Safety and long-term efficacy of tonsillectomy versus subtotal tonsillectomy in children with sleep disordered breathing

Katia Averbukh, Adi Goldbart, Aviv Goldbart, Asher Tal, Daniel M. Kaplan, Moshe Puterman, Sabri El-Saied, Ben Zion Joshua

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objectives: to compare safety and long-term symptoms after TE compared to Subtotal Tonsillectomy (STT). Methods: A retrospective review data of 412 patients, one to twelve years old that underwent either TE or STT, as treatment for sleep disorder breathing, at two different medical centers. Symptoms were assessed by a questionnaire 3–5 years post-surgery. Additionally, data regarding immediate post-operative symptoms and complications were also collected. Results: Long-term symptoms score was significantly lower in the TE group: 1.585 (±1.719) compared to 1.967 (±1.815) in the STT group (p = 0.033); 51.3% of patients in the ST group presented long-term SDB symptoms, compared to 40.6% in the TE group (p = 0.035); The main difference between the groups was snoring as 49% of the STT group suffered from snoring, versus 28.9% in the TE group (p < 0.001). Conclusions: TE showed an advantage over STT in resolving snoring in the long term.

    Original languageEnglish
    Article number103494
    JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
    Volume43
    Issue number4
    DOIs
    StatePublished - 1 Jul 2022

    Keywords

    • Obstructive sleep apnea
    • Sleep disordered breathing
    • Snoring
    • Subtotal tonsillectomy
    • Tonsillectomy

    ASJC Scopus subject areas

    • Otorhinolaryngology

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