The clinical outcome after tonsillectomy and/or adenoidectomy can help determine the effectiveness of the surgery. The following are the outcomes monitored by the American Academy of Otolaryngology - Head and Neck Surgery.


Post-operative (2-4 weeks)

(1) bleeding

(2) infection

(3) dehydration


Functional changes:

(1) change in voice

(2) change in breathing

(3) change in swallowing


Late (1 year):

(1) number of throat infections

(2) number of ear infections


The post-operative factors can be quantitated using a 5-point Likert scale:

(1) none

(2) minor

(3) moderate

(4) severe

(5) life-threatening


One way to quantitate the functional changes and one year infection rate is to grade each:

(1) not applicable (NA)

(2) much better (or fewer)

(3) better

(4) unchanged

(5) worse (or more)


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