5,578 results match your criteria Adenoidectomy


Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia.

Cureus 2020 May 3;12(5):e7945. Epub 2020 May 3.

Otolaryngology, King Abdulaziz University Hospital, Jeddah, SAU.

Background Adenoidectomy is the most commonly performed pediatric operation worldwide and one of the most frequent otorhinolaryngological procedures. It is a safe procedure with a low risk of complications. However, after a successful adenoidectomy, few patients experience symptoms of nasal obstruction, suggestive of adenoid regrowth. Read More

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http://dx.doi.org/10.7759/cureus.7945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268577PMC

ENT management of children with adenotonsillar disease during COVID-19 pandemic. Ready to start again?

Int J Pediatr Otorhinolaryngol 2020 May 28:110145. Epub 2020 May 28.

Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Clinical manifestations of COVID-19 in children are milder, but the real burden of disease is unknown. After the lockdown, in our Region Lombardia we have been requested to progressively resume medical services including outpatient assessment and priority surgery. Therefore, we screened surgical waiting lists with identification of 47 children candidates to priority surgery (among 358). Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110145DOI Listing

Rate and risk factors for post-adenotonsillectomy complications in children under 24 months and 24 to 36 months old.

Am J Otolaryngol 2020 May 16;41(4):102546. Epub 2020 May 16.

The Center for Pediatric ENT - Head & Neck Surgery, 10150 Hagen Ranch Rd, Suite B-900, Boynton Beach, FL 33437, United States; Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, United States. Electronic address:

Purpose: The primary purpose of this study was to assess the overall rate of postoperative complications after adenotonsillectomy in children under 24 months old relative to children 24-36 months old. Our secondary goal focused on quantifying specific preoperative risk factors that predispose children to postoperative complications.

Methods: We retrospectively reviewed 248 patients who underwent adenotonsillectomy at our ENT office from 2006 to 2011. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102546DOI Listing

Aggressive Prophylactic Treatments for Postoperative Nausea and Vomiting Improve Outcomes in Pediatric Adenotonsillectomy Procedure.

J Pediatr Pharmacol Ther 2020 ;25(4):303-308

Objective: Postoperative nausea and vomiting (PONV) is an extremely common side effect of general anesthesia that is difficult to manage. We tested a hypothesis that an aggressive prophylactic intervention with additional antiemetic drugs will reduce the incidence of PONV in a high-risk pediatric population undergoing adenotonsillectomy.

Methods: In this retrospective study, pediatric patients undergoing adenotonsillectomy were screened for their risk factors for PONV. Read More

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http://dx.doi.org/10.5863/1551-6776-25.4.303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243897PMC
January 2020

Regional variability of hemorrhage following tonsil surgery in 1,520,234 cases.

Eur Arch Otorhinolaryngol 2020 May 25. Epub 2020 May 25.

Department of Otorhinolaryngology, Plastic Head and Neck Surgery, Kliniken Maria Hilf, Viersener Str. 450, 41063, Mönchengladbach, Germany.

Purpose: To evaluate, whether the regional variability of tonsil surgery in terms of the 16 Federal States of Germany was mirrored by a comparable variability of bleeding complications in male and female patients.

Methods: A longitudinal population-based inpatient cohort study was performed including all patients who had undergone tonsil surgery between 2005 and 2018. The database was provided by the Federal Statistical Office of Germany and included all inpatient cases after tonsillectomy (with or without adenoidectomy), tonsillotomy, abscess-tonsillectomy and secondary tonsillectomy. Read More

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http://dx.doi.org/10.1007/s00405-020-06080-xDOI Listing

Evaluation of post-tonsillectomy hemorrhage and assessment of risk factors.

Eur Arch Otorhinolaryngol 2020 May 25. Epub 2020 May 25.

Otolaryngology Department, Pedro Hispano Hospital, Matosinhos, Oporto, Portugal.

Purpose: Tonsillectomy is one of the most common surgical procedures in otorhinolaryngology. Hemorrhage in the postoperative period has an incidence of up to 20% and is a potentially fatal complication. We aim to assess the incidence of hemorrhage after tonsillectomy in our institution, and to evaluate and identify the possible associated risk factors. Read More

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http://dx.doi.org/10.1007/s00405-020-06060-1DOI Listing

Surgical Team Exposure to Cautery Smoke and Its Mitigation during Tonsillectomy.

Otolaryngol Head Neck Surg 2020 May 26:194599820917394. Epub 2020 May 26.

