期刊
AMERICAN JOURNAL OF OTOLARYNGOLOGY
卷 43, 期 4, 页码 -出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2022.103494
关键词
Obstructive sleep apnea; Sleep disordered breathing; Tonsillectomy; Snoring; Subtotal tonsillectomy
This study aims to compare the safety and long-term symptoms between tonsillectomy and subtotal tonsillectomy. The results show that tonsillectomy has an advantage in resolving snoring in the long term.
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.
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