Rajendiran Abinaya, Amalanathan Sophia, Alias Ramesh Colbert Kumaran, Kumar Satish
Indira Gandhi Medical College & Research Institute, Department of ENT, Kathirkamam, Puducherry India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):145-152. doi: 10.1007/s12070-023-04113-5. Epub 2023 Aug 26.
To determine the indications of adenotonsillectomy and to evaluate the quality-of-life post-adenotonsillectomy surgery.
This is a descriptive cross-sectional study done in the department of ENT, Indira Gandhi Medical College and Research Institute (IGMCRI), Puducherry among patients who underwent adenotonsillectomy surgery from the year 2015 to 2022. The data regarding their clinical profile and indications for surgery were collected from the medical case records and these patients were contacted through telephone to know their quality of life using a standardized questionnaire.
A total of 98 patients were included in the study, 43 males and 55 females, between the age of 4 to 48 years. Adenotonsillitis (infection) was the indication for adenotonsillectomy in 69 out of 98 patients (70.4%), and Adenotonsillar hypertrophy (Obstruction) in 29 out of 98 patients (29.5%). Postoperatively, the symptoms like frequency of episodes of throat pain had decreased from 6.162.08 to 1.240.44 (p<0.001), snoring (72-1%), mouth breathing (70.4-3.1%), average number of doctor visits due to throat pain (3.911.44 to 1) and average number of days absent to school/ work (3.81 1.26 to nil) had decreased significantly.
Adenotonsillitis (Infection) as an indication is more common than adenotonsillar hypertrophy (Obstruction) for performing adenotonsillectomy in our study. Majority of the patient's symptoms had markedly decreased post-surgery and hence a significant improvement in overall quality of life, both physical and general well-being.
The online version contains supplementary material available at 10.1007/s12070-023-04113-5.
确定腺样体扁桃体切除术的适应症，并评估腺样体扁桃体切除术后的生活质量。
这是一项描述性横断面研究，在本地治里英迪拉·甘地医学院及研究所（IGMCRI）耳鼻喉科对2015年至2022年期间接受腺样体扁桃体切除术的患者进行。从医疗病例记录中收集他们的临床资料和手术适应症数据，并通过电话联系这些患者，使用标准化问卷了解他们的生活质量。
本研究共纳入98例患者，年龄在4至48岁之间，其中男性43例，女性55例。98例患者中有69例（70.4%）因腺样体扁桃体炎（感染）而进行腺样体扁桃体切除术，98例患者中有29例（29.5%）因腺样体扁桃体肥大（阻塞）而进行手术。术后，咽痛发作频率从6.16±2.08降至1.24±0.44（p<0.001），打鼾（72% - 1%）、口呼吸（70.4% - 3.1%）、因咽痛看医生的平均次数（3.91±1.44至1）以及缺课/缺勤的平均天数（3.81±1.26至零）均显著下降。
在我们的研究中，腺样体扁桃体炎（感染）作为腺样体扁桃体切除术的适应症比腺样体扁桃体肥大（阻塞）更为常见。大多数患者术后症状明显减轻，因此身体和总体幸福感方面的整体生活质量有显著改善。
在线版本包含可在10.1007/s12070 - 023 - 04113 - 5获取的补充材料。