Department of Otolaryngology Head and Neck Surgery, University of West Virginia, Morgantown, West Virginia, USA.

Objectives: To assess the exposure of surgical personnel to known carcinogens during pediatric tonsillectomy and adenoidectomy (T&A) and compare the efficacy of surgical smoke evacuation systems during T&A.

Study Design: Prospective, case series.

Setting: Tertiary children's hospital. Read More

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http://dx.doi.org/10.1177/0194599820917394DOI Listing

Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children.

Eur Arch Otorhinolaryngol 2020 May 22. Epub 2020 May 22.

Department of Otolaryngology, Meir Medical Center, 59 Tchernichovsky St., 4428164, Kfar Saba, Israel.

Purpose: To evaluate the safety and outcomes of adenoidectomy for the treatment of sleep disordered breathing (SDB) in infants up to 12 months of age as compared to children ages 13-72 months METHODS: A retrospective analysis was performed by reviewing the medical records of children who underwent adenoidectomy from 2005 to 2018. The data of older age groups were also collected for comparison. The patients were divided into three groups: up to 12 months (infants), 13-36 months (toddlers) and 37-72 months (preschool). Read More

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http://dx.doi.org/10.1007/s00405-020-06047-yDOI Listing

The Pediatric Sinus Staging System: A Computed Tomography-Based Approach to Grading Pediatric Sinus Disease.

Laryngoscope 2020 May 22. Epub 2020 May 22.

Division of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.

Objectives/hypothesis: Pediatric chronic rhinosinusitis (CRS) is a prevalent disease with few objective measurements available to predict which patients will require surgical intervention. The Lund-Mackay (LM) score for computed tomography (CT) scans is one objective data point available for the adult population; however, a dedicated scoring system in the pediatric population has not been popularized. We present a Pediatric Sinus Staging System (PSSS) that considers both opacification and the varying developmental stages of each sinus. Read More

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http://dx.doi.org/10.1002/lary.28752DOI Listing

Vascular endothelial growth factor and transforming growth factor β in hypertrophic adenoids in children suffering from otitis media with effusion.

Cytokine 2020 May 18;133:155125. Epub 2020 May 18.

Department of Pediatric Laboratory Diagnostics, Medical University of Bialystok, Poland.

Objectives: The study objective was to assess the levels of VEGF-A and TGF-β cytokines in the children with adenoid hypertrophy concomitant with exudative otitis media (OME) and in children with adenoid hypertrophy (HA) alone.

Methods: The study material consisted of hypertrophic adenoids removed during adenoidectomy from 39 children (20 girls and 19 boys), aged 2-7 years suffering from OME. The reference group included 41 children (19 girls and 22 boys), aged from 3 to 9 years with adenoid hypertrophy. Read More

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http://dx.doi.org/10.1016/j.cyto.2020.155125DOI Listing

Practice, complications and outcome in Swedish tonsil surgery 2009-2018. An observational longitudinal national cohort study.

Acta Otolaryngol 2020 May 21:1-8. Epub 2020 May 21.

Department of Otorhinolaryngology, Region Jönköping County, Jönköping, Sweden.

To assure a high quality in tonsil surgery, it is necessary to monitor trends in clinical practice, complications and outcome. To describe rates and trends regarding indications, methods, techniques, complications, and outcome of tonsil surgery. 98 979 surgeries from the National Tonsil Surgery Register 2009-2018. Read More

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http://dx.doi.org/10.1080/00016489.2020.1746396DOI Listing

A comprehensive examination of the immediate recovery of children following tonsillectomy and adenoidectomy.

Int J Pediatr Otorhinolaryngol 2020 May 11;135:110106. Epub 2020 May 11.

UCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA; Department of Anesthesiology and Perioperative Care, University of California-Irvine, 333 City Blvd West, Orange, CA, 92868, USA; Sue & Bill Gross School of Nursing, University of California-Irvine, 802 W Peltason Drive, Irvine, CA, 92697, USA; Department of Pediatric Psychology, CHOC Children's, Orange, CA, 1201 West La Veta Ave, Orange, CA, 92868, USA. Electronic address:

Objectives: Using multiple well-validated measures and a large sample size, the goal of this paper was to describe the immediate clinical and behavioral recovery of children following tonsillectomy with or without an adenoidectomy (T&A) during the first two weeks following surgery.

Study Design: Observational, longitudinal study.

Setting: Four major pediatric hospitals in the U. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110106DOI Listing

Cold versus hot adenoidectomy: A prospective, randomized controlled trial.

