J Rhinol.  2021 Nov;28(3):164-170. 10.18787/jr.2021.00355.

Impacts of Recurrent Tonsillitis on the Outcome of Powered Intracapsular Tonsillectomy in Children

• Kang JW
• Dong SH
• Lee SG
• Lee KH

• KMID: 2522786
• DOI: http://doi.org/10.18787/jr.2021.00355

Abstract

Background and Objectives
To investigate the effects of recurrent tonsillitis on postoperative outcomes after powered intracapsular tonsillectomy and adenoidectomy (PITA) in children with obstructive sleep-disordered breathing (oSDB).
Materials and Methods
Children who underwent PITA in Kyung Hee University Hospital at Gangdong from 2016 to 2018 were classified into two oSDB groups according to comorbid chronic/recurrent acute tonsillitis (CHT). To evaluate the efficacy of the PITA technique, quality of life (QoL) was measured using the obstructive sleep apnea questionnaire (OSA-18) for 3 months after surgery. To evaluate the disadvantages of the PITA technique, we followed complications such as throat pain, otalgia, nausea, vomiting, and postoperative bleeding for 1 week after surgery. Finally, we compared the pre- and postoperative QoL and analyzed the incidence of postoperative complications in the oSDB with CHT (SDBwCHT) and oSDB without CHT (SDBsCHT) groups.
Results
Of the 802 enrolled patients, 135 were classified as SDBwCHT and 667 as SDBsCHT. Both groups exhibited marked improvements in QoL after PITA. The SDBwCHT group showed a change of OSA-18 score from 70.7±17.0 to 31.2±11.4. The SDBsCHT group showed a change of OSA-18 score from 70.0±17.1 to 31.0±9.9. The groups did not demonstrate statistical differences in complication rates and severity of symptoms during the first postoperative week.
Conclusion
Although comorbid CHT delayed improvement in postoperative symptoms, PITA is a useful technique to treat children with oSDB, regardless of CHT.

Keyword

Adenotonsillectomy; Tonsillectomy; Intracapsular tonsillectomy and adenoidectomy; Sleep-disordered breathing; Quality of life

Figure

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  Fig. 1. Correlation between throat pain and other symptoms. Patients without otalgia or nausea were excluded. Correlation between throat pain and otalgia (A, B, C). Correlation between throat pain and nausea (D, E, F). ρ: Spearman’s correlation coefficient.

Reference

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