5,293 results match your criteria Adenoidectomy


Laryngeal mask versus intubation for adenoidectomies in children: Analysis of 1,500 operations.

Laryngoscope 2019 Jan 10. Epub 2019 Jan 10.

Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Würzburg, Würzburg, Germany.

Objectives/hypothesis: To evaluate whether endotracheal intubations are superior to the use of laryngeal masks in the airway management for adenoidectomies in pediatric patients in terms of safety and duration of surgery.

Study Design: Retrospective case series.

Methods: A retrospective analysis of 1,500 adenoidectomies in children using laryngeal mask or endotracheal intubation for intraoperative ventilation between 2009 and 2017. Read More

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http://doi.wiley.com/10.1002/lary.27794
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http://dx.doi.org/10.1002/lary.27794DOI Listing
January 2019
1 Read

[Symptoms and parental expectation in adenoidectomy and adenotonsillotomy in preschool children].

Laryngorhinootologie 2019 Jan 9. Epub 2019 Jan 9.

Klinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm.Ärztlicher Direktor: Prof. Dr. med. Thomas Hoffmann.

Objective: In this study, symptoms associated with adenoids and hyperplasic palatine tonsils and parental expectation of surgical outcome were recorded, to provide realistic parental information prior to adenoidectomy (AT) ± tonsillotomy (ATT).

Material And Methods: In total n = 111 children (3-6 years, ♂ 65 % ♀ 35 %) were recruited, who received AT (66 %) or ATT (34 %) at ENT University Hospital Ulm. By questionnaire-based survey, the most common symptoms and the main reason for the operation were reported from parent's perspective (operation day, follow-up: 3. Read More

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http://dx.doi.org/10.1055/a-0816-5807DOI Listing
January 2019

Effect of topical mometasone furoate on adenoidal lymphoid tissue: a light microscopic study.

J Laryngol Otol 2019 Jan 8:1-4. Epub 2019 Jan 8.

Department of Histology,Faculty of Medicine,Suez Canal University,Ismailia,Egypt.

Background: Adenoid hypertrophy is a common cause of upper airway obstruction, and adenoidectomy is one of the most frequently performed operations in children. Topical nasal steroids can act directly on nasopharyngeal lymphoid tissue to decrease its reactive inflammatory changes and potentially reduce its size.

Objective: To study the light microscopic changes in adenoidal lymphoid tissue after one month of topical steroid use. Read More

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http://dx.doi.org/10.1017/S0022215118002268DOI Listing
January 2019

Tonsillectomy and Adenoidectomy in Children.

Authors:
Karen Hawley

JAMA Otolaryngol Head Neck Surg 2019 Jan 3. Epub 2019 Jan 3.

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http://dx.doi.org/10.1001/jamaoto.2018.3703DOI Listing
January 2019

Rhinolith: Examining the clinical, radiological and surgical features of 23 cases.

Authors:
Ceyhun Aksakal

Auris Nasus Larynx 2018 Dec 28. Epub 2018 Dec 28.

Tokat State Hospital Ear Nose Throat Department, Tokat, Turkey. Electronic address:

Objective: Rhinolith is a hard nasal mass formed in time by the mineral salts around an endogenous or exogenous-originating nidus. Rhinolith, which is seen rarely, has been reported in the literature as case reports. In this study, we are presenting the demographic and clinical features together with accompanying sinonasal pathologies of 23 rhinolith cases. Read More

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http://dx.doi.org/10.1016/j.anl.2018.12.008DOI Listing
December 2018

Is there any association between Helicobacter pylori and otitis media with effusion?

Braz J Otorhinolaryngol 2018 Dec 19. Epub 2018 Dec 19.

Kerman University, Faculty of Medicine, Department of Otolaryngology, Kerman, Iran. Electronic address:

Introduction: It is proposed that Helicobacter pylori can be responsible for the development of otitis media with effusion.

Objective: The aim of this study is to investigate the prevalence of H. pylori in the adenoid tissue and fluid of the middle ear in patients who suffer from adenoid hyperplasia and otitis media with effusion in comparison with those who suffer from adenoid hyperplasia without otitis media with effusion. Read More

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http://dx.doi.org/10.1016/j.bjorl.2018.11.002DOI Listing
December 2018

Morbidity after pediatric tonsillotomy versus tonsillectomy: A population-based cohort study.

Laryngoscope 2018 Dec 24. Epub 2018 Dec 24.

