Tonsillotomy versus tonsillectomy on young children: 2 year post surgery follow-up

Journal of Otolaryngology-Head & Neck Surgery

Elisabeth Hultcrantz¹  Inger Lundeborg-Hammarstrom³  Jonas Graf¹  Elisabeth Ericsson² 

[1] Division of Otorhinolaryngology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;School of Health and Medical Sciences, Örebro University, Örebro, Sweden;Division of Speech and Language Pathology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

关键词: Methodology;    Quality of life;    Tonsillectomy;    Tonsillotomy;   

Others  :  1144002
DOI  :  10.1186/s40463-014-0026-6

 received in 2014-01-15, accepted in 2014-06-30,  发布年份 2014

【 摘 要 】

Objectives

To study the long-term effect of tonsillotomy and tonsillectomy in young children after two years in comparison to the results after six months.

Method

Children, age 4-5 with Sleep Disordered Breathing (SDB) and tonsil hyperplasia, were randomized to TE (32) or TT (35). TT was performed ad modum Hultcrantz with radiofrequency technique (Ellman). An adenoidectomy with cold steel was performed in the same session for 80% of cases. The patients were assessed prior to surgery, at six and 24 months postoperatively. Effects of surgery were evaluated clinically, through questionnaire (general health/snoring/ENT-infections), Quality of Life (QoL), survey of pediatric obstructive sleep apnea with OSA-18, and children’s behavior with the Child Behavior Checklist.

Results

After two years there was still no difference between the groups with respect to snoring and frequency or severity of upper airway infections. Both TT and TE had resulted in large improvement in short and long term QoL and behavior. Three TT-children and one TE child had been re-operated due to recurrence of obstructive problems, the TE-child and one of the TT-children with adenoidectomy and two of the TT-children with tonsillectomy. Three of the TT-children had tonsil tissue protruding slightly out of the tonsil pouch and twelve TE-children had small tonsil remnants within the tonsil pouches, but with no need for surgery.

Conclusion

Younger children have a small risk of symptom-recurrence requiring re-surgery within two years after TT. For the majority, the positive effect on snoring, infections, behavior and quality of life remain and is similar to TE.

【 授权许可】

   
2014 Graf et al.

【 图 表 】

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