Int J Pediatr Otorhinolaryngol 2020 May 5;135:110087. Epub 2020 May 5.

Department of Otolaryngology Head and Neck Surgery, The Head and Neck Center, Rambam Healthcare Campus, Clinical Research Institute at Rambam, Rappaport Institute of Medicine and Research, The Technion, Israel Institute of Technology, Haifa, Israel. Electronic address:

Objective: Adenoidectomy can be performed using the cold method (mainly adenoid curettes) or the hot method (suction diathermy). Both techniques have similar intra and postoperative outcomes. However, the long-term clinical outcome of improving sleep disorder symptoms has not been well established. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110087DOI Listing

Correlations between disease-specific quality of life and polysomnographic findings in children with obstructive sleep apnea.

Int J Pediatr Otorhinolaryngol 2020 Apr 30;134:110077. Epub 2020 Apr 30.

Department of Otorhinolaryngology/Head and Neck Surgery, Oslo University Hospital, Oslo, Norway; University of Oslo, Institute of Clinical Medicine, Oslo, Norway.

Objectives: Obstructive sleep apnea (OSA) can have a negative impact on quality of life in children. The OSA-18 is a disease-specific quality of life questionnaire for children. The questionnaire has been found to be a poor predictor of OSA diagnosed with polysomnography (PSG), yet OSA-18 scores do markedly improve after adenotonsillectomy. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110077DOI Listing

Translation and cultural adaptation of the Hebrew version of the Pediatric Sleep Questionnaire: a prospective, non-randomized control trial.

Sleep Breath 2020 May 12. Epub 2020 May 12.

Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.

Purpose: Left untreated, obstructive sleep-disordered breathing (OSDB) are associated with adverse effects on growth and development. History and physical examination alone are used for diagnosing children with OSDB, as polysomnography is not always feasible. Our objective was to develop and validate a Hebrew version of the Pediatric Sleep Questionnaire (PSQ) to help to diagnose and follow-up children before and after adenotonsillectomy surgery for OSDB. Read More

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http://dx.doi.org/10.1007/s11325-020-02073-6DOI Listing

Mean platelet volume levels in children with sleep-disordered breathing: a meta-analysis.

BMC Pediatr 2020 May 11;20(1):204. Epub 2020 May 11.

Department of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung, Taiwan.

Background: Pediatric sleep-disordered breathing (SDB) correlated with respiratory conditions of snoring and hypopnea. Mean platelet volume (MPV) was an inflammatory marker, related to increased inflammatory condition of pediatric patients. Increase of MPV level may cause failure to thrive or increased upper airway infection rate. Read More

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http://dx.doi.org/10.1186/s12887-020-02099-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212570PMC

The validity of simplified self-report pain intensity assessment tools in preschool-age children undergoing adenotonsillectomy.

Eur Arch Otorhinolaryngol 2020 May 9. Epub 2020 May 9.

Department of ENT, Kayseri City Training and Research Hospital, Şeker Mah. Muhsinyazıcıoğlu Bulvarı No:77 Kocasinan, 38080, Kayseri, Turkey.

Purpose: To assess the validity of simplified pain scales, including the Simplified Faces Pain Scale (S-FPS) and Simplified Concrete Ordinal Scale (S-COS) in preschool-age children who underwent adenotonsillectomy (T&A) by comparing the values of simplified pain scales with the Faces Pain Scale-Revised (FPS-R) and the Faces, Legs, Activity, Cry, Consolability (FLACC) observational pain scale.

Methods: The present study consisted of 100 pediatric patients between the ages of 3 and 6 years old who had T&A. A two-step pain assessment approach with S-FPS and S-COS and FPS-R and FLACC pain scales was performed with children with the help of their parents or caregivers at the 1st, 6th and 12th hours, and over the 7 days after surgery. Read More

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http://dx.doi.org/10.1007/s00405-020-06029-0DOI Listing

The microbiomes of adenoid and middle ear in children with otitis media with effusion and hypertrophy from a tertiary hospital in China.

Int J Pediatr Otorhinolaryngol 2020 Apr 21;134:110058. Epub 2020 Apr 21.

ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University, Shanghai, China; Key Laboratory of Hearing Medicine of National Health Commission, Shanghai, China. Electronic address:

Introduction: Otitis media with effusion (OME) is one of the most common pediatric diseases worldwide. Several studies have analyzed the diversity of the microbiomes found in the middle ear effusions (MEEs) of populations from developed countries. However, no microbiological studies of MEEs from Chinese children with OME have been reported. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110058DOI Listing

Evaluation of symptoms of preopoperative and postoperative psychosomatic screening in children with adenoidectomy and adenotonsillectomy.

