Indications for tonsillectomy: A 10 year retrospective review

Hetal Harish Patel, Chelsey E. Straight, Erik B. Lehman, Michelle Tanner, Michele Carr

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: Recurrent tonsillitis and obstructive sleep apnea (OSA) are the most common indications for tonsillectomy. This study was undertaken to determine if recurrent tonsillitis is increasing as an indication for tonsillectomy by reviewing the recent trend at a single institution. Methods: A retrospective chart review of patients undergoing tonsillectomy from 2003 to 2012 was performed. Data was gathered from pre-operative symptoms and sleep study results. Patients were categorized by the following indications: (1) obstructive sleep apnea, (2) recurrent tonsillitis and OSA, (3) recurrent tonsillitis alone and (4) other. Literature review was conducted to find similar studies; the results of the literature review were compared to our results. Results: A total of 2369 patients were included, 52% were boys. Over the study period OSA was the indication for surgery for 67% of patients. There was an increasing trend in OSA as the indication for tonsillectomy ( p<. 0.0001). Girls were more likely to have tonsillitis as an indication for tonsillectomy (21% vs. 17%, OR: 1.32, p<. 0.0001). Children younger than 2 or 2-5 are less likely than those older than 5 to have tonsillitis as an indication for surgery (2.30% and 6.26% vs. 27.46%, OR. = 0.06 and 0.18, p<. 0.0001). 987 of 2370 (42%) patients undergoing tonsillectomy had a pre-operative sleep study. Younger children were more likely to have had a sleep study. Conclusion: There were mild variations from year to year; however, obstructive sleep apnea is the most common reason for tonsillectomy.

Original languageEnglish (US)
Pages (from-to)2151-2155
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume78
Issue number12
DOIs
StatePublished - Dec 1 2014

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Tonsillectomy
antineoplaston A10
Tonsillitis
Obstructive Sleep Apnea
Sleep

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

Patel, Hetal Harish ; Straight, Chelsey E. ; Lehman, Erik B. ; Tanner, Michelle ; Carr, Michele. / Indications for tonsillectomy : A 10 year retrospective review. In: International Journal of Pediatric Otorhinolaryngology. 2014 ; Vol. 78, No. 12. pp. 2151-2155.
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Indications for tonsillectomy : A 10 year retrospective review. / Patel, Hetal Harish; Straight, Chelsey E.; Lehman, Erik B.; Tanner, Michelle; Carr, Michele.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 78, No. 12, 01.12.2014, p. 2151-2155.

Research output: Contribution to journalArticle

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T2 - A 10 year retrospective review

AU - Patel, Hetal Harish

AU - Straight, Chelsey E.

AU - Lehman, Erik B.

AU - Tanner, Michelle

AU - Carr, Michele

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N2 - Objective: Recurrent tonsillitis and obstructive sleep apnea (OSA) are the most common indications for tonsillectomy. This study was undertaken to determine if recurrent tonsillitis is increasing as an indication for tonsillectomy by reviewing the recent trend at a single institution. Methods: A retrospective chart review of patients undergoing tonsillectomy from 2003 to 2012 was performed. Data was gathered from pre-operative symptoms and sleep study results. Patients were categorized by the following indications: (1) obstructive sleep apnea, (2) recurrent tonsillitis and OSA, (3) recurrent tonsillitis alone and (4) other. Literature review was conducted to find similar studies; the results of the literature review were compared to our results. Results: A total of 2369 patients were included, 52% were boys. Over the study period OSA was the indication for surgery for 67% of patients. There was an increasing trend in OSA as the indication for tonsillectomy ( p<. 0.0001). Girls were more likely to have tonsillitis as an indication for tonsillectomy (21% vs. 17%, OR: 1.32, p<. 0.0001). Children younger than 2 or 2-5 are less likely than those older than 5 to have tonsillitis as an indication for surgery (2.30% and 6.26% vs. 27.46%, OR. = 0.06 and 0.18, p<. 0.0001). 987 of 2370 (42%) patients undergoing tonsillectomy had a pre-operative sleep study. Younger children were more likely to have had a sleep study. Conclusion: There were mild variations from year to year; however, obstructive sleep apnea is the most common reason for tonsillectomy.

AB - Objective: Recurrent tonsillitis and obstructive sleep apnea (OSA) are the most common indications for tonsillectomy. This study was undertaken to determine if recurrent tonsillitis is increasing as an indication for tonsillectomy by reviewing the recent trend at a single institution. Methods: A retrospective chart review of patients undergoing tonsillectomy from 2003 to 2012 was performed. Data was gathered from pre-operative symptoms and sleep study results. Patients were categorized by the following indications: (1) obstructive sleep apnea, (2) recurrent tonsillitis and OSA, (3) recurrent tonsillitis alone and (4) other. Literature review was conducted to find similar studies; the results of the literature review were compared to our results. Results: A total of 2369 patients were included, 52% were boys. Over the study period OSA was the indication for surgery for 67% of patients. There was an increasing trend in OSA as the indication for tonsillectomy ( p<. 0.0001). Girls were more likely to have tonsillitis as an indication for tonsillectomy (21% vs. 17%, OR: 1.32, p<. 0.0001). Children younger than 2 or 2-5 are less likely than those older than 5 to have tonsillitis as an indication for surgery (2.30% and 6.26% vs. 27.46%, OR. = 0.06 and 0.18, p<. 0.0001). 987 of 2370 (42%) patients undergoing tonsillectomy had a pre-operative sleep study. Younger children were more likely to have had a sleep study. Conclusion: There were mild variations from year to year; however, obstructive sleep apnea is the most common reason for tonsillectomy.

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