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Weight gain in children following tonsillectomy

G S Barr1, J Osborne

  • 1Department of Otolaryngology, Ninewells Hospital & Medical School, Dundee, Scotland.

Insights

Children undergoing tonsillectomy for recurrent tonsillitis experienced significant weight gain, averaging 20% above expected, regardless of pre-operative weight. This weight increase was associated with improved appetite and fewer sore throats post-surgery.

Area of Science:

  • Pediatric Health
  • Otolaryngology
  • Surgical Outcomes

Background:

  • Controversial evidence exists regarding weight gain in children after tonsillectomy.
  • Tonsillectomy is often associated with general health improvements.

Purpose of the Study:

  • To investigate weight changes in children following tonsillectomy for recurrent tonsillitis.
  • To assess the association between tonsillectomy, weight gain, and symptom improvement.

Main Methods:

  • One hundred and nine children undergoing tonsillectomy for recurrent tonsillitis were studied.
  • Weight was recorded pre-operatively and 12 months post-surgery.
  • Symptom charts were completed to assess health improvements.

Main Results:

  • Children's median pre-operative weight was at the 55th percentile, indicating they were generally not underweight.
  • Post-surgery, weights increased by an average of 20% over expected values.
  • Weight gain occurred across the entire group, not just in underweight children.

Conclusions:

  • Tonsillectomy for recurrent tonsillitis is associated with significant weight gain in children.
  • Improved appetite and reduced sore throats were commonly reported post-surgery.
  • Weight gain is a common outcome for all children after tonsillectomy, irrespective of initial weight status.

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