A review of tonsillectomy for recurrent throat infection.

نویسنده

  • T Marshall
چکیده

Tonsillectomy is most frequently carried out for recurrent throat infection, but there is uncertainty about its effectiveness. This paper reviews the evidence of its effectiveness obtained from a search of the Cochrane database and MEDLINE for randomized controlled trials comparing tonsillectomy with non-surgical management of recurrent throat infection. The results show that the effectiveness of a procedure such as tonsillectomy, needs to be considered in the light of its adverse effects. Attempts should be made to inform patients about the uncertainty surrounding the procedure.

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منابع مشابه

Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review.

CONTEXT The effectiveness of tonsillectomy or adenotonsillectomy ("tonsillectomy") for recurrent throat infection compared with watchful waiting is uncertain. OBJECTIVE To compare sleep, cognitive, behavioral, and health outcomes of tonsillectomy versus watchful waiting in children with recurrent throat infections. DATA SOURCES MEDLINE, Embase, and the Cochrane Library. STUDY SELECTION Tw...

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Tonsillectomy or adenotonsillectomy (“tonsillectomy”) represent more than 15 percent of all surgical procedures in children under the age of 15 years. 2 The primary indication for tonsillectomy has shifted over the last 20 years from recurrent throat infections to obstructive sleep-disordered breathing (OSDB) and obstructive sleep apnea (OSA). 4 Widely variable national and small area tonsillec...

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Tonsillectomy as prevention and treatment of sleep-disordered breathing: a report of 23 cases

BACKGROUND The paradigm of tonsillectomy has shifted from a treatment of recurrent throat infection to one of multi-discipline management modalities of sleep-disordered breathing (SDB). While tonsillectomy as a treatment for throat problems has been performed almost exclusively by otorhinolaryngologists, tonsillectomy as a part of the armamentarium for the multifactorial, multidisciplinary ther...

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Protocol for north of England and Scotland study of tonsillectomy and adeno-tonsillectomy in children (NESSTAC). A pragmatic randomised controlled trial comparing surgical intervention with conventional medical treatment in children with recurrent sore throats

BACKGROUND Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent ...

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

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...

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عنوان ژورنال:
  • The British journal of general practice : the journal of the Royal College of General Practitioners

دوره 48 431  شماره 

صفحات  -

تاریخ انتشار 1998