THE EFFECT OF ADENOTONSILLECTOMY ON THE QUALITY OF LIFE AMONG CHILDREN TWO TO THIRTEEN YEARS OF AGE

Volume 7 , Issue 2 , August 2017 , Pages 185-194

Authors

Sherko Saeed Fathulla Zmnako 1 ; Yusuf Ibrahim Chalabi 1 ; Said Mustafa Said 2 ; Huner Mohamed Hama Ameen 3 ; Rekawt Hama Rashid Krim 4 ; Mohammed Subhan Mohammed 5

1 Department of Surgery, College of Medicine, University of Sulaimani.

2 Hawler Medical University.

3 Sulaimani ENT- Head and Neck Surgery Teaching Center.

4 Shorsh Teaching Hospital, Otolaryngology Center.

5 Halabja General Hospital

DOI logo 10.17656/jsmc.10120

Keywords

Abstract

Background
The tonsils and adenoid enlargement are the most common cause of respiratory tract obstruction in children
and cause obstructive sleep apnea and snoring. These children may present with recurrent upper respiratory
tract infection with frequent antibiotic uses. Parents may worry about some alteration in children’s behavior
and development which are caused by adenotonsillar enlargement.
Objectives
To evaluate the quality of life of children with adenotonsillar enlargement, recurrent and chronic tonsillitis
before and after adenotonsillectomy.
Patients and Methods
A prospective observational study done. Data collected from (January 2015 to end of July, 2015). Parents of 118
children who underwent adenotonsillectomy in (ENT, Head and Neck Surgery – Sulaimani Teaching Center)
were interviewed before the operation and 6 months after the operation, by using the questionnaire about
quality of life, physical problems, sleeping problems, speech and swallowing problems, emotional discomfort,
limitation of activities and parents’ concerns; each of them scored from zero to six.
Results
The score obtained by the questionnaire after adenotonsillectomy significantlyreduced as compared to the
score obtained before the operation. Symptoms which have the highest scores before the operation are nasal
obstruction and snoring. There was a decrease in the number of upper respiratory tract infections after the
adenotonsillectomy. There was a significant decrease in the use of antibiotics after adenotonsillectomy.
Conclusion
We conclude that the quality of life of these children improved after adenotonsillectomy, especially the physical
problems and sleep problems, the number of upper respiratory tract infections decreased and the decrease in
the use of antibiotics, but children who have had symptoms of rhinitis had less improvement in their quality of
life compared to the children who didn’t have these symptoms.

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