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05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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Indications for tonsillectomy: a 10 year retrospective review.
Hetal Harish Patel1, Chelsey E Straight1, Erik B Lehman2
1Department of Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
International Journal of Pediatric Otorhinolaryngology
|December 3, 2014
Summary
Obstructive sleep apnea (OSA) is the primary reason for tonsillectomy, showing an increasing trend. Recurrent tonsillitis is also a common indication, particularly in girls and older children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Sleep Medicine
Background:
- Tonsillectomy is frequently performed for recurrent tonsillitis and obstructive sleep apnea (OSA).
- Understanding trends in surgical indications is crucial for healthcare resource allocation.
Purpose of the Study:
- To analyze the recent trends in indications for tonsillectomy at a single institution.
- To determine if recurrent tonsillitis is increasing as a primary indication for tonsillectomy.
Main Methods:
- Retrospective chart review of 2369 patients undergoing tonsillectomy between 2003 and 2012.
- Patients categorized by indication: OSA, recurrent tonsillitis with OSA, recurrent tonsillitis alone, or other.
- Comparison with existing literature.
Main Results:
- Obstructive sleep apnea (OSA) was the predominant indication for tonsillectomy (67%), with a significant increasing trend (p<0.0001).
- Recurrent tonsillitis was more common in girls (21% vs. 17%) and older children (>5 years).
- 42% of patients had pre-operative sleep studies, with younger children more likely to undergo testing.
Conclusions:
- Obstructive sleep apnea remains the most common indication for tonsillectomy.
- While yearly variations exist, OSA consistently drives tonsillectomy rates.
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