Child Behavior and Quality of Life Before and After Tonsillotomy versus Tonsillectomy

• Objective: to compare two techniques for tonsil surgery with respect to postoperative pain and morbidity and changes in sleep, behavior, health related quality of life (HRQL) and benefit due to  surgery. Methods: 67 pre-school children  with  tonsillar hypertrophy were randomized to regular tonsillectomy (TE)  or tonsillotomy (TT) with Radiofrequency surgical technique. The parents completed a validated quality of life  survey, Obstructive Sleep Apnea-18 (OSA18) , assessed the children’s behavior  with the Child Behavior Checklist (CBCL) before and six month after surgery and evaluated the post-operative  health related benefits using the Glasgow Children’s Benefit Inventory (GCBI). Results: TT-children recorded less pain from the first day, and were pain-free 3 days earlier than TE-children. Six months post-surgery, there was no difference between TT and TE with regard to snoring and ENT-infections. The total scores in all the individual domains between the initial OSA-18 and post-surgery scores differed (p<0.0001). Improvement in CBCL score was also significant (p<0.01) . There were no differences between TT- and TE-children. GCBI indicated a significant health benefit of both methods. Conclusions: Tonsillar hypertrophy  shows  impact on HRQL and behavior. After  tonsillar operation, improvements occur as much after TT as after TE.  TT should be first choice for treatment.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)

Nyckelord

Otorhinolaryngology

Otorhinolaryngologi

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