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A Systematic Review of Postoperative Complications and Quality of Life Outcomes After Tonsillectomy in Children with Chronic Tonsillitis Azhari, Fierda Ovita
Jurnal Health Sains Vol. 6 No. 3 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i3.2738

Abstract

Chronic tonsillitis is a significant health issue in children, characterized by recurrent throat infections that diminish their quality of life. Tonsillectomy is a common surgical solution, but a comprehensive analysis balancing its benefits against post-operative risks is needed. The purpose of this study was to evaluates post-operative complication rates and quality of life improvements following tonsillectomy in children with chronic tonsillitis. This review followed PRISMA 2020 guidelines. A systematic search was conducted across PubMed, Semantic Scholar, Springer, Google Scholar, and Wiley Online Library for studies published in the last decade. Eleven studies were included. The findings consistently showed significant improvements in quality of life post-tonsillectomy, as measured by validated instruments like the Pediatric Throat Disorders Outcome Test (T-14) and the Pediatric Quality of Life Inventory (PedsQL-P). Post-operative complication reporting was heterogeneous. The most frequently quantified complication was post-tonsillectomy hemorrhage, with rates varying from 2.7% to 7.9% depending on the surgical technique. Other reported complications included pain, halitosis, and uvula edema. Long-term follow-up (5 years) in two studies showed sustained quality of life benefits.
EFFECT OF CAFFEINE CONSUMPTION ON INTRAOCULAR PRESSURE AND RISK OF GLAUCOMA: A SYSTEMATIC REVIEW Paramitha, Dewa Ayu Anggi; Azhari, Fierda Ovita; Anthea Casey; Eldinia, Lourisa Ruth
Majalah Oftalmologi Indonesia Vol 50 No 2 (2024): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v50i2.100985

Abstract

INTRODUCTION AND OBJECTIVES Glaucoma is one of the leading causes of blindness worldwide with intraocular pressure (IOP) as its main risk factor. Several studies have investigated the association between IOP and caffeine consumption with mixed results. This study aims to review whether caffeine consumption increases IOP thus, increases the risk of glaucoma. METHODS A comprehensive literature search was performed in 4 databases, including Pubmed, Proquest, ScienceDirect, and Cochrane. Last search was conducted on March 20, 2023. We include human studies investigating caffeine impact on IOP and/or glaucoma risk published in English with full text available from 2013 to 2023. The risk of bias was assessed with RoB 2.0 for crossover studies, NIH for cross-sectional and case-control studies. We present our results according to PRISMA guidelines. RESULT A total of 130.012 participants from 7 different studies were included in this review. Three crossover, 3 cross-sectional, and 1 case-control study were evaluated. This study involved a multi-racial population although Caucasian predominated. Five out of 7 studies exhibited a significant association (all p values <0.05) between caffeine consumption and increased risk of developing glaucoma. CONCLUSION Caffeine consumption generally shows a significant impact on developing risk of glaucoma and has been shown to increase IOP in acute settings, reported up to 90 minutes after consumption/ingestion. Limitations of this study include a small number of crossover participants and a high variability of participants (young healthy individuals and glaucoma patients). Further research is advised to investigate the association between caffeine consumption in a longer follow-up time and a more specific population.
What Are the Post-Operative Complication Rates and Quality of Life Improvements Following Tonsillectomy in Children With Chronic Tonsillitis? : a Systematic Review Azhari, Fierda Ovita; Syukrinto, Gustav
Jurnal Health Sains Vol. 6 No. 11 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i11.2777

Abstract

Chronic tonsillitis is a significant health issue in children, characterized by recurrent throat infections that diminish their quality of life. Tonsillectomy is a common surgical solution, but a comprehensive analysis balancing its benefits against post-operative risks is needed. The purpose of this study was to evaluates post-operative complication rates and quality of life improvements following tonsillectomy in children with chronic tonsillitis. This review followed PRISMA 2020 guidelines. A systematic search was conducted across PubMed, Semantic Scholar, Springer, Google Scholar, and Wiley Online Library for studies published in the last decade. Eleven studies were included. The findings consistently showed significant improvements in quality of life post-tonsillectomy, as measured by validated instruments like the Pediatric Throat Disorders Outcome Test (T-14) and the Pediatric Quality of Life Inventory (PedsQL-P). Post-operative complication reporting was heterogeneous. The most frequently quantified complication was post-tonsillectomy hemorrhage, with rates varying from 2.7% to 7.9% depending on the surgical technique. Other reported complications included pain, halitosis, and uvula edema. Long-term follow-up (5 years) in two studies showed sustained quality of life benefits.