Tonsil Surgery in Sweden 2013: Indications,Surgical Methods,and Complication Rates

Abstract

Objectives:

Describe how tonsil surgery was performed in Sweden 2013.

Methods:

The National Tonsil Surgery Register in Sweden collects detailed information regarding indication, surgery, and complications for tonsil operations. The purpose of the register is primarily to provide a basis for the description of a clinic and stimulate quality improvement programs. Also, the data can be used for research. All clinics are encouraged to include all tonsil surgeries in Sweden in the register, and during 2013, over 80% of all tonsil surgeries are estimated to be included. Information registered through questionnaires is data regarding indication, surgery performed, and complications such as readmission or return to theater due to bleeding.

Results:

A total of 11,029 tonsil surgeries were registered in 2013. Surgical methods used were tonsillectomy (4726), tonsillectomy with adenoidectomy (1632), tonsillotomy (738), and tonsillotomy with adenoidectomy (3933). Tonsillectomy was mainly used for infectious indications while tonsillotomy was used for obstructive/sleep apnea indications. Tonsillectomy was performed with cold knife (3056) or diathermy scissor (1217). Tonsillotomy was performed with coblation (653). Primary bleeding was registered in 1.8% of the total cohort. Readmission due to secondary bleeding was registered in 5.9% of the total cohort, but 11.4% after tonsillectomy and 2.2% after tonsillotomy. Return to theater because of bleeding was registered in 2.1%.

Conclusions:

Detailed information regarding tonsil surgery can be assessed with the National Tonsil Surgery Register in Sweden. Data can be used for studies on a large population and provide new knowledge.