Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan;105(1):68-71.
doi: 10.1308/rcsann.2022.0011. Epub 2022 Apr 21.

Paediatric quality-of-life following adenotonsillectomy: an evaluation of T14 paediatric throat disorder quality-of-life outcomes according to operative indication

P M Puttasiddaiah  1 , S Morris  1 , R C Costello  1 , H B Whittet  1
Affiliations

Paediatric quality-of-life following adenotonsillectomy: an evaluation of T14 paediatric throat disorder quality-of-life outcomes according to operative indication

P M Puttasiddaiah et al. Ann R Coll Surg Engl. 2023 Jan.

Abstract

Introduction: Adenotonsillectomy is the most common surgical intervention for obstructive sleep apnoea (OSA) or recurrent tonsillitis. The Paediatric Throat Disorder Quality of Life Outcome (T14) questionnaire is a validated tool completed by parents to compare the outcome of surgery by measuring the pre- and postoperative scores. This study was undertaken to evaluate the quality-of-life outcome in children undergoing surgical intervention for recurrent tonsillitis and/or OSA.

Methods: This was a prospective, uncontrolled study of 117 children who underwent adenotonsillectomy and tonsillectomy at a single tertiary ear, nose and throat department. An analysis of pre- and postoperative T14 paediatric throat disorder quality-of-life outcomes was undertaken at 12 months.

Results: Of the 117 children, 105 were included in the study sample; 75 with recurrent tonsillitis, 8 with OSA and 22 with both tonsillitis and OSA. All children had an improved T14 score postoperatively. The greatest change in pre- and postoperative T14 score was observed in the tonsillitis and OSA combined group (mean change -29.36, p<0.001). However, an improvement in T14 score was also noted in the tonsilitis (-24.453, p<0.001) and OSA groups (-14.25, p<0.001).

Conclusions: This study found a statistically significant improvement in the T14 quality-of-life score at 12 months postoperatively in children undergoing adenotonsillectomy. This demonstrates improved parental perception of their child's symptoms for all operative indications of adenotonsillectomy.

Keywords: Adenotonsillectomy; OSA; Paediatrics; T14 quality-of-life outcome; Tonsillitis.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Comparison of pre- and postoperative T14 scores in the three patient cohorts (showing mean and sd)
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Royal College of Surgeons of England. Procedures of Limited Clinical Value. Royal College of Surgeons Briefing. London: RCS; 2011.
    1. Marcus CL, Moore RH, Rosen CLet al. . A randomized trial of adenotonsillectomy for childhood sleep apnea. N Engl J Med 2013; 368: 2366–2376. - PMC - PubMed
    1. Jeon YJ, Song JJ, Ahn JCet al. . Immediate and sustained improvement in behaviour and life quality by adenotonsillectomy in children with sleep-disordered breathing. Clin Exp Otorhinolaringol 2016; 9: 136–142. - PMC - PubMed
    1. Devlin NJ, Parkin D, Browne J. Patient-reported outcome measures in the NHS: new methods for analysing and reporting EQ-5D data. Health Econ 2010; 19: 886–905. - PubMed
    1. Franco RA, Rosenfeld RM, Rao M. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg 2000; 123: 9–16. - PubMed