Assessment of clinical improvement and quality of life before and after tonsillectomy

Akgün, Doruk; Seymour, F K; Qayyum, Abdul; Crystal, Roger; Frosh, Adam

doi:10.1017/s0022215108002600

Cited by 28 publications

(21 citation statements)

References 8 publications

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“…28,29 This may be explained by the fact that oral conditions such as dental caries can cause pain, discomfort, dysfunction, malnutrition, and inability to concentrate. 29,30 The literature suggests a significant negative effect of adenotonsillar size on OSA symptoms, quality of life, and general well-being in children 31,32 ; however, this is the first study to report the association between adenotonsillar size and the OHRQoL. Here we also reported a positive association between increasing body mass index and poor OHRQoL.…”

Section: Discussionsupporting

confidence: 50%

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Tamasas¹,

Godfrey²,

Nelson³

et al. 2018

JDSM

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JDSMStudy Objectives: To evaluate caries, gingival and periodontal status, and oral health-related quality of life (OHRQoL) in children with high risk of sleep-disordered breathing (SDB) in comparison to those with low risk of SDB. Methods:This cross-sectional study recruited consecutive children between the ages of 8 to 17 years from a university-based pediatric dental clinic. Caregivers completed the Pediatric Sleep Questionnaire (PSQ) to stratify risk of SDB. Children and their caregivers completed the Child Oral Health Impact Profile (COHIP) to measure OHRQoL. A dental examination blinded to the results of the PSQ and COHIP was conducted. Group characteristics were compared between those with high risk (SDB+) and low risk for SDB (SDB−). Results:One hundred twenty-three children were enrolled (11.5 ± 2.7 years, female = 48%). Forty-nine percent were classified as SDB+. COHIP scores were higher among the SDB+ group (24.5 versus 11.6, P < .001 as reported by caregivers, and 25.9 versus 10.3, P < .001 as reported by children). The incidence of dental caries present on examination was higher (60% versus 20%, P < .001) in the SDB+ group. In addition, the indices of periodontal diseases were higher among the SDB+ group when compared to the SDB− group (periodontal pocket depth was 2.0 ± 1.0 versus 0.0 ± 0.7, P < .0001, and bleeding on probing was 90% versus 20%, P < .001).Conclusions: This study suggests that caregiver reports of SDB symptoms in those seeking pediatric dental care are common. In addition, children in the SDB+ group had poorer OHRQoL, with increased incidence of caries lesion and periodontal disorders when compared to the SDB− group.

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Section: Discussionsupporting

confidence: 50%

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Tamasas¹,

Godfrey²,

Nelson³

et al. 2018

JDSM

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“…There are also several studies discussing the long-term effect on HRQL after tonsillectomy, both in adults and in children. Although these authors do not measure the effects over the same amount of time and use different HRQL instruments, they all demonstrate the same lasting effects 28,29 .…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up

Wireklint

Ericsson

2012

Eur Arch Otorhinolaryngol

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“…Many papers using standardised quality of life measures before and after tonsillectomy report benefit from the procedure. [16][17][18][19][20] In the study by Hsu et al, tonsillectomy would even seem to pass the 'friends and family' test. 19 …”

Section: No Overall Savings?mentioning

confidence: 99%

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

Lau

Upile

Wilkie

et al. 2014

annals

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INTRODUCTION Sore throats and tonsillitis represent a considerable health burden as well as a significant source of expenditure for the National Health Service (NHS). As part of the recent NHS savings drive, the introduction of 'procedures of low clinical effectiveness' (PoLCE) lists has reinforced a large reduction in the number of tonsillectomies performed. We carried out a crosssectional study of trends in emergency sore throat admissions in the context of the number of tonsillectomies performed. METHODS Hospital Episode Statistics (HES) data were extracted. Office for National Statistics data were also used. RESULTS Between 1991 and 2011, the overall tonsillectomy rate fell by 44%. In the same time, the admission rate for tonsillitis rose by 310% (Pearson's r=-0.67, p=0.01). The peritonsillar abscess admission rate rose by 31% (r=-0.79, p<0.01). Between 1996 and 2011, the overall tonsillectomy rate fell by 41% and the retro and parapharyngeal abscess admission rate rose by 39% (r=-0.55, p=0.026). There was a 14% overall increase in tonsillectomy and sore throat associated bed days. This was despite the large fall in tonsillectomy numbers and the reduction in length of hospital stay. CONCLUSIONS Efforts to reduce the tonsillectomy rate are correlated with a significant rise in emergency admissions. The rise in the retro and parapharyngeal abscess rate is perhaps most alarming given the very high mortality of these conditions. Bed day data suggest that no net saving has been made despite the new measures.

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Assessment of clinical improvement and quality of life before and after tonsillectomy

Abstract: We conclude that tonsillectomy is of benefit for patients with recurrent acute and chronic tonsillitis. Tonsillectomy significantly reduced general practitioner attendances and resulted in an improved feeling of health and well-being.

Cited by 28 publications

References 8 publications

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Oral Health Status of Children With High Risk of Sleep-Disordered Breathing

Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

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