“For tonsillectomy, we found that only five people needed to have the operation to cause an extra upper respiratory disease to appear in one of those people.” Dr Byars said. The team delved deeper into the statistics to reveal how many operations needed to be performed for an additional disease to occur than normal, known as the ‘number needed to treat’ or NNT. The study provides more evidence to support possible alternatives to surgery when possible. The absolute risk was also almost doubled for upper respiratory diseases, but corresponded to a small increases for COPD as this is a rarer condition in the community generally. “The association of tonsillectomy with respiratory disease later in life may therefore be considerable for these people,” Dr Byars adds.Īdenoidectomy was found to be linked with a more than doubled relative risk of COPD and a nearly doubled relative risk of upper respiratory tract diseases and conjunctivitis. The absolute risk (which takes into account how common these diseases are in the community) was also substantially increased at 18.61 per cent.
These included asthma, influenza, pneumonia and chronic obstructive pulmonary disorder or COPD, the umbrella term for diseases like chronic bronchitis and emphysema. Tonsillectomy was found to be associated with an almost tripled relative risk - the risk for those who had the operation compared to those who didn’t - for diseases of the upper respiratory tract. “This age was chosen because it captures when these surgeries are most commonly performed and also when tonsils and adenoids are most active in the body’s immune responses and development.” “We calculated disease risk later in life depending on whether adenoids, tonsils or both were removed in the first 9 years of life,” Dr Byars says. Of the almost 1.2 million children, 17,460 had adenoidectomies, 11,830 tonsillectomy and 31,377 had adenotonsillectomies, where both tonsils and adenoids removed.ĭr Byars explains that the health of children who had these operations was then analysed for diagnoses of 28 respiratory, infectious and allergic diseases and compared to children who hadn’t had surgery, after ensuring all children had general good health. Tonsillectomy can almost triple the relative risk for diseases of the upper respiratory tract like asthma. The team analysed a dataset from Denmark, one of the most complete in the world, comprising health records of 1,189,061 children born between 19, covering at least the first 10 years, and up to 30 years of their life.
The study provides more evidence to support possible alternatives to surgery when possible.ĭr Sean Byars from Melbourne Integrative Genomics and School of Biosciences at the University of Melbourne led the research, with Dr Stephen Stearns from Yale University and Dr Jacobus Boomsma from the University of Copenhagen. The research shows that both tonsillectomies and an adenoidectomies are associated with higher levels of allergic, respiratory and infectious diseases later in life these are important, the researchers say, to weigh up alongside the already known short-term risks of surgery. Now, in a world first, a study led by the University of Melbourne has specifically looked at the long-term effects of removing the tonsils and adenoids in childhood. They act as a first line of defence, helping to recognise airborne pathogens like bacteria and viruses, and begin the immune response to clear them from the body. Thunderstorm asthma: Counting pollen to save livesīut we now know that adenoids and tonsils are strategically positioned in the nose and throat respectively, in an arrangement known as Waldeyer’s ring. Adenoid surgery is also performed to improve breathing when the airways are blocked.īecause adenoids in particular shrink by adulthood, it was historically presumed that tissues like these were redundant in the body. Usually performed to treat painful recurring tonsillitis and middle ear infection, a tonsillectomy often occurs alongside the removal of the adenoids, known as an adenoidectomy. The operation, known as a tonsillectomy, is the one of the most common paediatric surgeries performed worldwide, with more than 530,000 conducted on children under 15 annually in the US alone. Adenoids and tonsils are strategically positioned in the nose and throat as a first line of defence. The promise of ice cream and hours of television do make the recovery a much more bearable prospect, even a source of jealousy for classmates and siblings but, for the first time, research has found longer lasting health risks. For many people, having their tonsils removed is a childhood rite of passage.