{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:52:10Z","timestamp":1793505130587,"version":"4.5.0"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,5]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n Paediatric feeding difficulties are common, affecting up to 25% of otherwise healthy children, symptoms include food refusal, gagging, choking, and excessive mealtime duration. These symptoms are commonly described in pre\u2010operative discussions about tonsillectomy. This prospective study explores the impact of tonsillectomy on paediatric feeding difficulties.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This prospective cohort study invited caregivers of children undergoing tonsillectomy to complete a PediEAT questionnaire about their children's feeding behaviours, pre and post\u2010operatively. The study was completed in two phases with 9 questions administered in phase 1 and three additional questions added for phase 2. A free text comments box was also provided. Responses were graded from 0 to 5, where 0 is \u2018never a problem\u2019 and 5 is \u2018always a problem\u2019 with eating behaviours.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n The study was conducted at our institution, a tertiary paediatric ENT unit.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Children aged between 6 months \u2010 7\u2009years undergoing tonsillectomy for any indication were invited to participate.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Changes to the Pedi\u2010EAT scores pre and post operatively were the main outcome measure.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 102 participants were recruited between January 2020 and January 2022. The mean age of participants was 4.1\u2009years, 87% had a concurrent adenoidectomy. The mean time to completion of post\u2010operative questionnaire was 23\u2009weeks after surgery. 9 of the 12 questions showed a statistically significant improvement in post\u2010operative scores using a paired student\n t<\/jats:italic>\n \u2010test (\n p<\/jats:italic>\n \u2009<\u20090.05). The most significant improvements related to \u2018gets tired from eating and is not able to finish\u2019 (1.49 pre\u2010op, 0.91 post op,\n p<\/jats:italic>\n \u2009<\u20090.01) and \u2018eats food that needs to be chewed\u2019 (1.4 pre\u2010op, 0.72 post\u2010op,\n p<\/jats:italic>\n \u2009<\u20090.01). 13% of participants only underwent tonsillectomy and this group also showed a statistically significant improvement in fatigue during eating (\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Symptoms of fatigue during eating and avoidance of food requiring mastication are most likely to improve following tonsillectomy in children.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/coa.14148","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T04:22:45Z","timestamp":1709094165000},"page":"314-319","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A prospective cohort study exploring the impact of tonsillectomy on feeding difficulties in children"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6071-3219","authenticated-orcid":false,"given":"M. E.","family":"Walsh","sequence":"first","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9760-8250","authenticated-orcid":false,"given":"R.","family":"Retzler","sequence":"additional","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0565-5332","authenticated-orcid":false,"given":"J.","family":"Huang","sequence":"additional","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Daglish","sequence":"additional","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1387-1580","authenticated-orcid":false,"given":"D.","family":"Tweedie","sequence":"additional","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Pepper","sequence":"additional","affiliation":[{"name":"Evelina London Childrens' Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-200001000-00007"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.196"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102682"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20600"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058\u20100360(2013\/12\u20100069)"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.14148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T01:29:49Z","timestamp":1712971789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.14148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,28]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/coa.14148"],"URL":"https:\/\/doi.org\/10.1111\/coa.14148","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.14148\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14148\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14148\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14148\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14148\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14148\/v1\/review2","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,28]]},"assertion":[{"value":"2023-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}