QUALITY OF LIFE WITH CHRONIC TONSILLITIS IN ADULTS: A COMPARISON OF TONSILLECTOMY VERSUS CONSERVATIVE TREATMENT

Author:

S. Mane Rajashri1,D. Mane Shailendra2,Patil B C3,Mohite A. A.4

Affiliation:

1. Professor & HOD, Department of Otorhinolaryngology, D.Y.Patil Medical College, Kolhapur, Maharashtra.

2. Associate Professor, Department of Medicine, D.Y.Patil Medical College, Kolhapur, Maharashtra.

3. Professor, Department of Otorhinolaryngology, D.Y.Patil Medical College, Kolhapur, Maharashtra.

4. Associate Professor, Department of Otorhinolaryngology, D.Y.Patil Medical College, Kolhapur, Maharashtra

Abstract

Background: Chronic tonsillitis is a common pathology in Indian population. However, tonsillectomy is rarely preferred by adults owing to the anticipated post-operative pain and complications. Therefore, the benets of tonsillectomy in adults needs to be established. Aim:To evaluate the quality of life in adults with chronic tonsillitis undergoing tonsillectomy as compared to conservative treatment. Methodology:Atotal of 64 patients (n=44, tonsillectomy; n=20, conservative treatment) from 18-50 years were enrolled in a prospective cohort study. Patients with quinsy and malignancy of tonsils, sleep apnea were excluded. Tonsillectomy was performed by dissection and snare method. Patients were asked to ll a questionnaire, before and one year after the procedure in order to evaluate the impact of the procedure on their quality of life. Post-operative improvement in Quality of life (QoL) was assessed by Wilcoxon-sign rank test and proportion test using R studio (v 1.2.5001). Pvalue of ≤0.05 was considered signicant Results: Patients who underwent tonsillectomy had signicantly (P<0.05) lower episodes of sore throat, fever and painful swallow after one year of the procedure, as compared to people undergoing conservative treatment. There was also a signicant reduction (P<0.05) in the use of analgesics and antibiotics. Most patients (n=40) who underwent tonsillectomy were satised with the procedure and agreed that it had an overall positive impact of their lives. Conclusion: Tonsillectomy provides relief from the symptoms of tonsillitis thereby improving the Quality of Life in adults. It can thus be advised as a treatment of choice in adults with chronic tonsillitis

Publisher

World Wide Journals

Subject

Linguistics and Language,Language and Linguistics,Linguistics and Language,Education,Language and Linguistics,Cognitive Neuroscience,Linguistics and Language,Experimental and Cognitive Psychology,Language and Linguistics,Linguistics and Language,Education,Language and Linguistics,Speech and Hearing,Linguistics and Language,Language and Linguistics,Linguistics and Language,Language and Linguistics,Linguistics and Language,Sociology and Political Science,Communication,Language and Linguistics,Cultural Studies,Linguistics and Language,Linguistics and Language,Language and Linguistics,Plant Science

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