ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Tonsillectomy, Adenoidectomy Tied to Higher Risks of Respiratory, Allergic, Infectious Diseases

June 15, 2018

  • Tweet
  • Email
Print-Friendly Version

Researchers of a new study looked at the long-term health risks associated with removing tonsils and adenoids in children, and found that these procedures were associated with increased long-term risk of respiratory, infectious, and allergic disease (JAMA Otolaryngol Head Neck Surg. Published online June 7, 2018. doi:10.1001/jamaoto.2018.0614).

You Might Also Like

  • FDA Warning Slows, but Does Not Stop, Codeine Prescribing in Children after Tonsillectomy
  • Adult Tonsillectomy Patients Using Ketorolac at Greater Risk of Hemorrhage
  • Is Partial Tonsillectomy Equivalent to Total Tonsillectomy for Obstructive Symptoms?
  • Is Adenoidectomy Alone Sufficient for Treating Pediatric Airway Obstruction?

The investigators analyzed data on nearly 1.2 million children (48% female) born in Denmark between 1979 and 1999 who were followed up to age 30. Of those, 17,460 underwent adenoidectomy, 11,830 tonsillectomy, and 31,377 adenotonsillectomy, all before age 9. The remaining participants (1,157,684) served as controls.

Adenoidectomy and tonsillectomy were associated with a two- to three-fold increase in diseases of the upper respiratory tract (RR = 1.99 and RR = 2.72, respectively). Smaller increases in risks for infectious and allergic diseases were also found: Adenotonsillectomy was associated with a 17% increased risk of infectious diseases (RR = 1.17) corresponding to an absolute risk increase of 2.14% because these diseases are relatively common in the population. Adenoidectomy alone was associated with a more than doubled relative risk of chronic obstructive pulmonary disorder (RR = 2.1) and nearly doubled the relative risk of conjunctivitis (RR = 1.75).

When all 28 respiratory, infectious/parasitic, skin, musculoskeletal, and eye/adnexa disease groups in the study were considered, the surgeries bestowed small but significant increases in relative risk for 78% of them. “The negative health consequences of these surgeries within the first 30 years of life thus appear to be consistent, affecting a range of tissues and organ systems,” they wrote.

The authors concluded by stating that increases in long-term absolute disease risks were considerably larger than changes in risk for the disorders these surgeries aimed to treat.

Filed Under: Laryngology, Online Exclusives, Pediatric, Practice Focus Tagged With: adenoidectomy, Infectious Diseases, tonsillectomy

You Might Also Like:

  • FDA Warning Slows, but Does Not Stop, Codeine Prescribing in Children after Tonsillectomy
  • Adult Tonsillectomy Patients Using Ketorolac at Greater Risk of Hemorrhage
  • Is Partial Tonsillectomy Equivalent to Total Tonsillectomy for Obstructive Symptoms?
  • Is Adenoidectomy Alone Sufficient for Treating Pediatric Airway Obstruction?

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.