Indications for tonsillectomy in UHC "Sestre milosrdnice" between 2012 and 2017

Cilj ovog retrospektivnog randomiziranog istraživanja bio je utvrditi učestalost pojedinih indikacija za tonzilektomiju na Klinici za otorinolaringologiju i kirurgiju glave i vrata Kliničkog bolniĉkog centra „Sestre milosrdnice“ u razdoblju od 1. siječnja 2012. do 31. prosinca 2016. Prikazani su i simptomi vezani uz tonzilarne probleme, otorinolaringološki status pacijenata, pridružene bolesti te vrste operativnog zahvata. Također su pokazane povezanosti među svim opisanim parametrima. Istraživanje je provedeno na 147 pacijenata, od toga 68 ženskih pacijenata i 79 muških pacijenata, čiji je raspon dobi bio od 2 do 14 godine, s medijanom dobi od 8 godina. Najviše je operacija obavljeno kod pacijenata starih 3 i 5 godina. Najčešća indikacija za operativni zahvat u promatranoj populaciji bio je rekurentni tonzilitis s trajnom opstrukcijom dišnog puta, iduća po učestalosti je trajna opstrukcija kao samostalna indikacija. Otežano disanje na nos najčešći je simptom koji su navodili pacijenti u promatranom uzorku. Kod najvećeg broja pacijenata opisana je umjerena hipertrofija tonzila i hipertrofija adenioda. Pridružene bolesti su bile brojne, ali su u najvećem broju slučajeva bile vezane uz bolesti i poremećaje uha. Većina pacijenata podvrgnuta je operativnom zahvatu adenotonzilektomije.The goal of this retrospective randomized study was to determine the incidence of indications for tonsillectomy at the Department of Otorhinolaryngology and Head and Neck Surgery at the Sisters of Charity University Hospital between January 1, 2012 and December 31, 2016. The study also included symptoms associated with tonsillar issues, ear, nose and throat examination, adjacent diseases and types of surgical procedures. The relations between all the mentioned parameters were also explained. The study was carried out on 147 patients, of whom 68 were women and 79 men, from 2 to 14 years of age, with the median age being 8 years. Most operations were performed on 3-year-old and 5-year-old patients. The most frequent diagnosis that was listed as an indication for operation in the observed population was recurrent tonsillitis with permanent obstruction of the airway, followed by permanent obstruction as an independent diagnosis. The prevalent symptom that the observed patients had was difficulty breathing through the nose. Mild tonsillar hypertrophy and adenoid hypertrophy was found in the most cases. Adjacent diagnoses were abundant, but in most cases the associated diagnoses were related to the ear conditions and diseases. Most of the patients had undergone adenotonsillectomy