What is the role of surgery in the treatment of pediatric asthma?

Updated: Jan 08, 2019
  • Author: Girish D Sharma, MD, FCCP, FAAP; Chief Editor: Kenan Haver, MD  more...
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Answer

In a study of 13,506 children with asthma who underwent adenotonsillectomy and 27,012 matched controls with asthma who did not undergo adenotonsillectomy, Bhattacharjee et al found that those who had the procedure showed significant improvement on several measures of asthma disease severity, including acute asthma exacerbations and acute status asthmaticus. [68, 69]

Compared to the year before the procedure, at 1-year postadenotonsillectomy follow-up, there was a 30.2% reduction in acute asthma exacerbations and a 37.9% reduction in acute status asthmaticus (P< 0.0001 for both). [68, 69] In addition, asthma-related emergency department visits were reduced by 25.6% and asthma-related hospitalizations by 35.8%. Patients who underwent the procedure also had significantly fewer refills of several asthma medications. In contrast, no significant reductions were observed in any of these outcomes among children who did not undergo adenotonsillectomy. [68, 69]


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