Efficacy of Tonsillectomy and Clinical Outcomes and Quality Of Life in Children and Adults of RIMS, Adilabad
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: Tonsillectomy is one of the commonest procedures performed in ENT clinics. The most common indications include recurrent tonsillitis, tonsillar hypertrophy, and sleep apnoea. The outcomes of such operations are generally good however the operations sometimes results in postoperative complications such as hemorrhage, pain and nutritional problems in children. With this background, we in the present study tried to evaluate the clinical outcomes and quality of life of the patients those who have undergone tonsillectomies. Methods: This cross-sectional study was conducted in the Department of ENT, Rajiv Gandhi Institute of Medical Sciences and Hospital [RIMS], Adilabad. Only patients (children and adults) who had undergone tonsillectomy for recurrent episodes of acute or chronic tonsillitis were included in the study. Patients (or parents in case children less than 12 years) were given a prefabricated questionnaire and were asked to compare the details of their (child's) health and symptoms before and after tonsillectomy. Out of a total of 110 tonsillectomy patients, we were able to follow up 90 patients. Results: We found in the present study that the average school/work loss by the patients due to throat infection before tonsillectomy was 8.21 days 95% CI was 7.52 – 8.9 days after tonsillectomy the rate of school/work loss was reduced to 2.02 days [95% CI was 2.0 - 2.04 days]. The average values of wellbeing assessed by the patients (1=Poor, 2= moderate, 3=good, d= very good) before the operation was 1.48 and after the operation it was 3.6 and the general health assessment before the operation was 1.38 before the operation and after the operation it was 3.5 and the energy levels before the operation was 1.57 and after the operation it was 3.65. Conclusions: Within the limitations of the present study we can conclude that Tonsillectomy is beneficial for the patients with recurrent acute and chronic tonsillitis. The overall outcomes after tonsillectomies have been encouraging and a vast majority of patients reporting improvement in the quality of life after the operation. Therefore tonsillectomy may still be considered as a standard procedure as it reduces the morbidity in the patients with tonsillitis.
Authors and Affiliations
P. Satyanarayana
Keywords
Related Articles
- EP ID EP477160
- DOI -
- Views 76
- Downloads 0
Efficacy of Bronchial Wash and Brush Cytology in the Diagnosis of Lung Cancers
The advent of fiberoptic bronchocopy has revolutionized the sampling of respiratory tract and has increased diagnosis of lung tumors. The study was aimed to evaluate the efficacy of bronchial wash and brush cytology in d...
Bell’s Palsy Treatment: Comparison of Famciclovir plus Prednisolone with Prednisolone Alone
Not many Indian studies have evaluated role of antiviral drug Famciclovir in treatment of Bell’s palsy. Aim of this study was to analyze and compare clinical and electrophysiological recovery with Famciclovir plus predni...
Non Compliance to Anti-Hypertensive Medications and Associated Factors in a rural population of Barabanki District, Uttar Pradesh: A Cross-sectional study
Although hypertension is one of the most prevalent health problem among adult primary care patients, but still its recognition and treatment level are quite suboptimal.The present cross-sectional study was undertaken to...
Primary Angle Closure Glaucoma in a Tertiary Centre in South India
Abstract: To study the profile of the stages of Primary Angle Closure Glaucoma(PACG). Between October 2013 and May 2017,all consecutive patients of primary angle closure glaucoma(PACG) were enrolled at Glaucoma outpatien...
Oncogenic Human Papilloma Virus type/s Detection in Cytologically Abnormal Females – Clinical Relevance for Disease Management
A precise subset of Human Papillomavirus (HPV) genotypes, called high-risk genotypes, has now been undeniably established as the cause of invasive cervical cancer. HPV16 and 18 account for 70% to 80% of cervical cancers....