Literature DB >> 22235871

Tonsil surgery efficiently relieves symptoms: analysis of 54 696 patients in the National Tonsil Surgery Register in Sweden.

Joacim Stalfors1, Elisabeth Ericsson, Claes Hemlin, Elisabeth Hultcrantz, Ingemar Månsson, Kristian Roos, Anne-Charlotte Hessén Söderman.   

Abstract

CONCLUSION: Patients operated with tonsillar surgery report a high degree of symptom relief 6 months after surgery.
OBJECTIVE: The purpose of this study was to analyze symptom relief 6 months after tonsil surgery in relation to age, indication, surgical procedure, primary bleeding and unplanned postoperative visits. The National Tonsil Surgery Register in Sweden offers data from 54,696 patients registered during 1997-2008.
METHODS: This was a prospective assessment by questionnaire. Data were collected using three questionnaires, two completed by professionals and one 6 months postoperatively by the parents/patients.
RESULTS: Among 54,696 patients, the most common surgical indications were obstruction (49.7%), followed by recurrent tonsillitis (35.2%). Symptom relief 6 months after surgery was high in all indication groups (>92%), and highest for patients operated on the indication peritonsillitis (>98%). The indications obstruction, recurrent tonsillitis or chronic tonsillitis reported a high degree (>96%) of symptom relief. Of the patients who underwent tonsillectomy with adenoidectomy, 97.5% were symptom-free compared to 96% of patients who had tonsillectomy alone and 96.1% who underwent tonsillotomy (p < 0.0001). In all, 13.9% of patients required an unplanned visit to the clinic postoperatively. Only 148 of 54,696 patients reported worsening of symptoms after surgery.

Entities:  

Mesh:

Year:  2012        PMID: 22235871     DOI: 10.3109/00016489.2011.644252

Source DB:  PubMed          Journal:  Acta Otolaryngol        ISSN: 0001-6489            Impact factor:   1.494


  18 in total

1.  Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up.

Authors:  Sara Wireklint; Elisabeth Ericsson
Journal:  Eur Arch Otorhinolaryngol       Date:  2012-03-16       Impact factor: 2.503

Review 2.  Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis.

Authors:  Martin J Burton; Paul P Glasziou; Lee Yee Chong; Roderick P Venekamp
Journal:  Cochrane Database Syst Rev       Date:  2014-11-19

Review 3.  Systematic review of tonsil surgery quality registers and introduction of the Nordic Tonsil Surgery Register Collaboration.

Authors:  Johanna Ruohoalho; Eirik Østvoll; Mette Bratt; Vegard Bugten; Leif Bäck; Antti Mäkitie; Therese Ovesen; Joacim Stalfors
Journal:  Eur Arch Otorhinolaryngol       Date:  2018-03-27       Impact factor: 2.503

4.  Is the number of tonsillectomies and tonsillotomies a relevant issue?

Authors:  J P Windfuhr; Y-S Chen
Journal:  HNO       Date:  2020-01       Impact factor: 1.284

5.  Risk of reoperation after tonsillotomy versus tonsillectomy: a population-based cohort study.

Authors:  Erik Odhagen; Ola Sunnergren; Claes Hemlin; Anne-Charlotte Hessén Söderman; Elisabeth Ericsson; Joacim Stalfors
Journal:  Eur Arch Otorhinolaryngol       Date:  2016-01-04       Impact factor: 2.503

6.  Paradigm shift in Sweden from tonsillectomy to tonsillotomy for children with upper airway obstructive symptoms due to tonsillar hypertrophy.

Authors:  Elisabeth Hultcrantz; Elisabeth Ericsson; Claes Hemlin; Anne-Charlotte Hessén-Söderman; Kristian Roos; Ola Sunnergren; Joacim Stalfors
Journal:  Eur Arch Otorhinolaryngol       Date:  2013-02-06       Impact factor: 2.503

7.  Radiofrequency tonsillotomy in Sweden 2009-2012.

Authors:  Ola Sunnergren; Claes Hemlin; Elisabeth Ericsson; Anne-Charlotte Hessén-Söderman; Elisabeth Hultcrantz; Erik Odhagen; Joacim Stalfors
Journal:  Eur Arch Otorhinolaryngol       Date:  2013-12-24       Impact factor: 2.503

Review 8.  [An update on tonsillotomy studies].

Authors:  J P Windfuhr; K Savva
Journal:  HNO       Date:  2017-01       Impact factor: 1.284

9.  Factors influencing morbidity after paediatric tonsillectomy: a study of 18,712 patients in the National Tonsil Surgery Register in Sweden.

Authors:  Karolina Elinder; Anne-Charlotte Hessén Söderman; Joacim Stalfors; Johan Knutsson
Journal:  Eur Arch Otorhinolaryngol       Date:  2016-03-28       Impact factor: 2.503

10.  Clinical practice guideline: tonsillitis II. Surgical management.

Authors:  Jochen P Windfuhr; Nicole Toepfner; Gregor Steffen; Frank Waldfahrer; Reinhard Berner
Journal:  Eur Arch Otorhinolaryngol       Date:  2016-02-16       Impact factor: 2.503

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