I read with the greatest interest the elegant study by Griffin et al.1 They stress that the prevalence of allergy in severe adenotonsillar disease is the same as that of age-matched controls, thus confirming that adenoidectomy and/or tonsillectomy is not harmful for the children who had been operated on. In their study, the prevalence of IgE-mediated hypersensitivity in children undergoing tonsillectomy or adenoidectomy did not differ to any standard level of significance from that of agematched controls from the same community, nor did the prevalence differ from that of the general population.
It is true that results from several studies regarding the consequences of adenotonsillectomy were conflicting2-5; however, only posttonsillectomy serum samples and salivary IgA were studied. Perhaps the authors were not aware of a study by my colleagues and I that was published in 1986.6 As far as I know, this is the only study that
Cantani A. Prevalence of IgE-Mediated Hypersensitivity in Children With Adenotonsillar Disease. Arch Otolaryngol Head Neck Surg. 1996;122(2):205–206. doi:10.1001/archotol.1996.01890140089021
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