Safety and long-term efficacy of tonsillectomy versus subtotal tonsillectomy in children with sleep disordered breathing

to compare safety and long-term symptoms after TE compared to Subtotal Tonsillectomy (STT). A retrospective review data of 412 patients, one to twelve years old that underwent either TE or STT, as treatment for sleep disorder breathing, at two different medical centers. Symptoms were assessed by a q...

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Bibliographic Details
Published in:American journal of otolaryngology 2022-07, Vol.43 (4), p.103494-103494, Article 103494
Main Authors: Averbukh, Katia, Goldbart, Adi, Goldbart, Aviv, Tal, Asher, Kaplan, Daniel M., Puterman, Moshe, El-Saied, Sabri, Joshua, Ben-Zion
Format: Article
Language:English
Subjects:
Complications
Health care facilities
Hemorrhage
Obstructive sleep apnea
Pain
Parents & parenting
Patients
Questionnaires
Safety
Sleep
Sleep apnea
Sleep disordered breathing
Sleep disorders
Snoring
Subtotal tonsillectomy
Surgeons
Throat surgery
Tonsillectomy
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Summary:to compare safety and long-term symptoms after TE compared to Subtotal Tonsillectomy (STT). A retrospective review data of 412 patients, one to twelve years old that underwent either TE or STT, as treatment for sleep disorder breathing, at two different medical centers. Symptoms were assessed by a questionnaire 3–5 years post-surgery. Additionally, data regarding immediate post-operative symptoms and complications were also collected. Long-term symptoms score was significantly lower in the TE group: 1.585 (±1.719) compared to 1.967 (±1.815) in the STT group (p = 0.033); 51.3% of patients in the ST group presented long-term SDB symptoms, compared to 40.6% in the TE group (p = 0.035); The main difference between the groups was snoring as 49% of the STT group suffered from snoring, versus 28.9% in the TE group (p 
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2022.103494