Int J Pediatr Otorhinolaryngol 2020 Apr 27;134:110072. Epub 2020 Apr 27.

Department of Otolaryngology Clinic, Mardin Public Hospital, Mardin, Turkey.

Introduction: Adenoidectomy and adenotonsillectomy are very common operations in childhood. It is important to clarify their effects on this age group; in this study, we aimed to investigate the effects of the causative agent on children's mental health by using scales that help to screen for indications of mental disorders in children, who have had adenoidectomy or adenotonsillectomy, both before and after surgery. In this way, we aimed to investigate the effects of this factor on children's mental health. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110072DOI Listing

Predicting polysomnographic severity thresholds in children using machine learning.

Pediatr Res 2020 May 9. Epub 2020 May 9.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.

Background: Approximately 500,000 children undergo tonsillectomy and adenoidectomy (T&A) annually for treatment of obstructive sleep disordered breathing (oSDB). Although polysomnography is beneficial for preoperative risk stratification in these children, its expanded use is limited by the associated costs and resources needed. Therefore, we used machine learning and data from potentially wearable sensors to identify children needing postoperative overnight monitoring based on the polysomnographic severity of oSDB. Read More

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http://dx.doi.org/10.1038/s41390-020-0944-0DOI Listing

Successful management of anesthesia complications in a child with Crouzon syndrome.

Anaesthesist 2020 May 6. Epub 2020 May 6.

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.

Crouzon syndrome (CS) is a rare autosomal dominant inherited disorder caused by mutations in the fibroblast growth factor receptor 2 (FGFR2) gene. The disease is characterized by premature fusion of the coronal and sagittal sutures of the skull, resulting in clinical manifestations of midfacial hypoplasia, shallow orbit, maxillary dysplasia, and occasional upper respiratory obstruction. This article presents the case of a child aged 2 years and 7 months with CS scheduled for bilateral tonsillectomy and adenoidectomy. Read More

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http://dx.doi.org/10.1007/s00101-020-00778-7DOI Listing

Comparison of adenoid assessment by flexible endoscopy and mirror exam.

Int J Pediatr Otorhinolaryngol 2020 Apr 27;134:110073. Epub 2020 Apr 27.

Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA; Boston University Medical Center, Department of Otolaryngology, 800 Harrison Ave, BCD Building, 5th Floor, Boston, MA, 02118, USA. Electronic address:

Objective: Assessment of adenoid hypertrophy can be completed through various methods including flexible endoscopy and intraoperative mirror exam. The objective of this study was to compare the effect of adenoid size on the accuracy of these techniques.

Methods: Patients younger than 18 years old who underwent adenoidectomy at Boston Medical Center from October 2012 to December 2018 and had documented preoperative and intraoperative adenoid sizes were included. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110073DOI Listing

Prevalence of malocclusions and oral dysfunctions in children with persistent sleep-disordered breathing after adenotonsillectomy in the long term.

J Clin Sleep Med 2020 May 1. Epub 2020 May 1.

Orthodontic Clinic, Faculty of Dentistry, Université de Montréal, Canada.

Study Objectives: To evaluate the prevalence of craniofacial/orthodontic abnormalities and oral dysfunctions in a population of children with persistent sleep-disordered breathing (SDB) despite adenotonsillectomy (A&T).

Methods: Medical charts of 4000 SDB children operated in a tertiary hospital were retrospectively reviewed. Patients reporting persistent SDB symptoms were invited to an orthodontic/myo-functional evaluation following the Sleep Clinical Score (SCS), followed by a one-night ambulatory type III sleep study. Read More

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http://dx.doi.org/10.5664/jcsm.8534DOI Listing
May 2020
3.053 Impact Factor

The microbiome of pediatric patients with chronic rhinosinusitis.

Int Forum Allergy Rhinol 2020 Apr 29. Epub 2020 Apr 29.

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Background: This study aimed to compare the microbiota of pediatric patients with chronic rhinosinusitis (CRS) who are undergoing adenoidectomy to treat their disease with that of healthy control patients.

Methods: Patients undergoing adenoidectomy-only for obstructive sleep apnea (n = 50) and CRS (n = 37) were recruited. Pre-op Sino-nasal Outcome Test (SN5 or SNOT22) was collected. Read More

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http://dx.doi.org/10.1002/alr.22597DOI Listing

The effect of bleeding on children's haemodynamic indices: an analysis of previous post-tonsillectomy bleeding cases.

