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Erschienen in:
26.08.2023 | Original Article
To Evaluate the Indications for Adenotonsillectomy Surgery and the Quality-of-Life Post-Surgery- A Descriptive, Cross-Sectional Study
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 1/2024
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Aim
To determine the indications of adenotonsillectomy and to evaluate the quality-of-life post-adenotonsillectomy surgery.
Materials and Methods
This is a descriptive cross-sectional study done in the department of ENT, Indira Gandhi Medical College and Research Institute (IGMCRI), Puducherry among patients who underwent adenotonsillectomy surgery from the year 2015 to 2022. The data regarding their clinical profile and indications for surgery were collected from the medical case records and these patients were contacted through telephone to know their quality of life using a standardized questionnaire.
Results
A total of 98 patients were included in the study, 43 males and 55 females, between the age of 4 to 48 years. Adenotonsillitis (infection) was the indication for adenotonsillectomy in 69 out of 98 patients (70.4%), and Adenotonsillar hypertrophy (Obstruction) in 29 out of 98 patients (29.5%). Postoperatively, the symptoms like frequency of episodes of throat pain had decreased from 6.16\(\pm\)2.08 to 1.24\(\pm\)0.44 (p<0.001), snoring (72–1%), mouth breathing (70.4–3.1%), average number of doctor visits due to throat pain (3.91\(\pm\)1.44 to 1) and average number of days absent to school/ work (3.81 \(\pm\)1.26 to nil) had decreased significantly.
Conclusion
Adenotonsillitis (Infection) as an indication is more common than adenotonsillar hypertrophy (Obstruction) for performing adenotonsillectomy in our study. Majority of the patient’s symptoms had markedly decreased post-surgery and hence a significant improvement in overall quality of life, both physical and general well-being.