Efficacy of tonsillectomy for pediatric patients with dysphagia and tonsillar hypertrophy

Daniel Clayburgh, Henry Milczuk, Steve Gorsek, Nancy Sinden, Kandice Bowman, Carol Macarthur

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: To determine the effectiveness of tonsillectomy for the treatment of dysphagia related to tonsillar hypertrophy. Design: Prospective cohort study. Setting: Tertiary care pediatric otolaryngology practice. Participants: Eighty-five children aged 2 to 14 years referred for tonsillectomy owing to dysphagia related to tonsillar hypertrophy (dysphagia cohort) or for other indications (control cohort). Interventions: Swallowing Quality of Life (SWALQOL) dysphagia questionnaires were administered at the initial clinic visit, on the day of surgery, and at 1 month and 6 months after surgery. Patients were weighed on the day of surgery and at 1 month after surgery. Main Outcome Measures: The primary outcome measure was the SWAL-QOL score. Secondary outcome measures were the type of diet consistency patients tolerated at home and the weight percentile for age. Results: Of 85 patients enrolled, 57 went on to have surgery, completed at least 1 postoperative questionnaire, and were included in the data analysis. At 1 month after tonsillectomy, the dysphagia cohort (n=18) demonstrated improved SWAL-QOL scores (mean [SD], 58.4 [4.8] before surgery vs 82.4 [5.3] after surgery; P

Original languageEnglish (US)
Pages (from-to)1197-1202
Number of pages6
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume137
Issue number12
DOIs
StatePublished - Dec 2011

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Tonsillectomy
Deglutition Disorders
Hypertrophy
Pediatrics
Outcome Assessment (Health Care)
Ambulatory Surgical Procedures
Otolaryngology
Tertiary Healthcare
Deglutition
Ambulatory Care
Cohort Studies
Quality of Life
Prospective Studies
Diet
Weights and Measures

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Efficacy of tonsillectomy for pediatric patients with dysphagia and tonsillar hypertrophy. / Clayburgh, Daniel; Milczuk, Henry; Gorsek, Steve; Sinden, Nancy; Bowman, Kandice; Macarthur, Carol.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 137, No. 12, 12.2011, p. 1197-1202.

Research output: Contribution to journalArticle

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