J Laryngol Otol 2020 Apr 20:1-5. Epub 2020 Apr 20.

Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.

Objective: Post-surgical bleeding after tonsillectomy occurs in 2-7 per cent of cases. This study examined whether heart rate and haematocrit changes are associated with the amount of bleeding.

Method: In this retrospective analytical study, data were collected from the medical charts of patients admitted with post-surgical bleeding. Read More

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http://dx.doi.org/10.1017/S0022215120000328DOI Listing

"Very High-Grade" Pulsatile Mass of an Aberrant Internal Carotid Artery in the Nasopharyngeal Wall: A Case Report and Review of Literature.

Am J Case Rep 2020 Apr 13;21:e921967. Epub 2020 Apr 13.

Department of Radiology, Vinmec Healthcare System, Nha Trang City, Vietnam.

BACKGROUND The prevalence of aberrant internal carotid artery (ICA) is extremely low in the general population. It commonly occurs in the neck. Close proximity of the pulsatile submucosal mass of the aberrant ICA to the nasopharyngeal wall is dangerous. Read More

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http://dx.doi.org/10.12659/AJCR.921967DOI Listing

In Pursuit of an Opioid-Free Pediatric Ambulatory Surgery Center: A Quality Improvement Initiative.

Anesth Analg 2020 Apr 10. Epub 2020 Apr 10.

From the Department of Anesthesiology and Pain Medicine, Seattle Children's, University of Washington, Seattle, Washington.

Background: Opioids have been a central component of routine adult and pediatric anesthesia for decades. However, the long-term effects of perioperative opioids are concerning. Recent studies show a 4. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004774DOI Listing

Association of Blood Type With Postsurgical Mucosal Bleeding in Pediatric Patients Undergoing Tonsillectomy With or Without Adenoidectomy.

JAMA Netw Open 2020 Mar 2;3(3):e201804. Epub 2020 Mar 2.

Laboratory Medicine, Boston Children's Hospital, Boston, Massachusetts.

Importance: Blood type (BT) O has been identified as a risk factor for bleeding complications, while non-O BTs may increase risk for thromboembolic events. Limited data are available in children undergoing tonsillectomy with or without adenoidectomy.

Objective: To determine whether BT O is associated with hemorrhage after tonsillectomy with or without adenoidectomy. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2020.1804DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109594PMC

Is securing normal dentofacial development an indication for tonsil surgery in children? A systematic review and meta-analysis.

Int J Pediatr Otorhinolaryngol 2020 Jun 18;133:110006. Epub 2020 Mar 18.

Department of Ear and Oral Diseases, Tampere University Hospital, SKS/TAYS PL 2000 33521, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland. Electronic address:

Objective: Tonsil surgeries are common operations in the field of paediatric otorhinolaryngology. Often, the indication for these operations is hypertrophied tonsils. Paediatric sleep-disordered breathing and mouth-breathing are conventional situations caused by the hypertrophied tonsils. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110006DOI Listing

Coagulation tests or standardized questionnaire, which is better as a predictor of bleeding? A prospective study among children before tonsillectomy and/or adenoidectomy.

BMC Res Notes 2020 Mar 24;13(1):175. Epub 2020 Mar 24.

Pediatric Hematology Unit, Emek Medical Centre (affiliated with The Ruth and Bruce Rappaport School of Medicine, Technion Institute of Technology, Haifa), Yitzhak Rabin Boulevard 21, 1834111, Afula, Israel.

Objective: The value of pre-operative coagulation testing for adenotonsillar surgery is controversial. The purpose of this study was to evaluate the role of routine coagulation tests and a standardized questionnaire in children before tonsillectomy and/or adenoidectomy.

Results: A total of 143 children were prospectively enrolled in the study between 2013 and 2017, 81 males (56. Read More

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http://dx.doi.org/10.1186/s13104-020-05020-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092510PMC

Normal FDG uptake in the adenoids and palatine tonsils in children on PET/MRI.

Pediatr Radiol 2020 Mar 20. Epub 2020 Mar 20.

Department of Radiology, Children's Wisconsin and Medical College of Wisconsin, 8915 W. Connell Ct., Milwaukee, WI, 53226, USA.

Background: Information about the normal [F-18]2-fluoro-2-deoxyglucose (FDG) uptake in the adenoids and palatine tonsils in children is not available.

