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Assessment of Quality of Life after Adenotonsillectomy in Paediatric Patients

Yellur Kavitha1, Kandhala Poojitha1, Joish Upendra Kumar2

  • 1Department of ENT, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Sattur, Dharwad, Karnataka, India.

Iranian Journal of Otorhinolaryngology
|September 24, 2025
PubMed

Insights

Adenotonsillectomy significantly improves the quality of life for children with chronic adenotonsillitis. The procedure effectively reduces both obstructive symptoms like mouth breathing and infective symptoms such as sore throat.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Quality of Life Research

Background:

  • Adenotonsillectomy is a common pediatric surgical procedure.
  • Indications include recurrent bacterial tonsillitis and airway obstruction from adenotonsillar hypertrophy.
  • Chronic adenotonsillitis impacts children's quality of life.

Purpose of the Study:

  • To assess the impact of adenotonsillectomy on quality of life (QoL) in pediatric patients (3-14 years) with chronic adenotonsillitis.
  • To evaluate the effectiveness of the procedure in alleviating obstructive and infective symptoms.
  • To utilize the Paediatric Throat Disorders Outcome Test (T-14) for symptom assessment.

Main Methods:

  • A prospective, observational study conducted over 18 months in a tertiary care hospital.
  • Included 60 pediatric patients aged 3-14 years diagnosed with chronic adenotonsillitis.
  • Paediatric Throat Disorders Outcome Test (T-14) administered preoperatively and at 6 weeks postoperatively; paired t-test used for analysis.

Main Results:

  • Prevalence of obstructive symptoms: mouth breathing (83.33%), snoring (45.00%). Infective symptom: throat pain (60%).
  • Significant reduction in T-14 scores post-adenotonsillectomy: obstructive symptoms (91.17%), infective symptoms (88.10%).
  • Statistical significance achieved (p=0.0001) for symptom reduction.

Conclusions:

  • Adenotonsillectomy significantly enhances QoL in pediatric patients with chronic adenotonsillitis.
  • The procedure demonstrates high efficacy in reducing both obstructive and infective symptoms.
  • Results support the use of adenotonsillectomy for combined adenotonsillar pathology in children.
Abstract

Keywords:
AdenotonsillectomyChronic adenotonsillitisInfective symptomsObstructive symptomsPaediatric Throat Disorders Outcome Test (T-14)Paediatric quality of life

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