Frequency of the tonsillectomy and adenoidectomy in children in Elazig province, in the east of Turkey

Yıl 2010, Cilt: 37 Sayı: 3, 263 - 266, 01.09.2010

Cahit Polat Kaan Demirören

Öz

Objectives: The aim of this study was to detect the fre­quency of tonsillectomy and adenoidectomy in children according to their socioeconomic status. Materials and Methods: Data was collected by a ques­tionnaire distributed to two schools containing students belong to different socioeconomic levels. The age and gender of the children, whether tonsillectomy or ade­noidectomy were performed or not, socioeconomic and educational status of the parents were questioned. Data was compared statistically by Chi-square test. Results: Of the 775 children, 4.9% were performed ton­sillectomy, 2.7% adenoidectomy and 2.1% were both of them. The incidence of tonsillectomy and adenoidectomy was found to be significantly higher among the children belong to high socioeconomic status and whose parents more educated and had high economic status (p

Anahtar Kelimeler

Adenoidectomy, tonsillectomy, prevalence, South Anatolia

Türkiye\'nin doğusunda, Elazığ ilinde çocuklarda tonsillektomi ve adenoidektomi sıklığı

Öz

Amaç: Bu çalışmada çocuklarda tonsillektomi ve adeno­idektomi sıklığının sosyoekonomik düzeye göre belirlen­mesi amaçlanmıştır. Gereç ve yöntem: Sosyoekonomik düzeyi birbirinden farklılık gösteren iki okulda bilgi formları dağıtılarak ve­riler toplandı. Formlarda çocukların yaşları, cinsiyetleri, tonsillektomi ve adenoidektomi geçirip geçirmediği, aile geçiminin nasıl sağlandığı ve ebeveynin eğitim durumu sorgulandı. Veriler istatistiksel olarak “Ki-kare” testi ile karşılaştırıldı. Bulgular: Çalışmamıza dahil edilen 775 çocuktan %4.9\'u tonsillektomi, %2.7\'si adenoidektomi, %2.1\'i ise hem ton­sillektomi, hem adenoidektomi geçirmişlerdi. Tonsillekto­mi ve adenoidektomi sıklığı sosyoekonomik düzeyi daha iyi olan okulda, aynı zamanda eğitim düzeyi ve ekonomik düzeyi daha iyi olan ailelerin çocuklarında istatistiksel ola­rak anlamlı derecede yüksek olarak bulundu (p

Anahtar Kelimeler

Adenoidektomi, tonsillektomi, sıklık, Güney Anadolu

Kaynakça

• Faramarzi A, Kadivar MR, Heydari ST, Tavasoli M. As- sessment of the consensus about tonsillectomy and/or ad- enoidectomy among pediatricians and otolaryngologists. Int J Pediatr Otorhinolaryngol 2010;74:133-6.
• Erickson BK, Larson DR, St Sauver JL, Meverden RA, Or- vidas LJ. Changes in incidence and indications of tonsil- lectomy and adenotonsillectomy, 1970-2005. Otolaryngol Head Neck Surg 2009;140:894-901.
• Rosenfeld RM, Gren RP. Tonsillectomy and adenoidectomy: changing trends. Ann Oto Rhinol Laryngol 1990;99.187- 91.
• Deutsch E. Tonsillectomy and adenoidectomy. Changing trends. Pediatr Clin N Am 1996;43,1319-38.
• Derkay CS. Paediatric otolaryngology procedures in the United States: 1977-87. Int J Pediatr Otorhinolaryngol 1993;25,1-12.
• Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rock- ette HE, Kurs-LaskyM. Tonsillectomy and adenotonsillec- tomy for recurrent throat infection in moderately affected children. Pediatrics 2002;110:7-15.
• Van Den Akker EH, Hoes AW, Burton ML, Schilder AGM. Large international differences in (adeno) tonsillectomy rates. Clin Otolaryngol 2004;29.161-4.
• Erişen L, Basut O, Coşkun H, Tezel İ, Hızalan İ, Onart S. [The evaluation of our adenotonsillectomy cases and their indications] Adenotonsillektomi olgularımız ve endikasyonlarının değerlendirilmesi. Kulak Burun Boğaz Klinikleri 1999;1.85-8.
• Capper R, Canter RJ. Is the incidence of tonsillectomy influ- enced by the family medical or social history? Clin Otolar- yngol 2001;26.484-7.
• ClementWA, Wales Y. Readability and content of postop- erative tonsillectomy instructions given to patients in Scot- land. Clin Otolaryngol 2004;29.149-52.
• Mattila PS, Tahkokallio O, Tarkhanen J, Pitkaniemi J, Kar- vonen M, Tuomilehto J. Causes of tonsillar disease and frequency of tonsillectomy operations. Arch Otolaryngol Head Neck Surg 2001;127,37-44.
• Hoddeson EK, Gourin CG. Adult tonsillectomy: Current indications and outcomes. Otolaryngol Head Neck Surg 2009;140:19-22.
• Rudnick EF, Mitchell RB. Behavior and obstructive sleep apnea in children: Is obesity a factor? Laryngoscope 2007;117:1463-6.
• Mariotti AJ, Agrawal R, Hotaling AJ. The role of tonsillec- tomy in pediatric IgA nephropathy. Arch Otolaryngol Head Heck Surg 2009;135,85-7.
• Faulconbridge RV, Fowler S, Horrocks J, Topham JH. Comparative audit of tonsillectomy. Clin Otolaryngol 2000;25.110-7.
• Capper R, Canter RJ. Is there agreement among general practitioners, paediatricians and otolaryngologists about the management of the children with recurrent tonsillitis? Clin Otolaryngol 2001;26.371-8.