Impact of adenotonsillectomy on pediatric quality of life: review of the literature

Torretta, Sara; Rosazza, Chiara; Pace, Maria Elisabetta; Iofrida, Elisabetta; Marchisio, Paola

doi:10.1186/s13052-017-0424-2

Cited by 25 publications

(19 citation statements)

References 48 publications

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“…Some studies describe reappearance of symptoms during the follow-up, mainly in females with normal weight and older than 6 years, which was attributed to an incomplete therapeutic response and due to a change the parental perception of the symptoms. 32,44 In our study, none of the patients presented worsening of the OSA-18 values after surgery. Although allergic rhinitis is considered a risk factor for AT failure, it was not found in our study.…”

Section: Discussionmentioning

confidence: 41%

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Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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Section: Discussionmentioning

confidence: 41%

“…[28][29][30][31] Most of the studies evaluated children for 6 months or less and rarely the patients were reassessed over 1 year after AT. 19,[32][33][34] Objective The present study aimed to describe the QoL in children with SDB and the long-term impact of AT on this disease.…”

Section: Introductionmentioning

confidence: 99%

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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“…Recurrent or chronic tonsillitis is currently a global public health issue which can severely impair an individual’s quality of life. 77 , 147 Microbial biofilms are a major cause of repeated tonsillitis in both pediatric and adult cohorts, and more research is needed to develop new treatment strategies. 107 , 148 , 149 Treatment modalities should however be based on careful selection and individual consideration of the potential impact of biofilms on cases of recurrent tonsillitis.…”

Section: Discussionmentioning

confidence: 99%

Chronic tonsillitis and biofilms: a brief overview of treatment modalities

Bakar¹,

McKimm²,

Haque³

et al. 2018

JIR

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Recurrent tonsillitis is described as when an individual suffers from several attacks of tonsillitis per year. Chronic and recurrent tonsillitis both cause repeated occurrences of inflamed tonsils which have a significant impact on a patient’s quality of life. Numerous children suffer from recurrent tonsillitis and sore throats, and these illnesses become part of their life. Antimicrobials can provide temporary relief, but in many cases, tonsillitis recurs. The cause of such recurrent infections have been identified as microorganisms which often create biofilms and a repository of infection in the wet and warm folds of the tonsils. This review discusses different treatment modalities, their advantages and disadvantages, and new treatment options focusing on biofilms. All treatment options should be selected based on evidence and individual need.

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“…The questionnaire score is plotted on the Y-axis, the frequency of score responses on the X-axis insufficient power [25]. This study also evaluated TOI-14 subscales: throat problems (questions 1-4), overall health (questions 5-6), resources (questions 7-10), and socialpsychological restrictions (questions [11][12][13][14] [25]. However, the test-retest-reliabilities of the subscales "general health" (r = 0.45) and "resources" (0.44) were only moderate.…”

Section: Discussionmentioning

confidence: 99%

“…The lifetime prevalence of common RT is 7-11% [9]. Only a few studies have addressed whether recurrent tonsillopharyngitis affects QOL in adults [1,5,6,10,11], although this has been well-studied in children [6,7,[12][13][14][15][16][17][18][19][20][21][22][23][24]. In 2012, Skevas et al introduced the Tonsillectomy Outcome Inventory 14 , which was the first worldwide-validated instrument to measure disease-specific QOL in adults with RT [25].…”

Section: Introductionmentioning

confidence: 99%

Normative tonsillectomy outcome inventory 14 values as a decision-making tool for tonsillectomy

Plath

Sand

Federspil

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose The study aimed to determine normative values for the Tonsillectomy Outcome Inventory 14 (TOI-14) in a healthy middle-European cohort. We also compared these generated values with TOI-14 scores from a patient population with recurrent tonsillitis (RT) and explored the factorial structure of the TOI-14. Methods We systematically studied the responses of healthy individuals (reference cohort) and patients with RT (clinical cohort) to the TOI-14 survey. The reference cohort contained 1000 participants, who were recruited using the Respondi panel for market and social science research. This subsample was quoted to the population distribution of the German Microcensus and selected from a non-probability panel. Tonsillitis patients were assessed before and 6 and 12 months after tonsillectomy. Data were analysed using principal component and exploratory factor analyses. Results The PCA revealed three TOI-14 domains (physiological, psychological and socio-economic), which explained 73% of the total variance. The reference cohort perceived a good quality of life (QOL) with a TOI-14 total score of 11.8 (physiological: 8.0, psychological: 5.8, and socio-economic subscale score: 13.9). TOI-14 scores were higher in the patient cohort, indicating that the TOI-14 discriminates between patients with RT and healthy individuals with no RT. Age and female gender significantly influenced the total TOI-14 score, especially in the psychological (age) and socio-economic (gender) subscales. Conclusion We have developed a set of normative values that, together with the TOI-14, can determine the disease burden indicating tonsillectomy.

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Impact of adenotonsillectomy on pediatric quality of life: review of the literature

Cited by 25 publications

References 48 publications

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Chronic tonsillitis and biofilms: a brief overview of treatment modalities

Normative tonsillectomy outcome inventory 14 values as a decision-making tool for tonsillectomy

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