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Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up / [Elektronisk resurs]
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Titel
  • Health-related quality of life after tonsillotomy versus tonsillectomy in young adults: 6 years postsurgery follow-up / [Elektronisk resurs]
Utgivning
  • Linköpings universitet, Inst.för medicin och hälsa 2012
Anmärkning: Allmän
  • Mastersuppsats, sjuksköterska Akutkliniken akutmottagningen CLV
Anmärkning: Innehållsbeskrivning, sammanfattning
  • 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.
Ämne
Medarbetare
  • Ericsson, Elisabeth Linköpings universitet, Oto-Rhino-Laryngologi, Linköpings universitet, Hälsouniversitetet, Östergötlands Läns Landsting, Öron- näsa- och halskliniken US Författare/medförfattare
Institutionsnamn
Värdpublikation
  • European Archives of Oto-Rhino-Laryngology Springer Verlag (Germany) ISSN 0937-4477 269:8, s. 1951-1958 269:8<1951-1958
Elektronisk adress och åtkomst (URI)
  • http://liu.diva-portal.org/smash/get/diva2:544306/FULLTEXT01 Fulltext
  • http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-79657 Till lärosätets (liu) databas
  • http://dx.doi.org/10.1007/s00405-012-1990-y
Antal i kö:
  • 0 (0)
 
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*5203 $8eng$aThe 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.
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*7102 $aÖstergötlands Läns Landsting.$bSinnescentrum.$bÖron- näsa- och halskliniken US.$0(SwePub:liu)7294
*7730 $tEuropean Archives of Oto-Rhino-Laryngology$dSpringer Verlag (Germany)$x0937-4477$g269:8, s. 1951-1958$q269:8<1951-1958
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*85648$uhttp://dx.doi.org/10.1007/s00405-012-1990-y
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