The feasibility of acute tonsillectomy in patients with recurrent episodes of acute tonsillitis

Not Applicable

• Conditions: recurrent acute tonsillitis; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Surgery - Other surgery

• Registration Number: ACTRN12620000660987
• Lead Sponsor: A/Prof Alan Cheng

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-06-09
• Last Update Posted: 15 June 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

Patients over the age of 16 years with acute tonsillitis, with or without peri-tonsillar abscess, requiring admission to hospital. Symptoms and signs evidencing an episode of acute tonsillitis include fever >38.0 degrees Celsius, tonsillar erythema and/or exudate, sore throat, cervical lymphadenopathy, with or without a culture positive for Group A b-haemolytic Streptococcus. Patient's should additionally warrant tonsillectomy based on their history of clinically significant episodes of sore throat diagnosed as recurrent acute tonsillitis as per the Paradise Criteria (3 episodes per year for previous 3 consecutive years, 5 episodes per year for previous 2 consecutive years, or 7 episodes in the previous year).

Exclusion Criteria

Patients under the age of 16 years, patients unable to provide consent, only a single documented episode of acute tonsillitis or where the history of recurrent acute tonsillitis cannot be established, pregnancy, suspected tonsillar malignancy, and if obstructive sleep apnoea is the main indication for tonsillectomy. Patients with bleeding disorders or haematological malignancies, or other significant co-morbidities (patients with American Society of Anaesthesiologists Score 3-4) will also be excluded.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary post-operative haemorrhage as identified on clinical history and examination[24 hours post-operatively ];Post-operative analgesia requirements - measured by dosage and frequency of simple and opioid analgesia administration on medication charts[24 hours post-operatively];Length of hospital stay assessed on review of hospital medical records[Variable, but usually in the first 1-3 days post-operatively]