Causes of Tonsillar Disease and Frequency of Tonsillectomy Operations

Mattila, Petri S.; Tahkokallio, Olli; Tarkkanen, Jussi; Pitkäniemi, Janne; Karvonen, Marjatta; Tuomilehto, Jaakko

doi:10.1001/archotol.127.1.37

Cited by 50 publications

(45 citation statements)

References 20 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With regard to the indication of tonsil surgery recurrent/ chronic tonsillitis is the most common [5,7], whereas upper airway obstruction, or tonsil hypertrophy as stated in our study, is the most frequent indication for children [11,12]. The type of operation appeared to be less frequent for tonsillectomy with or without adenoidectomy in children younger than 6 years.…”

Section: Discussionmentioning

confidence: 45%

Tonsilar haemorrhage and re-admission: a questionnaire based study

Sarny

Habermann

Ossimitz

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The aim of our study was to investigate the accuracy of haemorrhage rate in the community (i.e., actual rate versus hospital recorded rate) for tonsil operations. Bleeding episodes were investigated for 695 consecutive patients undergoing tonsillectomy, adenotonsillectomy and tonsillotomy at the Department of ORL, H&NS, MU of Graz, Austria, between January 1 2007 and June 30 2008 by questionnaire. Main purposes of our study were the evaluation of the incidence of postoperative haemorrhage, need for revision surgery, medical care of patients experiencing postoperative bleeding and multiple bleeding episodes. Haemorrhage was defined as any bleeding, be it minimal or significant, after extubation. The study group comprised 407 patients who answered the questionnaire: 61.7% adults, 22.1% school children between 6 and 15 years and 16.2% children aged less than 6 years. Exactly 100 patients (24.6% of 407) showed some kind of postoperative bleeding, but only 79 of them (19.4% of 407) were recorded at hospital. A return to theatre due to haemorrhage was required in 4.7% of all 407 cases. Combining hospital records and data from the questionnaire allowed us to estimate an overall haemorrhage rate of 21.4% for all 695 patients. Every fifth patient experiencing postoperative haemorrhage did not return to the hospital he or she was operated in. We would have missed 21.0% of all bleeding episodes by assessing re-admitting patients suffering postoperative bleeding only. We conclude that haemorrhage rate is considerably higher than assumed by investigating hospital records only and strongly related to the definition of postoperative bleeding and to the study design.

show abstract

Section: Discussionmentioning

confidence: 45%

Tonsilar haemorrhage and re-admission: a questionnaire based study

Sarny

Habermann

Ossimitz

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…The frequency of tonsillectomy operations was estimated by a questionnaire sent to 819 individuals randomly selected from the Finnish Population Registry 3 . The paper found that the frequency of tonsillectomies was higher among female than male subjects aged between 10 and 29 years.…”

Section: Endocrine Phenomena During Pubertymentioning

confidence: 99%

Sex differences in tonsillitis

Abouzied

Massoud²

2008

DMJ

View full text Add to dashboard Cite

Tonsillopharyngitis is a common disease encountered by family physicians and otolaryngologists. Published literature since the 1970s reveals that more females present with this condition and proceed to tonsillectomy compared to males. Female to male ratios published often exceed 2:1. The aim of this review is to highlight some of the theories proposed to explain this sex difference. We hope that by understanding sex-specific risk factors that make women more vulnerable to this disease, physicians could provide better care to their patients.

show abstract

“…Even though tonsillectomy and adenoidectomy are among the most frequently performed interventions in the pediatric population, with indications varying from recurrent or chronic disease to hypertrophy and obstructive sleep disorders, a consensus as to the main causative organisms seems to be lacking (4).…”

mentioning

confidence: 99%