Efficacy of Tonsillectomy and Clinical Outcomes and Quality Of Life in Children and Adults of RIMS, Adilabad
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: Tonsillectomy is one of the commonest procedures performed in ENT clinics. The most common indications include recurrent tonsillitis, tonsillar hypertrophy, and sleep apnoea. The outcomes of such operations are generally good however the operations sometimes results in postoperative complications such as hemorrhage, pain and nutritional problems in children. With this background, we in the present study tried to evaluate the clinical outcomes and quality of life of the patients those who have undergone tonsillectomies. Methods: This cross-sectional study was conducted in the Department of ENT, Rajiv Gandhi Institute of Medical Sciences and Hospital [RIMS], Adilabad. Only patients (children and adults) who had undergone tonsillectomy for recurrent episodes of acute or chronic tonsillitis were included in the study. Patients (or parents in case children less than 12 years) were given a prefabricated questionnaire and were asked to compare the details of their (child's) health and symptoms before and after tonsillectomy. Out of a total of 110 tonsillectomy patients, we were able to follow up 90 patients. Results: We found in the present study that the average school/work loss by the patients due to throat infection before tonsillectomy was 8.21 days 95% CI was 7.52 – 8.9 days after tonsillectomy the rate of school/work loss was reduced to 2.02 days [95% CI was 2.0 - 2.04 days]. The average values of wellbeing assessed by the patients (1=Poor, 2= moderate, 3=good, d= very good) before the operation was 1.48 and after the operation it was 3.6 and the general health assessment before the operation was 1.38 before the operation and after the operation it was 3.5 and the energy levels before the operation was 1.57 and after the operation it was 3.65. Conclusions: Within the limitations of the present study we can conclude that Tonsillectomy is beneficial for the patients with recurrent acute and chronic tonsillitis. The overall outcomes after tonsillectomies have been encouraging and a vast majority of patients reporting improvement in the quality of life after the operation. Therefore tonsillectomy may still be considered as a standard procedure as it reduces the morbidity in the patients with tonsillitis.
Authors and Affiliations
P. Satyanarayana
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