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Tonsillectomy and adenoidectomy: changing trends.

R M Rosenfeld1, R P Green

  • 1Department of Otolaryngology, Mount Sinai Medical Center, New York, New York 10029.

The Annals of Otology, Rhinology, and Laryngology
|March 1, 1990
PubMed
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Tonsil and adenoid procedures decreased from 1978-1986, with a notable decline in adenoidectomies. Obstructive sleep apnea emerged as a major surgical indication, rising significantly.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Sleep Medicine

Background:

  • Tonsil and adenoid procedures are common in pediatric care.
  • Historical trends in surgical indications are important for understanding healthcare evolution.

Purpose of the Study:

  • To analyze trends in tonsil and adenoid procedures between 1978 and 1986.
  • To identify shifts in the primary indications for these surgeries.

Main Methods:

  • Retrospective review of 1,722 tonsil and adenoid procedures.
  • Data collected from 1978 to 1986.

Main Results:

  • A progressive annual decrease in the total number of procedures was observed.
  • Adenoidectomy incidence declined significantly over the study period.

Related Experiment Videos

  • Obstructive sleep apnea rose as an indication for surgery, from 0% in 1978 to 19% in 1986.

    • Conclusions:

    • Infection remains a primary reason for tonsil and adenoid surgeries.
    • Obstructive sleep apnea is an increasingly significant indication, especially in pediatric populations.
    • Awareness of adenotonsillar hypertrophy's role in sleep apnea is growing, suggesting continued trend increase.