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Study on risk factors for postoperative cough in children with hypertrophy of tonsils and adenoids

Hong Mei Jiang1, Xiao Yu Meng1, Xing He Zhao2

  • 1Department of Pediatric Otorhinolaryngology, Suzhou Wujiang District Children's Hospital, Suzhou, Jiangsu, China.

Frontiers in Pediatrics
|January 29, 2026
PubMed

Insights

Younger age and comorbid sinusitis increase the risk of postoperative cough in children undergoing tonsillectomy and adenoidectomy. Identifying these factors aids in managing post-surgical outcomes for pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Surgical Outcomes Research

Background:

  • Tonsil and adenoid hypertrophy commonly affects children.
  • Tonsillectomy and adenoidectomy are standard procedures for this condition.
  • Postoperative cough is a potential complication.

Purpose of the Study:

  • To identify risk factors for postoperative cough in children after tonsillectomy and adenoidectomy.
  • To analyze demographic and clinical variables associated with cough development.

Main Methods:

  • A cohort of 182 children with tonsil and adenoid hypertrophy was studied.
  • Patients were divided into groups based on the presence or absence of postoperative cough.
  • Multivariate logistic regression was employed for risk factor analysis.

Main Results:

  • Significant differences were observed in age, preoperative white blood cell counts, chest X-ray findings, and comorbid sinusitis or allergic rhinitis.
  • Younger age and comorbid sinusitis were identified as independent risk factors for postoperative cough.

Conclusions:

  • Younger age is a significant risk factor for developing postoperative cough.
  • Comorbid sinusitis is a key predictor of cough occurrence following pediatric tonsillectomy and adenoidectomy.
Abstract

Keywords:
adenoids hypertrophypediatric sleep-disordered breathingpostoperative coughrisk factorstonsil hypertrophy

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