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CO2-Lasertonsillotomy Under Local Anesthesia in Adults

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[Evidence-based Indications for Tonsillectomy].

¹Klinik für HNO-Krankheiten, Plastische Kopf- und Hals-Chirurgie, Allergologie, Kliniken Maria Hilf, Mönchengladbach.

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|April 30, 2016

Summary

This summary is machine-generated.

This systematic review examines tonsillectomy (TE) indications since 1984, finding it effective for sleep-related breathing disorders and recurrent tonsillitis in children. However, TE is not recommended for otitis media with effusion or routine abscess treatment.

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Area of Science:

Otolaryngology
Evidence-Based Medicine
Pediatric Surgery

Background:

A landmark 1984 trial established tonsillectomy (TE) efficacy for severe recurrent throat infections in children.
This review compiles post-1984 indications for TE, assessing them against current Evidence-Based Medicine standards.

Purpose of the Study:

To systematically review and categorize indications for tonsillectomy (TE) published after 1984.
To evaluate these indications based on Evidence-Based Medicine principles.

Main Methods:

Systematic literature search of Medline, Cochrane Database, National Guideline Clearinghouse, and other databases (1984-2015).
Keywords included "tonsillectomy" combined with "systematic reviews," "meta-analysis," and specific conditions.
Data were filtered for relevance and stratified by indication.

Main Results:

57 papers met inclusion criteria, covering indications such as peritonsillar abscess, PFAPA syndrome, renal diseases, sleep-related breathing disorders, and tonsillitis/pharyngitis.
TE is effective for sleep-related breathing disorders in children but may be less beneficial with comorbidities.
Evidence for TE in PFAPA syndrome, psoriasis, and IgA nephropathy is inconclusive, requiring further research.

Conclusions:

Tonsillectomy is not indicated for otitis media with effusion.
While TE is effective for sleep-related breathing disorders, its role in PFAPA syndrome, psoriasis, and IgA nephropathy requires further investigation.
High-quality randomized controlled trials are needed to clarify the long-term benefits of TE for recurrent tonsillitis, considering factors like age and quality of life.