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VOLUME 8 , ISSUE 3 ( July-September, 2017 ) > List of Articles

ORIGINAL RESEARCH

Tonsillectomy: Patient Response-based Assessment and Results in Urban Indian Population

Nidhi V Maggon, Ashwani Sethi

Keywords : Benefits, Patient-reported outcome measure, Tonsillectomy

Citation Information : Maggon NV, Sethi A. Tonsillectomy: Patient Response-based Assessment and Results in Urban Indian Population. Int J Head Neck Surg 2017; 8 (3):89-92.

DOI: 10.5005/jp-journals-10001-1312

License: CC BY-NC 4.0

Published Online: 01-09-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Tonsillectomy has been considered a controversial surgical procedure due to absence of unequivocal evidence in favor of its benefits. We carried out a standardized patient response-based assessment study to evaluate the benefits. Materials and methods: A total of 62 patients in the age group of 4 to 11 years underwent a preoperative assessment of their symptoms [three groups: recurrent upper respiratory infection (URI), sleep-disordered breathing (SDB), or both] on a T-14 standard questionnaire and, if they met the standard criteria, were taken up for coblation-assisted tonsillectomy and/or adenoidectomy. Their postoperative responses were assessed and benefits compared statistically. Results: A total of 62 patients in three groups underwent the procedure and their postoperative T-14 responses at 3 and 6 months were evaluated. There was a statistically significant improvement in their scores at 3 months in all three groups. However, the improvement was static and did not continue at 6 months. Conclusion: Tonsillectomy, with or without adenoidectomy, is a beneficial procedure for all three categories of patients (based on symptoms) and brings significant improvement on a standardized patient response-based assessment scoring system in patients selected based on a standard criteria.


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