Good long-term results after tonsillectomy in ear, nose and throat practices.

INTRODUCTION

The objective was to evaluate the long-term results of outpatient tonsillectomy in Danish ear, nose and throat (ENT) practices in terms of satisfaction, quality of life (QoL) and relief of symptoms.

MATERIAL AND METHODS

A telephone interview was carried out at least three years after tonsillectomy. Alternatively, a questionnaire was filled in by the patients. The answers were compared to a pre-operative questionnaire.

RESULTS

The response rate was 63% (386/614). No differences were found between the responders and the non-responders except that the proportion of smokers was higher in the non-responder group. QoL improved significantly and 93% were satisfied with having chosen tonsillectomy. 95% experienced complete or partial relief from their former throat-related symptoms. Eight to 11% had developed new symptoms from the throat including sleep-disordered breathing.

CONCLUSION

With regard to QoL, satisfaction and relief of symptoms, the long-term results of outpatient tonsillectomy in Danish ENT practices are comparable to those obtained among hospitalized patients and they are in conformity with international standards. However, as approximately 10% develop new symptoms, it is important that physicians are aware of the indication as well as of any information received during shared decision-making with the patients/parents to adjust expectations.

FUNDING

none.

TRIAL REGISTRATION

none.