Effect of adenotonsillectomy on the use of respiratory medication

Piessens, P; Hens, Greet; Lemkens, Nele; Schrooten, Ward; Debruyne, F. M. J.; Lemkens, P

doi:10.1016/j.ijporl.2012.02.069

Cited by 14 publications

(10 citation statements)

References 27 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While obstruction and recurrent infections of the upper respiratory tract are the major indications for removal of the adenoids and/or tonsils in children, several studies have shown concomitant improvement in asthma control and decreased medication and health care utilization. 30-32 In our study, of the 17 patients who had adenoidectomy ± tonsillectomy, 76% reported resolved or marked improvement in symptoms. It is difficult to pinpoint whether the improvement was a direct result of surgery itself versus surgery and medication changes in some patients, but it does highlight that adenotonsillectomy may be of benefit in certain patients with refractory reactive airway disease symptoms and chronic cough.…”

Section: Discussionmentioning

confidence: 51%

Is a Multidisciplinary Aerodigestive Clinic More Effective at Treating Recalcitrant Aerodigestive Complaints Than a Single Specialist?

Rotsides

Krakovsky

Pillai

et al. 2017

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 51%

Is a Multidisciplinary Aerodigestive Clinic More Effective at Treating Recalcitrant Aerodigestive Complaints Than a Single Specialist?

Rotsides

Krakovsky

Pillai

et al. 2017

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…[2] The benefits of these procedures have been demonstrated consistently. [3][4][5] In about 70-80% cases, these procedures are curative and follow-up after surgery usually requires no further treatment especially for obstructive sleep apnea (OSA). [6] The Mckinsey National Health Service report in the United Kingdom, recently considered tonsillectomy a relatively ineffective and often an unjustified procedure.…”

Section: Introductionmentioning

confidence: 99%

Indications for tonsillectomy and adenoidectomy: Our experience

2014

View full text Add to dashboard Cite

show abstract

“…It is possible that upper airway obstruction in children with hypertrophic tonsils might be misdiagnosed as lower airway disease such as asthma. A retrospective study demonstrated that the use of respiratory medication, which was a nonantimicrobial prescription for lower respiratory disorders including bronchitis, bronchiolitis, or asthma, was decreased approximately by 32% during the year after tonsillectomy 24 . That study concluded that similar respiratory symptoms of coughing, wheezing, and shortness of breath may have led to a misdiagnosis of upper airway disease as a lower respiratory disorder in these patients 24 .…”

Section: Discussionmentioning

confidence: 99%

Tonsillectomy does not reduce asthma in children: A longitudinal follow-up study using a national sample cohort

Kim

Choi

2019

Sci Rep

View full text Add to dashboard Cite

This study aimed to investigate the occurrence of tonsillectomy in asthmatic children using a control group with a comparable frequency of a preoperative history of asthma. Asthmatic children ≤15 years old were collected from the Korean Health Insurance Review and Assessment Service - National Sample Cohort (HIRA-NSC) from 2002 through 2013. In study I, asthmatic children who had undergone a tonsillectomy (n = 2,326) and control I participants (n = 9,304) were selected and matched 1:4 for age, sex, income, and region of residence but not a preoperative history of asthma. In study II, a preoperative history of asthma was additionally matched for between the tonsillectomy (n = 2,280) and the new control II participants (n = 9,120). The margin of equivalence of difference (control-tonsillectomy) for asthma was set at −0.05 to 0.05 per year. In addition, repeated measures ANOVA was performed for tonsillectomy according to yearly changes in asthma, status asthmaticus, and admission. In study I, the preoperative frequencies of asthma, status asthmaticus, and admission were higher in the tonsillectomy group than in the control group (P ≤ 0.001). The frequencies of postoperative asthma, status asthmaticus, and admission were lower in the tonsillectomy group than in the control I group for 3 years. In study II, the frequencies of postoperative 1-, 2-, and 3-year asthma and admission were not lower in the tonsillectomy group than in the control II group. Tonsillectomy did not further reduce the frequency of asthma in patients who underwent this procedure compared to the control group when a preoperative history of asthma history was equally matched between the two groups.

show abstract

Effect of adenotonsillectomy on the use of respiratory medication

Cited by 14 publications

References 27 publications

Is a Multidisciplinary Aerodigestive Clinic More Effective at Treating Recalcitrant Aerodigestive Complaints Than a Single Specialist?

Is a Multidisciplinary Aerodigestive Clinic More Effective at Treating Recalcitrant Aerodigestive Complaints Than a Single Specialist?

Indications for tonsillectomy and adenoidectomy: Our experience

Tonsillectomy does not reduce asthma in children: A longitudinal follow-up study using a national sample cohort

Contact Info

Product

Resources

About