Objective: The purpose of this study was to report the range of standardized uptake values (SUVs) in the normal adenoids and palatine tonsils in children, assess for the degree of asymmetry between the right and left tonsils and evaluate for the correlation of SUVs between the adenoids and tonsils.

Materials And Methods: Pediatric patients who had had an FDG positron emission tomography (PET)/magnetic resonance imaging (MRI) brain study in our institution from January 2018 to March 2019 were identified. Read More

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http://dx.doi.org/10.1007/s00247-020-04650-zDOI Listing

A review of dexamethasone as an adjunct to adenotonsillectomy in the pediatric population.

J Anesth 2020 Jun 19;34(3):445-452. Epub 2020 Mar 19.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Although one of the most commonly performed surgical procedures in children and frequently performed as outpatient surgery, the postoperative course following tonsillectomy may include nausea, vomiting, poor oral intake, and pain. These problems may last days into the postoperative course. Although opioids may be used to treat the pain, comorbid conditions such as obstructive sleep apnea may mandate limiting the dose and the frequency of administration. Read More

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http://dx.doi.org/10.1007/s00540-020-02758-yDOI Listing

Evaluation and Management of Children with Obstructive Sleep Apnea Syndrome.

Lung 2020 Apr 12;198(2):257-270. Epub 2020 Mar 12.

Division of Respiratory and Sleep Medicine, Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY, 10467-2490, USA.

Obstructive sleep apnea syndrome (OSAS) is a common pediatric disorder characterized by recurrent events of partial or complete upper airway obstruction during sleep which result in abnormal ventilation and sleep pattern. OSAS in children is associated with neurobehavioral deficits and cardiovascular morbidity which highlights the need for prompt recognition, diagnosis, and treatment. The purpose of this state-of-the-art review is to provide an update on the evaluation and management of children with OSAS with emphasis on children with complex medical comorbidities and those with residual OSAS following first-line treatment. Read More

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http://dx.doi.org/10.1007/s00408-020-00342-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171982PMC

The Comparison between Microdebrider Assisted Adenoidectomy and Coblation Adenoidectomy: Analyzing the Intraoperative Parameters and Post-operative Recovery.

Indian J Otolaryngol Head Neck Surg 2020 Mar 27;72(1):59-65. Epub 2019 Sep 27.

Sri Guru Ram Das Institute of Health Sciences and Research, Amritsar, India.

Microdebrider adenoidectomy and Coblation adenoidectomy are the two new techniques available for adenoidectomy these days. The advantages of endoscopic power assisted adenoidectomy over cold steel adenoidectomy has been well established in the literature. As adenoidectomy is one of the most common paediatric surgical procedure there is always a concern to improve the outcomes and make postoperative experience more pleasant for the paediatric population. Read More

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http://dx.doi.org/10.1007/s12070-019-01736-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040151PMC

Analgesia for adenotonsillectomy in children: a comparison between peritonsillar infiltration of tramadol, ketamine, and placebo.

Eur Arch Otorhinolaryngol 2020 Jun 10;277(6):1815-1822. Epub 2020 Mar 10.

Federal University of Goiás, UFG, Av. Das nações, nº 105, ap 503, Jardim Bandeirante, Anápolis, Goiás, 75083-050, Brazil.

Introduction: Post-tonsillectomy pain is mediated by nociceptive C-fibers located at peritonsillar space. Peritonsillar infiltration of medication could relieve post-operative pain blocking the afferent via.

Purpose: To evaluate the effect of peritonsillar infiltration of tramadol, ketamine, and placebo on post-operative pain in cases of adenotonsillectomy. Read More

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http://dx.doi.org/10.1007/s00405-020-05878-zDOI Listing

Partial resection of hypertrophic torus tubarius for recurred snoring: Case series.

Medicine (Baltimore) 2020 Mar;99(10):e19329

Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University College of Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Sleep-disordered breathing symptoms may recur in some children after successful adenoidectomy. A potential etiology that warrants consideration is torus tubarius hypertrophy (TTH) as well as residual or recurrent adenoid hypertrophy. Here, we report our experience and the treatment outcomes with microscopic coblator-assisted partial resection of TTH. Read More

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http://dx.doi.org/10.1097/MD.0000000000019329DOI Listing

Clinical observation of soft palate-pharyngoplasty in the treatment of obstructive sleep apnea hypopnea syndrome in children.

World J Clin Cases 2020 Feb;8(4):679-688

Department of Otolaryngology Head and Neck Surgery, Department of The Sleep Medicine Center, Shengjing Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

Background: Childhood obstructive sleep apnea hypopnea syndrome (OSAHS) is a common clinical disease that can cause serious complications if not treated in time. The preferred treatment for OSAHS in children is surgery.

