Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children.

@article{Paradise2002TonsillectomyAA,
  title={Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children.},
  author={Jack L. Paradise and Charles D. Bluestone and D. Kathleen Colborn and Beverly S. Bernard and Howard E. Rockette and Marcia Kurs-Lasky},
  journal={Pediatrics},
  year={2002},
  volume={110 1 Pt 1},
  pages={
          7-15
        }
}
OBJECTIVE In previous clinical trials involving children severely affected with recurrent throat infection (7 or more well-documented, clinically important, adequately treated episodes of throat infection in the preceding year, or 5 or more such episodes in each of the 2 preceding years, or 3 or more such episodes in each of the 3 preceding years), we found tonsillectomy efficacious in reducing the number and severity of subsequent episodes of throat infection for at least 2 years. The results… 
Tonsillectomy and adenotonsillectomy showed modest benefits in children moderately affected with recurrent throat infection
TLDR
Children’s hospital in Pittsburgh, Pennsylvania, USA; Randomised, unblinded, controlled trial with 3 years of follow up.
Outcomes assessment in tonsil and adenoid disease
  • M. Stewart
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2008
Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis.
TLDR
This review includes seven trials with low to moderate risk of bias comparing tonsillectomy (with or without adenoidectomy) with non-surgical treatment in adults and children with chronic/recurrent acute tonsillitis and found no significant difference in the number of sore throat days.
Adenotonsillectomy in Children with Recurrent Acute Tonsillitis: Review and Implications for Practice Adenotonsillectomy in Recurrent Acute Tonsillitis
  • S. Torretta
  • Medicine
    Biomedical Journal of Scientific & Technical Research
  • 2018
TLDR
The evidence suggests that although significant, the effect of tonsillectomy in children with moderate to severe RAT is modest and limited to 12 months post-operatively.
Tonsillectomy for Recurrent Sore Throats in Children
  • J. Barraclough, S. Anari
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2014
TLDR
The reasons why there is a lack of robust clinical evidence for tonsillectomy efficacy are explored despite good evidence of positive reported outcomes from parents of children who undergo the procedure are explored.
Adenotonsillectomy for upper respiratory infections: evidence based?
TLDR
(Adeno)tonsillectomy gives an additional, but small, reduction of sore throats episodes, days of sore throat associated school absence, and upper respiratory infections compared to watchful waiting compared toWatchful waiting.
Effectiveness of adenoidectomy in children with recurrent upper respiratory tract infections: open randomised controlled trial
TLDR
A multi-center randomised controlled trial looking at the clinical and cost-effectiveness of adenoidectomy in 111 children aged 1-6 years with recurrent URTIs concluded that in children selected for adenoidsectomy for recurrent U RTIs, immediate adenoidalectomy confers no clinical benefit over an initial watchful waiting strategy and results in an increase in costs.
Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review
TLDR
Throat infections, utilization, and school absences improved in the first postsurgical year in tonsillectomized children versus children not receiving surgery; benefits did not persist over time; longer-term outcomes are limited.
[Tonsillitis and sore throat in childhood].
TLDR
Tonsillectomy in children is justified if 7 or more well-documented, clinically important, adequately treated episodes of throat infection occur in the preceding year, or 5 or more such episodes occur in each of the 2 preceding years.
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The results warrant the election of tonsillectomy for children meeting the trials' stringent eligibility criteria, but also provide support for nonsurgical management.
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TLDR
The study showed limited and short-term efficacy of both adenoidectomy and adenotonsillectomy; given the risks, morbidity, and costs of these procedures, these data suggest that neither operation should ordinarily be considered as a first surgical intervention in children whose only indication is recurrent acute otitis media.
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TLDR
A study currently under way focuses on just such children most affected by tonsil- and adenoid-related conditions and also explores related immunologic issues.
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TLDR
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