Population-based analysis of tonsil surgery and XXXX .

@entity1 @entity548 @entity1373 @entity5389 @entity260 @entity86 @entity5326
UNASSIGNED: Although tonsil surgery is one of the most frequent otorhinolaryngological procedures, not many population-based regional or country-wide studies are published on the incidence of @entity86 and its risk factors. 2,216 @entity1 underwent tonsil surgery in 2012 in Thuringia, a federal state in Germany. Most frequent indications were @entity5389 (44  % of all cases), @entity5326 (27  %), and @entity1373 (20  %). 29  % of the @entity1 were <10  years of age. Most frequent methods of surgery were tonsillectomy (73  %) and tonsillotomy (19  %). 215 @entity1 (10  %) had 221 events of a @entity86 . Re-surgery for hemostasis was necessary in 137 @entity1 (6  %). The interval to re-surgery was 4.4      4.6  days. The re-surgery rate was 8, 0.2, and 15  % after tonsillectomy, tonsillotomy, and radical tonsillectomy, respectively. In cases of @entity5389 , male gender (p  <  0.001), age >24.78  years (median; (p  =  0.018), and waiving of perioperative antibiotics (p  =  0.029) were independent factors associated with @entity548 . In cases of @entity1373 tonsillectomy instead of tonsillotomy, the only significant risk factor was @entity86 (p  =  0.005). The overall incidence of tonsillar surgery was 87.6/100,000. The highest incidence was seen for @entity1 3-4  years of age with 862.7/100,000. In @entity1 <10  years, the incidence was always higher for @entity1 than for @entity1 . Throughout all age groups, a reverse gender relation was only seen, if surgery was indicated for @entity5389 . We recommend establishing national guidelines for indication of tonsil surgery, especially of tonsillectomy, including recommendations for perioperative care to decrease variations in tonsil surgery rates and minimize @entity260 .