Aim: To observe the effects of soft palate-pharyngoplasty on postoperative outcome, pharyngeal formation, and possible complications. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i4.679DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052550PMC
February 2020

Velopharyngeal insufficiency in patients without a cleft palate: important considerations for the ENT surgeon.

J Laryngol Otol 2020 Mar 6;134(3):252-255. Epub 2020 Mar 6.

Department of Otolaryngology and Head and Neck Surgery, Alder Hey Children's Hospital, Liverpool, UK.

Background: Velopharyngeal insufficiency is the inability to close the velopharyngeal port during speech and swallowing, leading to hypernasal speech and food regurgitation.

Objective: This study aimed to explore the aetiological factors contributing to the development of velopharyngeal insufficiency in a non-cleft paediatric population, especially following adenoidectomy.

Methods: A retrospective case review was conducted of all children without a known cleft palate, born between 2000 and 2013, who were referred to a tertiary cleft centre with possible velopharyngeal insufficiency. Read More

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http://dx.doi.org/10.1017/S002221512000047XDOI Listing

Obstructive sleep apnea in children with down syndrome - Prevalence and evaluation of surgical treatment.

Int J Pediatr Otorhinolaryngol 2020 Jun 26;133:109968. Epub 2020 Feb 26.

Karolinska University Hospital, Ear Nose Throat Department, Stockholm, Sweden.

Introduction: The prevalence of obstructive sleep apnea (OSA) in the pediatric population with Down syndrome (DS) is reported to be 45-76%. The criterion "gold" standard for diagnosing OSA is polysomnography (PSG). First-hand surgical treatment is adenotonsillectomy (ATE), and another option is adenopharyngoplasty (APP). Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109968DOI Listing

Tonsillectomy Outcomes among Children with Mental Health Disorders in the United States.

Otolaryngol Head Neck Surg 2020 May 3;162(5):754-760. Epub 2020 Mar 3.

Department of Otolaryngology-Head and Neck Surgery, Division of Pediatric Otolaryngology, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Objectives: Recent evidence suggests that children with mental health disorders are more likely to have postoperative complications. Our aim was to determine if mental health disorders affect postoperative complications after tonsillectomy with or without adenoidectomy (T&A).

Setting: Cross-sectional analysis of national databases. Read More

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http://dx.doi.org/10.1177/0194599820910115DOI Listing

Intraoperative intravenous ibuprofen use is not associated with increased post-tonsillectomy bleeding.

Int J Pediatr Otorhinolaryngol 2020 Jun 21;133:109965. Epub 2020 Feb 21.

Albert Einstein College of Medicine, Bronx, NY, USA; Department of Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address:

Objectives: Intravenous (IV) ibuprofen was approved by the FDA for use in pediatric patients in November 2015. The objective of this study was to compare bleeding rates in pediatric tonsillectomy patients who received intraoperative intravenous ibuprofen versus those who did not. Secondary objectives included analyzing factors that correlated with return to the Emergency Department (ED) for pain or dehydration. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109965DOI Listing

Prevalence and natural history of obstructive sleep apnea in pediatric patients with laryngomalacia.

Int J Pediatr Otorhinolaryngol 2020 Jun 23;133:109967. Epub 2020 Feb 23.

Department of Otolaryngology, Boston Medical Center, Boston, Massachusetts, USA. Electronic address:

Objective: Laryngomalacia is the most common cause of infant stridor, and obstructive sleep apnea (OSA) is sometimes found concurrently in patients with laryngomalacia. OSA has been shown to improve after surgical treatment of laryngomalacia, but the majority of laryngomalacia patients have spontaneous resolution of symptoms. It is unknown whether their comorbid OSA also resolves. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109967DOI Listing

[Diagnostics and treatment of adenotonsillar hyperplasia in children].

HNO 2020 Mar;68(3):215-226

Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland.

Adenoidectomy, paracentesis, and tonsillar interventions are the most common operations in childhood. Hypertrophy of the lymphatic tissue of Waldeyer's ring can lead to individually distinct, acute, and chronic symptoms as well as anatomical and functional changes. When presented with affected children in otolaryngologic practice, the combination of parental interview, questionnaire-based screening for obstructive sleep apnea syndrome, and physical examination including ear microscopy, inspection of the oropharynx and, if necessary, the nasopharynx, has proven its worth. Read More

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http://dx.doi.org/10.1007/s00106-020-00826-zDOI Listing

3D-structural change of nasopharynx following adenoidectomy: 10-year serial data in a single hospital.

