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85th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

28.05. - 01.06.2014, Dortmund

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Tonsil radiofrequency surgery – prognostic factors

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  • corresponding author Sorin-Emil Necula - CF Clinical Hospital, Cluj-Napoca, Romania
  • Silviu Albu - UMPh Iuliu Hatieganu Cluj-Napoca, Cluj-Napoca, Romania
  • Anamaria Gocea - UMPh Iuliu Hatieganu Cluj-Napoca, Cluj-Napoca, Romania
  • Veronica Trombitas - UMPh Iuliu Hatieganu Cluj-Napoca, Cluj-Napoca, Romania
  • Diana Vlad - CF Clinical Hospital, Cluj-Napoca, Romania
  • Adrian Mihalca - CF Clinical Hospital, Cluj-Napoca, Romania
  • Andrei Coneac - UMPh Iuliu Hatieganu Cluj-Napoca, Cluj-Napoca, Romania
  • Sergiu Martea - CF Clinical Hospital, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 85. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Dortmund, 28.05.-01.06.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14hnod044

doi: 10.3205/14hnod044, urn:nbn:de:0183-14hnod0442

Published: April 14, 2014

© 2014 Necula et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Our study evaluates risk factors on postoperative outcome of patients operated for tonsil hypertrophy using radiofrequency tonsil reduction.

Method: Prospective nonrandomized study on patients operated in ENT Clinic of CF Clinical Hospital Cluj between 2008 and 2011 for tonsil hypertrophy in cases of snoring and obstructive sleep apneea. Nine parameters were evaluated for association with recurrence: age, gender, smoking, asthma, allergy, recurrent tonsillitis, previous surgery (nasal, sinusal or adenoid), history of multiple nonsurgical treatments, gastroesophageal reflux. Patients with immunodeficiency, tonsil tumors, previous tonsil surgery were excluded. Reccurence – tonsillar regrowth after reduction. Statistical analysis was performed using Kaplan-Meier survival curves, LOG-rank test and Cox proportional hazard model.

Results: The group included 132 patients, 85 males and 47 females, male/female 1.80:1. Age ranged from 18 and 67 years, average 41.6. 17 patients (12.87%) had asthma, 34 (25.75%) gastroesophageal reflux, 27 (20.45%) allergy. Smoking in 49 patients (37.12%), history of multiple non surgical treatments in 87 (65.90%), history of previous surgery in 37 (28.03%), recurrent tonsilitis in 49 (37.12%). Recurrence was in 9 cases (6.81%). Complications: minor hemorrhage in 6 cases (4.54%). After univariate analysis only smoking, allergy and recurrent tonsillitis were found to be associated with recurrence. In multivariate analysis smoking and recurrent tonsillitis were found to be independent predictive factors of recurrence.

Conclusions: By studying the prognostic factors we may obtain a more accurate preoperative documentation, which will facilitate better identification of groups of patients who are susceptible of recurrence.

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