Improvement in Quality of Life after Adenoidectomy with or Without Tonsillectomy in Children

Abstract

Introduction: Adenoid hypertrophy and tonsillar hypertrophy are common in children and can cause significant physical, emotional, and social issues. Adenoidectomy, with or without tonsillectomy, is often performed to relieve these symptoms, but its impact on quality of life (qol) needs further exploration.

Aim & Objectives: To assess the improvement in qol after adenoidectomy with or without tonsillectomy in children; to evaluate its effects on sleep and behavioural disorders; and to compare clinical symptoms before and after surgery.

Methods: Children with adenoid and/or tonsillar hypertrophy underwent adenoidectomy with or without tonsillectomy. The Glasgow Children’s Benefit Inventory (GCBI) was used to assess pre- and post-operative qol across domains such as physical suffering, sleep, speech/swallowing, emotional health, and activity limitations.

Results: Statistically significant improvements were observed post-surgery in all domains:

·        Suffering score: 15.81 → 3.04

·        Sleep disorder: 12.22 → 2.19

·        Speech/swallowing: 10.93 → 1.89

·        Emotional discomfort: 10.48 → 3.30

·        Activity limitation: 10.63 → 2.81

·        Overall qol score improved from 51.67 to 16.63.

These changes were highly significant (p < 0.001), confirming substantial improvement in physical and emotional well-being.

Conclusion: Adenoidectomy with or without tonsillectomy significantly improves quality of life in children, especially in terms of physical health, emotional balance, and social functioning. Early intervention is recommended to prevent long-term complications and promote healthier developmental outcomes.