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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