A Controlled Study of the Effects of Tonsillectomy and Adenoidectomy in Children

McKEE, W. J. E.

doi:10.1136/jech.17.2.49

Cited by 36 publications

(48 citation statements)

References 24 publications

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“…While some authors believe adenoidectomy to be effective in the treatment of OME [1,2,5,20,[24][25][26][30][31][32]35,37,38,53], some others, instead, suggest that adenoidectomy yields unpredictable results [4], or is uneffective on OME patients [19,25,39,46,47]. Many variables seem to interfere with an accurate evaluation of the real effectiveness of adenoidectomy on OME, and they include age [26,30,51], sex [6,13,16,17], nasal obstruction [3,47,49], eustachian tube function [3,4,39] and, mainly, the high rate of spontaneous recovery of OME, especially in warmer seasons [18,52,54,551.…”

Section: Discussionmentioning

confidence: 99%

Mucociliary function and nasal resistance evaluation before and after adenoidectomy

Maurizi

Paludetti

Ottaviani

et al. 1986

International Journal of Pediatric Otorhinolaryngology

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Thirty-four children with clinically and radiologically confirmed adenoid hypertrophy underwent otoscopy, impedance tests, active anterior rhinomanometry and nasal mucociliary clearance evaluation before and 6 months after adenoidectomy. Mucociliary clearance velocity increased significantly while binasal resistances decreased after surgery. The authors conclude that mucociliary evaluation and objective measurements of nasal resistances should be added to impedance tests as indicators to adenoidectomy

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Section: Discussionmentioning

confidence: 99%

Mucociliary function and nasal resistance evaluation before and after adenoidectomy

Maurizi

Paludetti

Ottaviani

et al. 1986

International Journal of Pediatric Otorhinolaryngology

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“…Roos 28 assessed the benefit to be 1 to 1.5 fewer sore throats (0.5 to 1 episode per annum) over the first two years after surgery in those with three to four episodes per annum preoperatively. Other studies [29][30][31] showed benefits of the order of ~1.5 fewer sore throats versus controls in the first postoperative year and on average one fewer episode in the second year. All of these and other available studies provide inadequate evidence because of poor definition of entry and outcome criteria, failure to include intention to treat calculations and small or skewed samples.…”

Section: 12mentioning

confidence: 99%

“…The use of different costing methods for multi-centre studies will be explored. Earlier studies [28][29][30][31] suggest that longer term outcomes such as reduction in recurrent sore throat may show only marginal benefits. An equivalence trial with a substantially larger sample size would be necessary to capture significant longer-term outcomes.…”

Section: Sensitivity Analysismentioning

confidence: 99%

“…Earlier studies [29][30][31]76 of dubious quality 32 reported that the benefits of tonsillectomy versus medical management controls were higher in the first year after tonsillectomy than in the second year. In one of the few acceptable but underpowered randomised trials, 17 it was reported that the decline in the number of sore throats decreased over time.…”

mentioning

confidence: 99%

“…Another relative [18][19][20][21][22][23][24][25][26] A friend [27][28][29][30][31][32][33][34][35] A child minder [36][37][38][39][40][41][42][43][44] A nanny [45][46][47][48][49][50][51][52][53] Other (please write in who) …”

mentioning

confidence: 99%

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Influence of Single-Trial Results on Clinical Practice

Rovers

Hoes²,

Klinkhamer³

et al. 2009

Arch Otolaryngol Head Neck Surg

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A Controlled Study of the Effects of Tonsillectomy and Adenoidectomy in Children

Cited by 36 publications

References 24 publications

Mucociliary function and nasal resistance evaluation before and after adenoidectomy

Mucociliary function and nasal resistance evaluation before and after adenoidectomy

Comparison of case note review methods for evaluating quality and safety in health care

Influence of Single-Trial Results on Clinical Practice

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