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Research ArticleEvidence-Based Clinical Medicine

Current Indications for Tonsillectomy and Adenoidectomy

David A. Randall
The Journal of the American Board of Family Medicine November 2020, 33 (6) 1025-1030; DOI: https://doi.org/10.3122/jabfm.2020.06.200038
David A. Randall
 
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References

  1. 1.↵
    1. Ebell M,
    2. Siwek J,
    3. Weiss B,
    4. et al
    . Strength of Recommendation Taxonomy (SORT): A patient-centered approach to grading evidence in the medical literature. J Am Board Fam Pract 2004;17:59–67.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Mitchel R,
    2. Archer S,
    3. Ishman S,
    4. et al
    . Clinical practice guideline: tonsillectomy in children (update). Otolaryngol Head Neck Surg 2019;160:S1–S42.
    OpenUrl
  3. 3.↵
    1. Alho OP,
    2. Koivunen P,
    3. Penna T,
    4. Teppo H,
    5. Koskela M,
    6. Luotonen J
    . Tonsillectomy versus watchful waiting in recurrent streptococcal pharyngitis in adults: randomized controlled trial. Br Med J 2007;334:939–44.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Koskenkorva T,
    2. Koivunen P,
    3. Koskela M,
    4. Niemela O,
    5. Kristo A,
    6. Alho O
    . Short-term outcomes of tonsillectomy in adult patients with recurrent pharyngitis: a randomized controlled trial. Can Med Assoc J 2013;14:E331–E336.
    OpenUrl
  5. 5.↵
    1. Epstein LJ,
    2. Kristo D,
    3. Strollo PJ,
    4. et al
    . Clinical guideline for the evaluation, management, and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 2009;5:263–76.
    OpenUrlPubMedWeb of Science
  6. 5.
    1. Heidemann CH,
    2. Lous J,
    3. Berg J,
    4. et al
    . Danish guidelines on management of otitis media in preschool children. Int J Pediatr Otorhinolaryngol 2016;87:154–63.
    OpenUrl
  7. 7.↵
    1. Gisselsson-Solen M
    . Acute otitis media in children—Current treatment and prevention. Curr Infec Dis Rep 2015;17:22–8.
    OpenUrl
  8. 8.↵
    1. Mikals S,
    2. Brigger M
    . Adenoidectomy as adjuvant to primary tympanostomy tube placement a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg 2014;140:95–101.
    OpenUrl
  9. 9.↵
    1. Granath A
    . Recurrent otitis media: what are the options for treatment and prevention? Curr Otorhinolaryngol Rep 2017;5:93–100.
    OpenUrl
  10. 10.↵
    1. Burton M,
    2. Glasziou P,
    3. Chong L,
    4. Venekamp R
    . Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent tonsillitis. Cochrane Database System Rev 2014;1:1–62.
    OpenUrl
  11. 11.↵
    1. Paradise J,
    2. Bluestone C,
    3. Bachman R,
    4. et al
    . Efficacy of tonsillectomy for recurrent throat infection in severely affected children. N Engl J Med 1984;310:674–83.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Barraclough J,
    2. Anari S
    . Tonsillectomy for recurrent sore throats in children: indications, outcomes, and efficacy. Otolaryngol Head Neck Surg 2014;150:722–9.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Paradise J,
    2. Bluestone C,
    3. Colborn D,
    4. Bernard B,
    5. Rockett H,
    6. Kurs-Lasky M
    . Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics 2002;110:7–15.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. van Staaij BK,
    2. van den Akker EH,
    3. Rovers MM,
    4. Hordijk GJ,
    5. Hoes AW,
    6. Schilder AGM
    . Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomized trial. Br Med J 2004;329:651–6.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Johnson R,
    2. Stewart M,
    3. Wright C
    . An evidence-based review of the treatment of peritonsillar abscess. Otolaryngol Head Neck Surg 2003;128:332–43.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Herzon F
    . Peritonsillar abscess: incidence, current management practices, and a proposal for treatment guidelines. Laryngoscope 1995;105:1–17.
    OpenUrlPubMedWeb of Science
  17. 17.↵
    1. Baldassari C,
    2. Mitchell R,
    3. Schubert C,
    4. Rudnick E
    . Pediatric obstructive sleep apnea and quality of life: a meta-analysis. Otolaryngol Head Neck Surg 2008;138:265–73.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Patel H,
    2. Straight C,
    3. Lehman E,
    4. Tanner M,
    5. Carr M
    . Indications for tonsillectomy: a 10-year retrospective review. Int J Pediatr Otorhinolaryngol 2014;78:2151–5.
    OpenUrl
  19. 19.↵
    1. Todd C,
    2. Bareiss A,
    3. McCoul E,
    4. Rodriguez K
    . Adenotonsillectomy for obstructive sleep apnea and quality of life: systematic review and meta-analysis. Otolaryngol Head Neck Surg 2017;157:767–73.
