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[Tonsil Surgery in Germany: Rates, Numbers and Trends]
1Klinik für HNO-Krankheiten, Plastische Kopf- und Hals-Chirurgie, Allergologie, Kliniken Maria Hilf, Mönchengladbach.
Laryngo- Rhino- Otologie
|April 30, 2016
Summary
Tonsillectomy rates decreased, while tonsillotomies increased, particularly in males. Post-tonsillectomy hemorrhage is linked to male gender and age over 10, indicating a shift in tonsil surgery trends.
Area of Science:
- Otolaryngology
- Public Health
- Epidemiology
Background:
- Tonsillectomy rates exhibit significant geographical and temporal variations.
- Prevalence of chronic tonsillitis, peritonsillar abscess, and tonsillar hyperplasia requires investigation.
- Surgical interventions for tonsil-related conditions and their outcomes need evaluation.
Purpose of the Study:
- Determine the prevalence of tonsillitis and related conditions in an 80 million population.
- Analyze trends in surgical procedures for tonsil diseases from 2000 to 2013.
- Assess post-tonsillectomy hemorrhage rates concerning age and gender.
Main Methods:
- Utilized data from the Federal Institute of Statistics for calculations.
- Analyzed disease prevalence stratified by ICD-10 codes.
- Evaluated surgical procedure numbers and hemorrhage rates up to 2013.
Main Results:
- Diagnosed tonsil diseases decreased by 38.5% from 2000 to 2013.
- Tonsillectomies declined by 30.3%, with a notable decrease in patients under 20.
- Tonsillotomies significantly increased, while peritonsillar abscess cases remained constant; hemorrhage rates were higher in males over 10.
Conclusions:
- Chronic tonsillitis treatment via tonsillectomy decreased, especially in females.
- Tonsillotomy rates rose, particularly in males, suggesting a procedural shift.
- Post-tonsillectomy hemorrhage is associated with male gender and age >10, necessitating health system surveillance.
