Comparing postoperative quality of life in children after microdebrider intracapsular tonsillotomy and tonsillectomy

Cantarella, Giovanna; Viglione, Silvia; Forti, Stella; Minetti, Andrea

doi:10.1016/j.anl.2011.10.012

Cited by 39 publications

(40 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is well in line with several previous studies, 7,21 and a recent metaanalysis comparing improvements in OSA-18 in 20 studies of TE and TT concluded that there was no significant difference. 8 The score of the OSA-18 is not correlated to the severity of OSA and has no diagnostic power, 22 but as a measure of quality of life, these improvements must be considered clinically relevant.…”

Section: Discussionsupporting

confidence: 92%

“…19 Another study evaluating ATT in 70 children, reports success rates of 30% (success = AHI <1) and 73% (success = AHI <5) after ATT. 20 Another nonrandomized study of ATE versus ATT that included 29 children showed similar improvements after 6 months in both groups, 21 with comparable mean AHI reductions: 96% in the ATT group and 95% in the ATE group. In the current study, the mean reductions were somewhat lower, 82% for ATE and 71% for ATT, but still no significant differences between groups.…”

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Adenotonsillotomy Versus Adenotonsillectomy in Pediatric Obstructive Sleep Apnea: An RCT

2017

View full text Add to dashboard Cite

BACKGROUND: Adenotonsillectomy (ATE) is a well-established and effective treatment of pediatric obstructive sleep apnea (OSA). In recent years, a more conservative method, adenotonsillotomy (ATT), has gained popularity because it is associated with less postoperative morbidity. Yet no previous randomized study has compared these 2 methods regarding their effectiveness in treating pediatric OSA in terms of polysomnographic data, which was the primary aim of this study. The hypothesis was that ATT is noninferior to ATE after 1 year. METHODS: Seventy-nine children, aged 2 to 6 years, with OSA (Apnea-Hypopnea Index [AHI] 5–30) were randomized to ATT (n = 40) or ATE (n = 39). Polysomnography (PSG) and questionnaire OSA-18 were assessed at baseline and 1 year postsurgery. RESULTS: Mean difference between groups in the primary outcome, change in AHI, was 0.83, 95% confidence interval –3.2 to 4.9, not exceeding the noninferiority margin of 5. After ATE, AHI decreased from median 12.7 (interquartile range 8.3–19.1) to 2.0 (1.2–3.1) and after ATT from 15.8 (8.5–21.2) to 4.0 (1.2–5.1). For both groups, significant improvements of PSG and OSA-18 questionnaire outcomes were observed, with no significant differences between groups. Five children (13%) in the ATT group needed repeated surgery for tonsil regrowth and recurrence of OSA. CONCLUSIONS: The results suggest that ATT is noninferior to ATE in treating pediatric OSA regarding PSG outcomes after 1 year. ATT could be considered an alternative to ATE for treatment of pediatric OSA. However, after ATT, there is a nonnegligible risk of recurrence of OSA, and this should be taken into account when selecting surgical method.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 89%

Adenotonsillotomy Versus Adenotonsillectomy in Pediatric Obstructive Sleep Apnea: An RCT

2017

View full text Add to dashboard Cite

show abstract

“…The authors assessed the quality of the literature based on the Newcastle-Ottawa score and performed statistical calculations with the Review Manager Software of the Cochrane Collaboration. Out of 199 publications, the authors selected 10 [108], [109], [110], [111], [112], [113], [114], [115], [116], [117]; 5 of them had a randomized design [108], [109], [110], [112], [116], the others had no random assignment of the patients [111], [113], [114], [115], [117]. In total, there were 459 patients for TOTO and 570 patients for TE.…”

Section: Resultsmentioning

confidence: 99%

“…The mean follow-up time was 22.18 months (10 days to 72 months). The endpoints such as postoperative bleeding risk [108], [111], [112], [114], [115], [117], OSAS recurrence [108], [109], [111], [112], [115], [117], duration of surgery [108], [114], [115], [117], results of PSG [114], [117], and quality of life [112], [113] were statistically analyzed. The relative postoperative bleeding risk after TOTO in comparison to TE was 28% (95% CI: 0.1–0.78; p=0.01).…”

Section: Resultsmentioning

confidence: 99%

Indications for tonsillectomy stratified by the level of evidence

Windfuhr

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc09

View full text Add to dashboard Cite

“…Лишь в последние годы появились работы, свидетельствующие о высокой эффективности аденотонзиллотомии [14][15][16][17]. Тонзиллотомия (внутрикапсульная тонзиллэкто мия) является более щадящим хирургическим вме шательством по сравнению с тонзиллэктомией, поскольку обеспечивает сохранность сосудов и ин нервации капсулы миндалины, что исключает травму мышечного слоя миндаликовой ниши, сни жает риск интра и послеоперационного кровоте чения и уменьшает интенсивность послеопераци онного болевого синдрома.…”

Section: материал и методыunclassified

Adenoidectomy and adenotonsillotomy in children with difficult nasal breathing

Bojko¹,

Bachurina²

2015

Ross. rinol.

View full text Add to dashboard Cite

Всего прооперированы 345 детей в возрасте от 2 до 14 лет, из них 324 детям произведена аденотомия или аденотонзиллотомия. Цель исследования -изучение частоты выполнения и показания к аденотомии и аденотонзиллотомии у детей. Материал и методы. Произведен ретроспективный анализ историй болезни детей в возрасте 2-14 лет, подвергнутых аденотомии или аденотонзиллотомии за период с января по сентябрь 2014 г. Результаты. Всего в детском лОР-отделении клиники выполнено 345 хирургических вмешательств, из них в 324 случаях произведена аденотомия и аденотонзиллотомия. В 93,4% случаев аденотомия была первичной, в 3,3% -повторной. Выводы. Аденотомия и аденотонзиллотомия составляют 93,4% выполняемых в детском лОР-отделении хирургических вмешательств. Аденотонзиллотомия потребовалась 91 ребенку с гипертрофией небных миндалин третьей степени. чаще всего аденотонзиллотомию выполняли детям в возрасте 4-5 лет. Ключевые слова: аденотомия, аденотонзиллотомия.Objective: to study the frequency of pediatric adenoidectomy and adenotonsillotomy and indications for them. Subjects and methods. The medical records of 2-14-year-old children who had underwent adenoidectomy or adenotonsillotomy in January 2014 to september 2014 were retrospectively analyzed. Results. The pediatric eNT unit of the clinic performed a total of 345 surgical interventions, including adenoidectomy and adenotonsillotomy in 324 cases. Primary and repeated adenoidectomy was carried out in 93.4 and 3.3% of cases, respectively. Conclusion. Adenoidectomy and adenotonsillotomy account for 93.4% of the surgical interventions performed at the pediatric eNT surgery department. Adenotonsillotomy was required in 91 children with third-degree hypertrophy of the palatine tonsils. Adenotonsillotomy was most commonly done in children aged 4 and 5 years.

show abstract

Comparing postoperative quality of life in children after microdebrider intracapsular tonsillotomy and tonsillectomy

Cited by 39 publications

References 26 publications

Adenotonsillotomy Versus Adenotonsillectomy in Pediatric Obstructive Sleep Apnea: An RCT

Adenotonsillotomy Versus Adenotonsillectomy in Pediatric Obstructive Sleep Apnea: An RCT

Indications for tonsillectomy stratified by the level of evidence

Adenoidectomy and adenotonsillotomy in children with difficult nasal breathing

Contact Info

Product

Resources

About