ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Health-related quality of life and functional recovery outcomes following tonsillectomy among patients in Hail, Saudi Arabia.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTonsillectomy is a common surgical procedure for recurrent tonsillitis and obstructive sleep apnea. Its effects on quality-of-life outcomes using validated instruments remain limited. This study aimed to evaluate the impact of tonsillectomy on health-related quality of life over 12 months using disease-specific and generic outcome measures.
methodsThis is a prospective cohort study involving 103 adult patients (aged 18-50 years) undergoing elective tonsillectomy. Participants completed the Tonsil and Adenoid Health Status Instrument (TAHSI) and Short Form-12 (SF-12) Health Survey at baseline, 6 months, and 12 months post-operatively. Primary indications included recurrent infection (84.5%), sleep apnea (3.9%), and tonsillar stones (11.7%). Repeated measures ANOVA assessed temporal changes, effect sizes were calculated using Cohen's d, and multiple regression identified outcome predictors.
resultsStudy participants comprised 53 males (51.5%) and 50 females (48.5%) with a mean age of 30.41 ± 7.63 years. TAHSI scores improved significantly from baseline (46.8) to 6 months (8.9; 80.8% improvement) and 12 months (11.2; 76.1% improvement). All domains showed substantial improvements, with infection symptoms demonstrating the greatest effect (Cohen's d = 2.01). Clinical significance was achieved by 91.6% of patients for throat infections and 84.2% for overall quality of life. SF-12 Mental Component Scores increased from 47.82 to 54.91, while Physical Component Scores improved from 46.15 to 53.27 at 12 months. Baseline symptom severity predicted outcomes, while age showed no significant association.
conclusionTonsillectomy produces substantial, sustained improvements in disease-specific symptoms and general quality-of-life measures in adult patients, with benefits maintained over 12 months across multiple health domains.
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