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Impact of adenotonsillectomy on pediatric quality of life: review of the literature

Adenotonsillectomy (ADT) is one of the most widely used procedures in the treatment of paediatric recurrent acute tonsillitis (RAT) and obstructive sleep apnoea syndrome (OSAS), both of which have significant repercussions on the patients’ quality of life (QoL). The purpose of our review of literatu...

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Autores principales: Torretta, Sara, Rosazza, Chiara, Pace, Maria Elisabetta, Iofrida, Elisabetta, Marchisio, Paola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702149/
https://www.ncbi.nlm.nih.gov/pubmed/29178907
http://dx.doi.org/10.1186/s13052-017-0424-2
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author Torretta, Sara
Rosazza, Chiara
Pace, Maria Elisabetta
Iofrida, Elisabetta
Marchisio, Paola
author_facet Torretta, Sara
Rosazza, Chiara
Pace, Maria Elisabetta
Iofrida, Elisabetta
Marchisio, Paola
author_sort Torretta, Sara
collection PubMed
description Adenotonsillectomy (ADT) is one of the most widely used procedures in the treatment of paediatric recurrent acute tonsillitis (RAT) and obstructive sleep apnoea syndrome (OSAS), both of which have significant repercussions on the patients’ quality of life (QoL). The purpose of our review of literature was to highlight the great variety of tools that are currently used to evaluate QoL in children, to examine data available on their efficacy and the feasibility of their use in daily clinical practice, and to determine possible limitations related to an indirect and subjective assessment of QoL in children. Although the use of different parameters makes it difficult to compare the published studies, an analysis of the evidence currently available in the literature suggests that ADT has a generally positive impact on the QoL (especially in case of OSAS). It also highlights the importance of combining tonsillectomy and adenoidectomy in the treatment of OSAS, and documents the comparability of tonsillectomy and tonsillotomy in improving obstructive symptoms. In conclusion, our findings suggest that literature supports that ADT is associated with positive changes in QOL; however further studies using comparable standardised criteria are necessary to confirm the size and duration of this benefit.
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spelling pubmed-57021492017-12-04 Impact of adenotonsillectomy on pediatric quality of life: review of the literature Torretta, Sara Rosazza, Chiara Pace, Maria Elisabetta Iofrida, Elisabetta Marchisio, Paola Ital J Pediatr Review Adenotonsillectomy (ADT) is one of the most widely used procedures in the treatment of paediatric recurrent acute tonsillitis (RAT) and obstructive sleep apnoea syndrome (OSAS), both of which have significant repercussions on the patients’ quality of life (QoL). The purpose of our review of literature was to highlight the great variety of tools that are currently used to evaluate QoL in children, to examine data available on their efficacy and the feasibility of their use in daily clinical practice, and to determine possible limitations related to an indirect and subjective assessment of QoL in children. Although the use of different parameters makes it difficult to compare the published studies, an analysis of the evidence currently available in the literature suggests that ADT has a generally positive impact on the QoL (especially in case of OSAS). It also highlights the importance of combining tonsillectomy and adenoidectomy in the treatment of OSAS, and documents the comparability of tonsillectomy and tonsillotomy in improving obstructive symptoms. In conclusion, our findings suggest that literature supports that ADT is associated with positive changes in QOL; however further studies using comparable standardised criteria are necessary to confirm the size and duration of this benefit. BioMed Central 2017-11-25 /pmc/articles/PMC5702149/ /pubmed/29178907 http://dx.doi.org/10.1186/s13052-017-0424-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Torretta, Sara
Rosazza, Chiara
Pace, Maria Elisabetta
Iofrida, Elisabetta
Marchisio, Paola
Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title_full Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title_fullStr Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title_full_unstemmed Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title_short Impact of adenotonsillectomy on pediatric quality of life: review of the literature
title_sort impact of adenotonsillectomy on pediatric quality of life: review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702149/
https://www.ncbi.nlm.nih.gov/pubmed/29178907
http://dx.doi.org/10.1186/s13052-017-0424-2
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