THE EFFECT OF TONSILLECTOMY ON CHRONIC TONSILLITIS IN CHILDREN QUALITY OF LIFE BASED ON T-14 QUESTIONNAIRE Nurbaiti Nazarudin (a*), Iwan Darmawan Ma^mur (b), Riza Pramudya Iskandar (c)
a) Department of Ear Nose Throat-Head and Neck Surgery Faculty of Medicine Universitas Jenderal Achmad Yani-Rumah Sakit Dustira, Cimahi, Jawa Barat, Indonesia
b) Department of Surgery Faculty of Medicine Universitas Jenderal Achmad Yani-Rumah Sakit Dustira, Cimahi, Jawa Barat, Indonesia
c) Faculty of Medicine Universitas Jenderal Achmad Yani, Cimahi, Jawa Barat, Indonesia
Abstract
Tonsillitis is a very common disease in children. Chronicity from tonsillitis can occur due to sufferers often experience acute respiratory infections or acute tonsillitis that is not treated adequately. Treatment for chronic tonsillitis is tonsillectomy. Tonsillectomy can affect changes in a person^s quality of life. This study was aimed to determine the effect of tonsillectomy on chronic tonsillitis in children quality of life at Dustira Hospital Cimahi with a prospective observational study using of the Paediatric throat disorder outcome test (T-14) questionnaire. Data samples were collected by convenience method. This study was undertaken examining 12 paediatric patients undergoing tonsillectomy preoperatively and 2 weeks-1month postoperatively. Data were analyzed by marginal homogeneity and Wilcoxon test. The T-14 questionnaire showed, which affected the quality of life before and after tonsillectomy, daytime sleepiness (p = 0.001), noisy breath sounds (p = 0.001), choking on food (p = 0.001), frequency of earaches (p = 0.001) ), chronic throat infections lasting less than 2 weeks (p = 0.001) and more than 2 weeks (p = 0.001), many phone calls to the doctor (p = 0.001), many visits to the doctor (p = 0.001), and no entered school because of sore throat (p = 0.001). There was a decrease in the scores before and after tonsillectomy with an average difference in scores of 45 (p <0.002). This study found a significant effect between the quality of life before and after tonsillectomy. Tonsillectomy had an effect in children quality of life because following tonsillectomy, patients had a significant improvement.
Keywords: children, chronic tonsillitis, tonsillectomy, quality of life, T-14 questionnaire
