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Tonsillectomy versus tonsillotomy in children and adults with recurrent acute tonsillitis: a controlled, randomized non-inferiority

Tonsillectomy versus tonsillotomy in children and adults with recurrent acute tonsillitis: a controlled, randomized non-inferiority - TOTO

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00020823
Enrollment
500
Registered
2020-09-08
Start date
2020-11-02
Completion date
Unknown
Last updated
2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

J03

Interventions

Group 1: Tonsillotomy (TT)
The operative intervention can also be a done by an Adenotomy (AT) Outpatient treatment or inpatient treatment for about 1- 3 days. The extent of the partial distance is specified as follows: In
In addition, the surgical procedure can also be a Include an adenotomy (AT). Inpatient treatment for about 5 days Follow up per patient 24 months after surgery

Sponsors

Universitätsklinikum Jena
Lead Sponsor

Eligibility

Sex/Gender
All
Age
3 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Written declaration of consent or declaration of consent of the legal guardian and/or legal representative; 2. Age of 3 years (36 months); 3. Sufficient knowledge of German to read and understand the patient information and related consent forms, as well as to read, understand and answer the self-report data collection questions (also in follow-up). 4. 6 reported episodes of a medically diagnosed and antibiotic-treated purulent tonsillitis/pharyngotonsillitis within the last twelve months (indication position in accordance with the AWMF guideline "Inflammatory diseases of the palate tonsils/ tonsillitis, therapy" [Register number: 017-024]) 5. or 3-5 episodes if within the next 6 months further episodes should occur and the number 6 is reached or, if the additional patient-specific factors: special personal or professional concern, severe complaints during the episodes, individual patient request (Indication position in accordance with the AWMF guideline "Inflammatory Diseases of the palate tonsils/ tonsillitis, therapy" [Register number: 017-024]); 6.Tonsil size - Brodsky Grade 1; 7.Operational procedure indicated and patient is operable

Exclusion criteria

Exclusion criteria: • Other diseases of the palatine tonsils, including hyperplasia without tonsillitis/pharyngotonsillitis, peritonsillary abscess, status after peritonsillary abscess, craniofacial dysmorphism, malignant diseases, bleeding disorder, pregnancy • Tonsillitis due to causes other than those mentioned, including infectious mononucleosis • Pregnant or nursing mothers

Design outcomes

Primary

MeasureTime frame
Number of symptomatic inflammations in the throat and pharynx area within 24 months after surgery

Secondary

MeasureTime frame
• Number of symptomatic inflammations in the throat and pharynx area within 12 months after surgery • Number of days with incapacity to work or to attend kindergarten/school 6 months, 12 months, 18 months and 24 months after surgery • Tonsil and Adenoid Health Status Instrument (TAHSI) questionnaire (version for children or adults), Tonsillectomy Outcome Inventory (TOI-14) and general quality of life questionnaire (SF-12) before surgery, 6 months, 12 months, 18 months, 24 months after surgery

Countries

Germany

Contacts

Public ContactKatharina Geißler

Universitätsklinikum JenaKlinik und Poliklinik für Hals-. Nasen- und Ohrenheilkunde

katharina.geissler@med.uni-jena.de0361 9329301

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 22, 2026