    OpenUrl
  20. 20.↵
    1. Jeyakumar A,
    2. Rahman S,
    3. Armbrecht E,
    4. Mitchell R
    . The association between sleep-disordered breathing and enuresis in children. Laryngoscope 2012;122:1873–7.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Van Lierop A,
    2. Prescott C,
    3. Fagan J,
    4. Sinclair-Smith C
    . Is diagnostic tonsillectomy indicated in all children with asymmetrically enlarged tonsils? S Afr Med J 2007;97:367–70.
    OpenUrlPubMed
  22. 22.↵
    1. Randall D,
    2. Johnstone P,
    3. Foss R,
    4. Martin P
    . Tonsillectomy in diagnosis of the unknown primary of the head and neck. Otolaryngol Head Neck Surg 2000;122:52–5.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Zhu Y,
    2. Li J,
    3. Tang Y,
    4. et al
    . Dental arch dimensional changes after adenoidectomy or tonsillectomy in children with airway obstruction a meta-analysis and systematic review under PRISMA guidelines. Medicine 2016;95:e4976.
    OpenUrl
  24. 24.↵
    1. Becking BE,
    2. Verweij JP,
    3. Kalf-Scholte SM,
    4. Valkenburg C,
    5. Bakker EW,
    6. van Merkesteyn JR
    . Impact of adenotonsillectomy on the dentofacial development of obstructed children: a systematic review and meta-analysis. Eur J Orthod 2017;39:509–17.
    OpenUrl
  25. 25.↵
    1. Darrow DH,
    2. Siemens C
    . Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002;112:6–10.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Schilder AGM,
    2. Marom T,
    3. Bhutta MF,
    4. et al
    . Otitis media: treatment and complications. Otolaryngol Head Neck Surg 2017;156:S88–S105.
    OpenUrl
  27. 27.↵
    1. Neff L,
    2. Adil E
    . What is the role of the adenoid in pediatric chronic rhinosinusitis? Laryngoscope 2015;125:1282–3.
    OpenUrl
  28. 28.↵
    1. Magit A
    . Pediatric rhinosinusitis. Otolaryngol Clin North Am 2014;47:733–46.
    OpenUrl
  29. 29.↵
    1. Burton M,
    2. Pollard A,
    3. Ramsden J,
    4. Chong L,
    5. Venekamp R
    . Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA). Cochrane Database Syst Rev 2014;9:1–30.
    OpenUrl
  30. 30.↵
    1. Sigurdardottir SL,
    2. Thorleifsdottir RH,
    3. Valdimarsson H,
    4. Johnston A
    . The role of the palatine tonsils in the pathogenesis and treatment of psoriasis. Br J Dermatol 2013;168:237–42.
    OpenUrl
  31. 31.↵
    1. Wu W,
    2. Debbaneh M,
    3. Moslehi H,
    4. Koo J,
    5. Liao W
    . Tonsillectomy as a treatment for psoriasis: a review. J Dermatolog Treat 2014;25:482–6.
    OpenUrlCrossRefPubMed
  32. 32.↵
    1. Thorleifsdottir RH,
    2. Sigurdardottir SL,
    3. Sigurgeirsson B,
    4. et al
    . Improvement of psoriasis is associated with a decrease in the frequency of circulating T cells that recognize streptococcal determinants and homologous skin determinants. J Immunol 2012;188:5160–5.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Van den Broek A,
    2. Feenstra L,
    3. Baat C
    . A review of the current literature on management of halitosis. Oral Dis 2007;14:30–9.
    OpenUrl
  34. 34.↵
    1. Ferguson M,
    2. Aydin MM
    . Halitosis and the tonsils: a review of management. Otolaryngol Head Neck Surg 2014;151:567–74.
    OpenUrlCrossRefPubMed
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The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
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Current Indications for Tonsillectomy and Adenoidectomy
David A. Randall
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1025-1030; DOI: 10.3122/jabfm.2020.06.200038

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Current Indications for Tonsillectomy and Adenoidectomy
David A. Randall
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1025-1030; DOI: 10.3122/jabfm.2020.06.200038
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Jump to section

  • Article
    • Abstract
    • Introduction
    • Recurrent Tonsillitis
    • Recurrent Peritonsillar Abscess
    • Pediatric OSDB
    • Enuresis
    • Adult Obstructive Sleep Apnea
    • Suspicion of Malignancy
    • Malocclusion
    • Alteration in Speech and Swallowing
    • Otitis Media with Effusion
    • Recurrent AOM
    • Pediatric Rhinosinusitis and Nasal Obstruction
    • PFAPA Syndrome
    • Psoriasis
    • Halitosis
    • Conclusions
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

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Keywords

  • Adenoidectomy
  • Adenoids
  • Hypertrophy
  • Obstructive Sleep Apnea
  • Otolaryngology
  • Streptococcal Infections
  • Tonsillectomy
  • Tonsils

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