oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up
Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Emergency Clinic, Växjö Central Hospital, Växjö, Sweden.
Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.ORCID iD: 0000-0001-8549-9039
2012 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 269, no 8, p. 1951-1958Article in journal (Refereed) Published
Abstract [en]

The indication for tonsil surgery is tonsillitis or obstructive symptoms due to tonsillar hypertrophy, associated with morbidity affecting health related quality of life (HRQL). Surgery performed is either tonsillectomy (TE) or partial intra capsular tonsillectomy/tonsillotomy (TT). TT is associated with fewer postoperative complications and rapid recovery, but with risk for regrowth of tonsillar tissue and return of sleep disordered breathing (SDB) or infections. The aim of this study was to investigate the long-term effects of TT and TE in young adults relating to HRQL and well-being as consequence of obstructive symptoms or ENT-infections after 6 years versus effect after 1 year. Young adults with symptoms of tonsillar hyperplasia were randomized to TE (44) or TT (32). Patients were assessed prior to surgery and 1 and 6 years postoperatively. Short Form 36 and the EuroQul Visual Analog Scale evaluated HRQL. Questionnaire was used to explore well-being, obstruction symptoms and infections. Patient BMI was calculated. Six years after surgery, 91 % of young adults (TE39/TT29) reported persisting benefits in well-being, reduced obstructive problems and fewer infections. Some patients in both groups reported a slight increase in snoring compared to 1 year after surgery, but still less than before surgery. Obesity was more frequent among those snoring. Both TT and TE in young adults yielded HRQL improvements and reduction in symptoms defining SDB persisting through 6 years postsurgery. Results indicated that both surgical methods were equally effective. Findings favor choice of TT due to lesser postoperative morbidity.

Place, publisher, year, edition, pages
New York, USA: Springer, 2012. Vol. 269, no 8, p. 1951-1958
Keywords [en]
Tonsillotomy, tonsillectomy, health relate quality of life, sleep disorder, tonsillar hypertrophy
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-40807DOI: 10.1007/s00405-012-1990-yISI: 000305979900011PubMedID: 22421921Scopus ID: 2-s2.0-84864996262OAI: oai:DiVA.org:oru-40807DiVA, id: diva2:778709
Available from: 2015-01-11 Created: 2015-01-11 Last updated: 2018-05-14Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Ericsson, Elisabeth

Search in DiVA

By author/editor
Ericsson, Elisabeth
In the same journal
European Archives of Oto-Rhino-Laryngology
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 333 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf