The effect of tonsillotomy on chronic recurrent tonsillitis in children
Objectives: The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children. Methods: One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a r...
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Published in | Acta oto-laryngologica Vol. 137; no. 9; pp. 992 - 996 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
Taylor & Francis
02.09.2017
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Subjects | |
Online Access | Get full text |
ISSN | 0001-6489 1651-2251 1651-2251 |
DOI | 10.1080/00016489.2017.1322712 |
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Abstract | Objectives: The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children.
Methods: One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained.
Results: Fifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening.
Conclusions: Tonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy. |
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AbstractList | Objectives: The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children.
Methods: One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained.
Results: Fifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening.
Conclusions: Tonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy. The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children. One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained. Fifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening. Tonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy. The objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children.OBJECTIVESThe objective of this study is to determine whether partial tonsillectomy (tonsillotomy) impacts the occurrence of acute or recurrent tonsillitis in children.One hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained.METHODSOne hundred and eighty patients (1-14 years) were retrospectively surveyed by a questionnaire or by data analysis of a regional database. Subjects who suffered from severe systemic diseases or immunodeficiency syndromes were excluded. Episodes of acute tonsillitis before and after surgery, rate of antibiotic treatment, postoperative hemorrhage, and re-operation were obtained.Fifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening.RESULTSFifty-one patients suffered from preoperative tonsillitis. The rate of reinfection was 9.8%. The frequency of tonsillitis was significantly reduced in children after tonsillotomy (p < .001). Further, tonsillotomy led to a significant reduction of antibiotic treatment (p < .001). The rate of definitive tonsillectomy was 1.1% and thus effectiveness was very high. About 1.7% of all children suffered from postoperative bleeding, of which one (0.6%) required surgical revision. None of the bleedings was life threatening.Tonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy.CONCLUSIONSTonsillotomy is beneficial for patients with recurrent tonsillitis and carries less risk of postoperative complications than tonsillectomy. |
Author | Lill, Claudia Foki, Elisabeth Seemann, Rudolf Stelter, Klaus |
Author_xml | – sequence: 1 givenname: Elisabeth surname: Foki fullname: Foki, Elisabeth organization: Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna – sequence: 2 givenname: Rudolf surname: Seemann fullname: Seemann, Rudolf organization: Department of Oral and Maxillofacial Surgery, Medical University of Vienna – sequence: 3 givenname: Klaus surname: Stelter fullname: Stelter, Klaus organization: Department of Head and Neck Surgery, ENT Centre Mangfall-Inn, RoMed Clinic Bad Aibling – sequence: 4 givenname: Claudia surname: Lill fullname: Lill, Claudia email: claudia.lill@meduniwien.ac.at organization: Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna |
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Cites_doi | 10.3109/00016489.2011.644252 10.1097/mlg.0b013e318031f0b0 10.1159/000342319 10.1186/s40463-014-0026-6 10.1007/s00106-016-0237-4 10.1016/j.ijporl.2016.07.007 10.1007/s00405-014-3010-x 10.1007/s00405-015-3872-6 10.1097/01.mlg.0000234941.95636.e6 10.1007/s00405-016-4083-5 10.1007/s00405-006-0162-3 10.1136/bmj.38210.827917.7C 10.1002/lary.22347 10.1097/MLG.0b013e31805559e1 10.1007/s00405-015-3871-7 10.1016/j.otohns.2004.09.007 10.1097/00005537-200103000-00018 10.1007/s00405-011-1681-0 10.1073/pnas.1100898108 |
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SubjectTerms | Adolescent Child Child, Preschool Female Humans Infant inflammation Male Palatine Tonsil - surgery post-tonsillectomy complications Recurrence Retrospective Studies throat infections Tonsil surgery Tonsillitis - surgery |
Title | The effect of tonsillotomy on chronic recurrent tonsillitis in children |
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