Partial tonsillectomy as alternative to complete tonsillectomy in recurrent tonsillitis
- Conditions
- J35.0Chronic tonsillitis
- Registration Number
- DRKS00015628
- Lead Sponsor
- HNO Zentrum Mangfall-Inn
- Brief Summary
Background: For many years experts have called for randomized controlled trials to resolve the question whether tonsillectomy, which is associated with significant comorbidity, can be replaced by partial tonsillectomy in patients with recurrent tonsillitis.Objective: To find out whether subtotal tonsillectomy is a suitable therapeutic alternative to total tonsillectomy in adult patients with recurrent episodes of acute tonsillitis.Material and methods: Study design - Single-blind prospective non-inferiority randomized clinical trial with intraindividual design. Setting - 80 patients were recruited at a tertiary referral center. Subjects - Adult patients with recurrent tonsillitis received total tonsillectomy on one side and subtotal tonsillectomy on the other side after randomization. Main outcome measure was frequency of postoperative tonsillitis on the side of subtotal tonsillectomy and postoperative pharyngitis in the former tonsil area on the side of total tonsillectomy. The study was registered in the German Clinical Trials Register (DRKS-ID: DRKS00015628).Results: Within 12 months none of the subjects suffered from recurrent tonsillitis after subtotal tonsillectomy. Subtotal tonsillectomy caused less pain than total tonsillectomy.Conclusion: Subtotal tonsillectomy might be an alternative treatment option associated with lower morbidity than total tonsillectomy in adults with recurrent tonsillitis.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 200
Indication for tonsillectomy according to the Paradise criteria; adult patients (age > 18y); enough german language knowhow for the interview.
Haemoraghic disease; previous tonsil surgery; lack of informed consent; unilateral tonsillectomy; paratonsillar abcess; pregnancy; anticoagulation; assymetric tonsils.
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Episodes of sore throat on the partial tonsillectomized side and the complete tonsillectomized side one and three years after the procedure by phone interview
- Secondary Outcome Measures
Name Time Method Recurrent hyperplasia of the tonsil remnant one and three years after the procedure by fotodocumentation