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Impact of Adenotonsillectomy in Children Suffering From Recurrent Upper Respiratory Tract Infections

M M H Akanda1, H S M Hossain, M M Islam

  • 1Dr Md Mobarak Hosen Akanda, Registrar, Department of ENT & Head-Neck Surgery, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh;

Mymensingh Medical Journal : MMJ
|December 31, 2025
PubMed

Insights

Adenotonsillectomy significantly reduces throat pain, cough severity, and fever in children with recurrent upper respiratory tract infections (URTIs). Over half of the pediatric patients experienced symptomatic improvement after the procedure.

Area of Science:

  • Otolaryngology-Head and Neck Surgery
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Adenotonsillectomy is a common pediatric surgical procedure.
  • Recurrent upper respiratory tract infections (URTIs) are a primary indication for adenotonsillectomy in children.
  • Evaluating the efficacy of adenotonsillectomy for URTIs is crucial for clinical decision-making.

Purpose of the Study:

  • To investigate the effectiveness of adenotonsillectomy in reducing symptoms associated with recurrent URTIs in pediatric patients.
  • To analyze the impact of adenotonsillectomy on fever, throat pain, and cough severity in children.
  • To assess the symptomatic improvement in children following adenotonsillectomy for recurrent URTIs.

Main Methods:

  • A prospective observational study was conducted involving 82 children diagnosed with recurrent URTIs who underwent adenotonsillectomy.
  • Data on fever, throat pain (Visual Analogue Scale), and cough severity (Cough Symptoms Score) were collected preoperatively and at 2 weeks, 1 month, and 3 months postoperatively.
  • Statistical analysis was performed to compare symptom severity before and after the surgical intervention.

Main Results:

  • At 3 months post-surgery, 51.2% of patients reported reduced pain intensity. Daytime coughing frequency decreased from 17.4% preoperatively to 7.3% at 3 months.
  • Night-time cough prevalence showed a reduction from 64.6% (waking only) preoperatively to 35.4% at 3 months.
  • Mean body temperature significantly decreased from 38.4°C preoperatively to 37.7°C at 3 months (p<0.001), indicating effective fever reduction.

Conclusions:

  • Adenotonsillectomy demonstrates significant effectiveness in alleviating throat pain, cough severity, and fever in children suffering from recurrent URTIs.
  • Approximately half of the pediatric patients experienced notable symptomatic improvement after undergoing adenotonsillectomy.
  • The findings support adenotonsillectomy as an effective treatment for recurrent URTIs in children, leading to improved quality of life.

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