Eur Arch Otorhinolaryngol 2020 May 12;277(5):1391-1395. Epub 2020 Feb 12.

Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu city, South Korea.

Purpose: Scar contracture commonly refers to decreased function in the scar area, whereas scar contraction refers to shortening of the scar length compared to the original wound. Wound scar remodeling occurs during months to years of wound healing to form a mature scar. Serial reports about patients who had undergone adenoidectomy are rare. Read More

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http://dx.doi.org/10.1007/s00405-020-05852-9DOI Listing

Qualitative evaluation of paediatric surgical otolaryngology content on YouTube.

J Laryngol Otol 2020 Feb 13:1-3. Epub 2020 Feb 13.

Department of Otolaryngology, Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Objective: This study evaluated the quality of YouTube content focusing on common paediatric otolaryngology procedures, as this content can influence the opinions and medical decisions of patients.

Methods: A total of 120 YouTube videos were compiled to review using the terms 'adenoid removal', 'adenoidectomy', 'ear tubes', 'tympanostomy', 'tonsil removal' and 'tonsillectomy'. The Discern criteria was used to rate the quality of health information presented in each video. Read More

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http://dx.doi.org/10.1017/S002221512000016XDOI Listing
February 2020

Effects of intravenous and mask induction on post-operative emergence delirium in pediatric patients undergoing tonsillectomy with or without adenoidectomy.

Ir J Med Sci 2020 Feb 11. Epub 2020 Feb 11.

Department of Anesthesiology and Critical Care, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

Background: Emergence delirium occurs in children during recovery from general anesthesia. The aim of the study was to examine the effects of mask and intravenous sevoflurane anesthesia induction on emergence delirium in children undergoing tonsillectomy with or without adenoidectomy.

Methods: This single-blinded, prospective, randomized clinical trial was conducted in the operating room and the post-operative recovery area at a university hospital. Read More

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http://dx.doi.org/10.1007/s11845-020-02197-4DOI Listing
February 2020

Oxycodone preemptive analgesia after endoscopic plasma total adenotonsillectomy in children: A randomized controlled trial.

Medicine (Baltimore) 2020 Feb;99(6):e19004

Department of Anesthesiology.

Background: Endoscopic tonsillectomy is associated with postoperative pain. Postoperative pain management remains to be improved in children. We aimed to investigate oxycodone preemptive analgesia in children undergoing endoscopic plasma total adenotonsillectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000019004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015576PMC
February 2020

Myringotomy and tube insertion combined with balloon eustachian tuboplasty for the treatment of otitis media with effusion in children.

Eur Arch Otorhinolaryngol 2020 May 30;277(5):1281-1287. Epub 2020 Jan 30.

Department of Otorhinolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230032, Anhui, People's Republic of China.

Objective: This study aimed to clarify the role and safety of balloon eustachian tuboplasty (BET) in the treatment of otitis media with effusion (OME) in children.

Methods: This retrospective study was performed between January 2017 and February 2018. The study covered 25 OME patients treated with BET combined with myringotomy and tube insertion (MTI), designated as the BET group, and 24 OME patients treated with MTI during the same period considered as the controls. Read More

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http://dx.doi.org/10.1007/s00405-020-05828-9DOI Listing
May 2020
1.608 Impact Factor

Are Children Scheduled for Ventilation Tubes Insertion Overweight? A Cohort of Israeli Children.

Ann Otol Rhinol Laryngol 2020 Jun 29;129(6):611-617. Epub 2020 Jan 29.

Department of Otolaryngology-Head and Neck Surgery, Faculty of Health Sciences, Samson Assuta Ashdod University Hospital, Ben Gurion University, Ashdod, Israel.

Objective: To study the hypothesis that children scheduled for ventilation tube insertion (VTI), a surrogate procedure reflecting otitis media (OM) presence, are overweight or obese.

Patients And Methods: Charts of Israeli children aged 0 to 9 years undergoing VTI with or without adenoidectomy between 9/1/17 and 3/31/19 in a secondary level hospital were retrospectively identified. We compared their mean body mass index (BMI, kg/m) to the mean BMI of a control group comprised of children who underwent surgeries unrelated to OM (fracture fixation/reduction, inguinal/umbilical hernia repair, meatotomy, appendectomy). Read More

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http://dx.doi.org/10.1177/0003489420903336DOI Listing
June 2020
1.054 Impact Factor