Tonsil and Adenoid Problems in Kids Signal Overall Poorer Health
WebMD News Archive
The investigators surveyed the parents of 154 children who were 2-16 years
old. A subset of 55 children had one of several types of ongoing tonsil or
adenoid disease, such as recurrent tonsillitis or chronic snoring. The average
age of the children with tonsil and adenoid disease was approximately 6 years.
The parents of the affected children completed a QOL questionnaire covering
such areas as bodily pain, physical functioning, self esteem, emotional impact,
"The mean scores of children with tonsil and adenoid disease were
significantly lower ... than the mean scores of healthy subjects," the
authors write. "Overall, general health perceptions for children with
tonsil and adenoid disease were similar [to those of] children with asthma and
arthritis. However, for children with tonsil and adenoid disease, some ...
scores were lower ... including [those] related to emotional impact, behavior,
and ... impact of the disease [on the parents]."
"This study ... finds many significant [quality of life factors]
worsened by this disease," Charles Gross, MD, tells WebMD. "However,
the study is limited by the size of the group and by grouping together children
aged 2-16 years." Gross, a professor of otolaryngology at the University of
Virginia School of Medicine in Charlottesville, was not involved in the
"Although tonsil and adenoid problems are often considered trivial, some
children have had dramatic changes in lifestyle," David Tunkel, MD, the
director of pediatric otolaryngology at Johns Hopkins Medical Institutions in
Baltimore, tells WebMD in an independent interview. "However, because these
patients were [from] otolaryngology clinics [clinics that specialize in
diseases that affect the ears, nose, and throat], it would be helpful to study
children with tonsil and adenoid disease in pediatric practices."
- Children with chronically infected tonsils and enlarged adenoids suffer
from lower general health and have a poorer quality of life than healthy
- The authors say the study should compel doctors to refocus more attention
on children's quality of life when they have these common illnesses.
- Parents should also be compelled to seek proper treatment for their
children who suffer from chronically infected tonsils and enlarged