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 Scopus citations

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
Publication statusPublished - Dec 2011

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ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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