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Paediatric tonsillectomy: parental experience and outcomes

Published online by Cambridge University Press:  25 June 2008

P J Robb*
Affiliation:
Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, UK
K Gowrinath
Affiliation:
Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, UK
K Agyeman
Affiliation:
Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, UK
J Joseph
Affiliation:
Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, UK
*
Address for correspondence: Mr Peter J Robb, Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, Epsom, Surrey KT18 7EG, UK. Fax: 01372 735316 E-mail: peter.robb@epsom-sthelier.nhs.uk

Abstract

Objective:

To evaluate parental experience, satisfaction and outcomes following their child's tonsillectomy surgery.

Design:

Structured postal questionnaire sent to the parents or guardians of 77 sequential children undergoing elective day-case tonsillectomy.

Subjects:

Seventy-seven children with a mean age of 6.25 years (range three to 17 years) undergoing day-case tonsillectomy predominantly for recurrent acute tonsillitis, upper airway obstruction or a combination of these symptoms; 63.6 per cent of the parents or guardians of these children responded to the questionnaire.

Results:

There was overall satisfaction with the operation, and positive health outcomes.

Conclusions:

Despite the current public health agenda to limit access to routine high volume operations such as childhood tonsillectomy on economic grounds, the users of this service rated the outcomes and benefits of the procedure highly.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Royal College of Surgeons of England. http://www.rcseng.ac.uk/rcseng/content/publications/ [20 April 2008]Google Scholar
2 Scottish Intercollegiate Guidelines Network (SIGN). http://www.sign.ac.uk/pdf/sign34.pdf [20 April 2008]Google Scholar
3 Paradise, JL, Bluestone, CD, Bachman, RZ, Colborn, DK, Bernard, BS, Taylor, FH et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310:674–83CrossRefGoogle ScholarPubMed
4 Leong, AC, Davis, JP. Morbidity after adenotonsillectomy for paediatric obstructive sleep apnoea syndrome: waking up to a pragmatic approach. J Laryngol Otol 2007;121:809–17CrossRefGoogle ScholarPubMed
5 Crayford, T. Time to stop doing tonsillectomies? BMJ 2007;334:1019CrossRefGoogle ScholarPubMed
8 Ewah, B, Robb, PJ, Raw, M. Postoperative pain, nausea and vomiting following paediatric day-case tonsillectomy. Anaesthesia 2006;61:116–22CrossRefGoogle ScholarPubMed
9 Little, P. Recurrent pharyngo-tonsillitis. BMJ 2007;334:909CrossRefGoogle ScholarPubMed
10 Windfuhr, JP, Chen, YS, Remmert, S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg 2005;132:281–6CrossRefGoogle Scholar
11 Graham, A, Fahey, T. Sore throat: diagnostic and therapeutic dilemmas. BMJ 1999;319:173–4CrossRefGoogle ScholarPubMed
12 Little, P, Williamson, I. Sore throat management in general practice. Fam Pract 1996;13:317–21CrossRefGoogle ScholarPubMed
13 Del Mar, CB, Glasziou, PP, Spinks, AB. Antibiotics for sore throat. Cochrane Database Syst Rev 2006;(4):CD000023. DOI: 10.1002/14651858.CD000023.pub3Google ScholarPubMed
14 Alho, O-P, Koivunen, P, Penna, T, Teppo, H, Koskela, M, Luotonen, J. Tonsillectomy versus watchful waiting in recurrent streptococcal pharyngitis in adults: randomised controlled trial. BMJ 2007;334:939–44CrossRefGoogle ScholarPubMed
15 Orvidas, LJ, St Sauver, JL, Weaver, AL. Efficacy of tonsillectomy in treatment of recurrent group A beta-hemolytic streptococcal pharyngitis. Laryngoscope 2006;116:1946–50CrossRefGoogle ScholarPubMed
16 Schwentner, I, Höfer, S, Schmutzhard, J, Deibl, M, Sprinzl, GM. Impact of tonsillectomy on quality of life in adults with chronic tonsillitis. Swiss Med Wkly 2007;137:454–61Google ScholarPubMed
17 Mitchell, RB. Adenotonsillectomy for obstructive sleep apnoea in children: outcome evaluated by pre- and postoperative polysomnography. Laryngoscope 2007;117:1844–54CrossRefGoogle ScholarPubMed