Chronic tonsillitis with tic hyperkinesis. Tic control after tonsillectomy: a rehabilitation program

The aim of this study was to develop and evaluate the effectiveness of a comprehensive rehabilitation program - including physiotherapy, cognitive behavioral therapy, and nutritional support - for reducing the severity of tic hyperkinesias in children after tonsillectomy. These disorders significantly impair quality of life, hinder social adaptation, and require a multidisciplinary treatment approach. Tonsillectomy is one of the most commonly performed surgical procedures in pediatric otorhinolaryngology, especially for chronic tonsillitis. However, in some cases, neurological complications such as tic hyperkinesias may develop postoperatively, highlighting the need for subsequent rehabilitation. The proposed program included physiotherapeutic procedures and nutritional support aimed at restoring nervous system function and improving overall health status. The study included children diagnosed with postoperative tic disorders who underwent a rehabilitation course lasting 3, 6, or 9 months. The effectiveness of the intervention was assessed using tic severity scales as well as neurological and psycho-emotional evaluations. The results demonstrated a statistically significant reduction in tic severity among participants in the rehabilitation program compared to the control group. The most pronounced improvements were observed in patients who underwent rehabilitation for six months or longer. Thus, the implementation of a comprehensive rehabilitation program following tonsillectomy enhances neurological and behavioral outcomes in children and reduces the risk of chronic tic disorders