Indications for tonsillectomy: A 10 year retrospective review

Patel, Hetal; Straight, Chelsey; Lehman, Erik; Tanner, Michelle; Carr, Michele M.

doi:10.1016/j.ijporl.2014.09.030

Cited by 84 publications

(69 citation statements)

References 29 publications

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“…The most common indication in the younger age group by far was obstruction/SDB, which was seen in this study as well as in several previous studies,10 28 likely reflecting an increased awareness of upper airway obstruction and SDB as a common disease in the paediatric population. In a single county study from Minnesota, a comparable large-scale shift in indications was observed with an increase in the percentage of SDB/obstructive indications from 12% in 1970 to 77% in 2005 26.…”

Section: Discussionsupporting

confidence: 84%

Trends and changes in paediatric tonsil surgery in Sweden 1987–2013: a population-based cohort study

et al. 2017

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ObjectivesThe objective of this study was to longitudinally describe the history of tonsil surgery in Swedish children and adolescents regarding incidence, indications for surgery, surgical methods and the age and gender distributions.SettingA retrospective longitudinal population-based cohort study based on register data from the Swedish National Patient Register (NPR) and population data from Statistics Sweden.ParticipantsAll Swedish children 1–<18 years registered in the NPR with a tonsil surgery procedure 1987–2013.Results167 894 tonsil surgeries were registered in the NPR 1987–2013. An increase in the total incidence rate was observed, from 22/10 000 person years in 1987 to 47/10 000 in 2013. The most marked increase was noted in children 1–3 years of age, increasing from 17 to 73/10 000 person years over the period. The proportion children with obstructive/sleep disordered breathing (SDB) indications increased from 42.4% in 1987 to 73.6% in 2013. Partial tonsillectomy, tonsillotomy (TT), increased since 1996 and in 2013 55.1% of all tonsil procedures were TTs.ConclusionsThere have been considerable changes in clinical practice for tonsil surgery in Swedish children over the past few decades. Overall, a doubling in the total incidence rate was observed. This increase consisted mainly of an increase in surgical procedures due to obstructive/SDB indications, particularly among the youngest age group (1–3 years old). TT has gradually replaced tonsillectomy as the predominant method for tonsil surgery.

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Section: Discussionsupporting

confidence: 84%

Trends and changes in paediatric tonsil surgery in Sweden 1987–2013: a population-based cohort study

et al. 2017

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“…In unadjusted models only, reported histories of tonsillectomy and xerostomia increased the risk of olfactory dysfunction. Although currently the primary reasons for getting tonsillectomy are tonsillitis and chronic problems breathing during sleeping [84], this surgical procedure was common during the time when adults in the NHANES cohort were children. This was particularly the case among children who had medical insurance, were from upper income families, sought the care of older general practitioners or family physicians, and suffered from frequent upper respiratory tract infections [85], the latter of which is common in olfactory dysfunction [86].…”

Section: Discussionmentioning

confidence: 99%

New chemosensory component in the U.S. National Health and Nutrition Examination Survey (NHANES): first-year results for measured olfactory dysfunction

Hoffman

Rawal

et al. 2016

Rev Endocr Metab Disord

192

274

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The U.S. NHANES included chemosensory assessments in the 2011–2014 protocol. We provide an overview of this protocol and 2012 olfactory exam findings. Of the 1818 NHANES participants aged ≥40 years, 1281 (70.5 %) completed the exam; non-participation mostly was due to time constraints. Health technicians administered an 8-item, forced-choice, odor identification task scored as normosmic (6–8 odors identified correctly) versus olfactory dysfunction, including hyposmic (4–5 correct) and anosmic/severe hyposmic (0–3 correct). Interviewers recorded self-reported smell alterations (during past year, since age 25, phantosmia), histories of sinonasal problems, xerostomia, dental extractions, head or facial trauma, and chemosensory-related treatment and changes in quality of life. Olfactory dysfunction was found in 12.4 % (13.3 million adults; 55 % males/45 % females) including 3.2 % anosmic/severe hyposmic (3.4 million; 74 % males/26 % females). Selected age-specific prevalences were 4.2 % (40–49 years), 12.7 % (60–69 years), and 39.4 % (80+ years). Among adults ≥70 years, misidentification rates for warning odors were 20.3 % for smoke and 31.3 % for natural gas. The highest sensitivity (correctly identifying dysfunction) and specificity (correctly identifying normosmia) of self-reported olfactory alteration was among anosmics/severe hyposmics (54.4 % and 78.1 %, respectively). In age- and sex-adjusted logistic regression analysis, risk factors of olfactory dysfunction were racial/ethnic minority, income-to-poverty ratio ≤ 1.1, education

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“…The reported rate of tonsillectomy in children and adolescents is 7.9 per 1,000 in the US [4] and 2.6 per 1,000 in Korea [3]. Tonsillectomy is generally performed for recurrent sore throat or obstructive sleep apnea (OSA) [5, 6]. However, there are no nationally accepted guidelines for when to perform a tonsillectomy [7].…”

Section: Introductionmentioning

confidence: 99%

Tonsillectomy Does Not Reduce Upper Respiratory Infections: A National Cohort Study

et al. 2016

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ObjectivesThe objective of this study was to compare post-operative visits for upper respiratory infections (URIs) between tonsillectomy and non-tonsillectomy participants (controls).MethodsUsing the national cohort study from the Korean Health Insurance Review and Assessment Service, 1:4 matched (age, sex, income, region, and pre-operative URI visit) tonsillectomy participants (5,831) and control participants (23,324) were selected. Post-operative visits for URI were measured from 1 to 9 years post-op. The equivalence test was used. The margin of equivalence of the difference (Tonsillectomy—Control group group) was set to -0.5 to 0.5.ResultsThere was no difference between the tonsillectomy and control group in 1- to 9-year post-op visits (-0.5 < 95% CI of difference < 0.5). URI visits gradually decreased from 5.5/2 years (pre-op) to 2.1/year (at 1 year post-op) and 1.4/year (at 9 years post-op) in both tonsillectomy and control groups. In the subgroup analysis (children Vs adolescent and adults; rare Vs frequent pre-operative URI), there was no difference in the number of post-op visits for URI between the tonsillectomy and control groups (-0.5 < 95% CI of difference < 0.5).ConclusionTonsillectomy does not provide a decrease in the number of post-operative visits for URI, and URI decreased over time whether or not a tonsillectomy was performed.

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Indications for tonsillectomy: A 10 year retrospective review

Cited by 84 publications

References 29 publications

Trends and changes in paediatric tonsil surgery in Sweden 1987–2013: a population-based cohort study

Trends and changes in paediatric tonsil surgery in Sweden 1987–2013: a population-based cohort study

New chemosensory component in the U.S. National Health and Nutrition Examination Survey (NHANES): first-year results for measured olfactory dysfunction

Tonsillectomy Does Not Reduce Upper Respiratory Infections: A National Cohort Study

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