Niclas Hallenstål1, Ola Sunnergren2, Elisabeth Ericsson3, Claes Hemlin4, Anne-Charlotte Hessén Söderman5,6, Pia Nerfeldt6,7, Erik Odhagen8,9, Marie Ryding1,10, Joacim Stalfors9,11. 1. a Department of Otorhinolaryngology , Östersund Hospital , Östersund , Sweden. 2. b Department of Otorhinolaryngology , Ryhov County Hospital and Futurum- the Academy for Health and Care, County Council , Jönköping , Sweden. 3. c School of Health Sciences, Faculty of Medicine and Health , Örebro University , Örebro , Sweden. 4. d Sollentuna Specialist Clinic , Stockholm , Sweden. 5. e Department of Otorhinolaryngology , Cityakuten , Stockholm , Sweden. 6. f Division of Clinical Science, Intervention and Technology , Karolinska Institutet , Stockholm , Sweden. 7. g Department of Otorhinolaryngology , Karolinska University Hospital , Stockholm , Sweden. 8. h Department of Otorhinolaryngology , Södra Älvsborgs Hospital , Borås , Sweden. 9. i Institute of Clinical Sciences , Sahlgrenska Academy at the University of Gothenburg, Gothenburg , Sweden. 10. j Department of Clinical Sciences, Otorhinolaryngology , Umeå University , Umeå , Sweden. 11. k Sheikh Khalifa Medical City , Ajman , United Arab Emirates.
Abstract
AIM: To describes how tonsil surgery was performed in Sweden from 2013 to 2015 with data from the National Tonsil Surgery Registry in Sweden (NTSRS). METHOD: The registry collects data from both professionals and patients through questionnaires. A total of 33,870 tonsil surgeries were analysed, comprising approximately 80% of all tonsil surgeries in Sweden from 2013 to 2015. RESULTS: The two most common procedures were tonsillectomy (41%) and tonsillotomy with adenoidectomy (38%). Tonsillectomy was most commonly performed to treat frequent tonsillitis, while the main indication for tonsil surgery with combined adenoidectomy and for tonsillotomy alone was upper airway obstruction. The most commonly used techniques were cold steel (70%) for tonsillectomy/adenotonsillectomy and radiofrequency (79%) for tonsillotomy/adenotonsillotomy. Ninety-five percent of patients reported symptom relief after 180 d. Day surgery was utilised in 70% of the surgeries. The rate of readmission due to post-tonsillectomy haemorrhage was 5.1%. Male patients more often underwent tonsil surgery at preschool ages due to upper airway obstruction; in comparison, female patients to a larger extent underwent surgery in their early teens because of previous infections. CONCLUSIONS: The NTSRS provides an opportunity to survey tonsil surgery in Sweden and to launch and follow up improvement programmes as desired.
AIM: To describes how tonsil surgery was performed in Sweden from 2013 to 2015 with data from the National Tonsil Surgery Registry in Sweden (NTSRS). METHOD: The registry collects data from both professionals and patients through questionnaires. A total of 33,870 tonsil surgeries were analysed, comprising approximately 80% of all tonsil surgeries in Sweden from 2013 to 2015. RESULTS: The two most common procedures were tonsillectomy (41%) and tonsillotomy with adenoidectomy (38%). Tonsillectomy was most commonly performed to treat frequent tonsillitis, while the main indication for tonsil surgery with combined adenoidectomy and for tonsillotomy alone was upper airway obstruction. The most commonly used techniques were cold steel (70%) for tonsillectomy/adenotonsillectomy and radiofrequency (79%) for tonsillotomy/adenotonsillotomy. Ninety-five percent of patients reported symptom relief after 180 d. Day surgery was utilised in 70% of the surgeries. The rate of readmission due to post-tonsillectomy haemorrhage was 5.1%. Male patients more often underwent tonsil surgery at preschool ages due to upper airway obstruction; in comparison, female patients to a larger extent underwent surgery in their early teens because of previous infections. CONCLUSIONS: The NTSRS provides an opportunity to survey tonsil surgery in Sweden and to launch and follow up improvement programmes as desired.
Entities:
Keywords:
Tonsil surgery; complications; national registry; outcome; tonsillectomy; tonsillotomy
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