2019;69:e33–41CrossRefGoogle ScholarPubMed
Phillips, J, Hilger, A. Surgery: are we performing enough tonsillectomies? Nat Rev Clin Oncol 2009;6:439–40CrossRefGoogle ScholarPubMed
Douglas, CM, Altmyer, U, Cottom, L, Young, D, Redding, P, Clark, LJ. A 20-year observational cohort of a 5 million patient population—tonsillectomy rates in the context of two national policy changes. Clin Otolaryngol 2019;44:7–1310.1111/coa.13233CrossRefGoogle ScholarPubMed
Briffa, N. The employment of patient-reported outcome measures to communicate the likely benefits of surgery. Patient Relat Outcome Meas 2018;9:263–6CrossRefGoogle ScholarPubMed
ENT, UK. Commissioning Guide: Tonsillectomy. London: ENT UK, 2016Google Scholar
Lam, ME, Woods, CM, Du, C, Milton, T, Kao, SS, Huynh, J et al. Outcomes using the T-14 symptom score for tonsillectomy in an Australian paediatric population. Aust J Otolaryngol 2019;2:2CrossRefGoogle Scholar
Marcus, CL, Moore, RH, Rosen, CL, Giordani, B, Garetz, SL, Taylor, HG et al. A randomized trial of adenotonsillectomy for childhood sleep apnea. N Engl J Med 2013;368:2366–76CrossRefGoogle ScholarPubMed
Walijee, H, Sood, S, Markey, A, Krishnan, M, Lee, A, De, S. Is nurse-led telephone follow-up for post-operative obstructive sleep apnoea patients effective? A prospective observational study at a paediatric tertiary centre. Int J Pediatr Otorhinolaryngol 2020;129:109766CrossRefGoogle Scholar