Department of Otorhinolaryngology, Södra Älvsborgs Hospital, Borås, Sweden.

Objectives/hypothesis: To compare and evaluate morbidity following pediatric tonsillectomy (TE) and tonsillotomy (TT) performed due to tonsil-related upper airway obstruction.

Study Design: Retrospective population-based cohort study based on data from the Swedish National Patient Register (NPR).

Methods: All patients aged 1 to 12 years who were registered in the NPR between January 1, 2007 and December 31, 2015, and who underwent an isolated tonsil surgery (± adenoidectomy) for the sole indication of upper airway obstruction were included. Read More

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http://dx.doi.org/10.1002/lary.27665DOI Listing
December 2018

Occult malignancy in pediatric tonsil and adenoid surgeries - A national survey.

Int J Pediatr Otorhinolaryngol 2019 Feb 1;117:171-174. Epub 2018 Dec 1.

Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel; Department of Otolaryngology - Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel. Electronic address:

Objective: To evaluate the incidence of tonsil and adenoid malignancy in pediatric patients in Israel compared to the known literature and to revisit the common practice of routine histopathologic examination of tonsils and adenoids.

Methods: Analysis of the Israel National Cancer Registry data on pediatric tonsil and adenoid malignancies between the years 2005 and 2015, and a systematic literature review of all relevant articles that reported on malignancies amongst pediatric patients who underwent tonsillectomy with or without adenoidectomy.

Results: Only seven cases of tonsillar malignancies were documented out of 152,352 (0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183059
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http://dx.doi.org/10.1016/j.ijporl.2018.11.031DOI Listing
February 2019
4 Reads

Obstructive sleep apnea in children: How it affects parental psychological status?

Int J Pediatr Otorhinolaryngol 2019 Feb 30;117:157-162. Epub 2018 Nov 30.

Department of Nuclear Medicine, University Hospital Center Split, Croatia.

Purpose Of The Study: The aim of this study was to evaluate the influence of obstructive sleep apnea (OSA) in children on maternal and paternal anxiety.

Patients And Methods: This prospective study was conducted from January 2013 until January 2016 in the Ear, Nose and Throat (ENT) Department at the University Hospital of Split, Croatia. The parents of 59 children with a median age of 5 years (range: 2-9) who were suffering from obstructive sleep apnea (OSA) due to adenotonsillar hypertrophy were enrolled into the study. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.11.032DOI Listing
February 2019

The use of video glasses improved learning of tonsillectomy and adenoidectomy surgery: A randomized controlled trial.

Int J Pediatr Otorhinolaryngol 2019 Feb 27;117:12-16. Epub 2018 Oct 27.

Division of Pediatric Otolaryngology-Head and Neck Surgery, BC Children's Hospital, University of British Columbia, Vancouver, Canada.

Objective: One of the most common challenges in surgical education for trainees is gaining practical experience through observing procedures in the operating room. Due to the nature of some procedures, a narrow surgical view severely limits the learning experience. Video glasses are new devices that offer the potential to project the primary surgeon's exact view to learners in real-time, allowing for an enhanced operative learning experience. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.10.039DOI Listing
February 2019
1 Read

Ibuprofen in the treatment of children's inflammatory pain: a clinical and pharmacological overview.

Minerva Pediatr 2019 Feb;71(1):82-99

Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy.

Unlike fever, which is often over-treated especially in children, pain is underestimated and under-treated in pediatric age. The pharmacological agents approved for treating pain in these patients are few, also considering the recent limitation for codeine in children younger than 12 years. Paracetamol and the nonsteroidal anti-inflammatory drug (NSAID) ibuprofen are the most used at this purpose. Read More

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http://dx.doi.org/10.23736/S0026-4946.18.05453-1DOI Listing
February 2019
1 Read

Comparing the real and perceived cost of adenotonsillectomy using time-driven activity-based costing.

Laryngoscope 2018 Dec 18. Epub 2018 Dec 18.

Department of Otolaryngology-Head & Neck Surgery, Tufts Medical Center, Boston, Massachusetts, U.S.A.

Objective: This study aims to measure the costs of treating obstructive sleep apnea (OSA) in children with an adenotonsillectomy using time-driven activity-based costing (TDABC) and explore how this differs from cost estimates using traditional forms of hospital accounting.

Study Design: Prospective observational study.

Methods: A total of 53 pediatric patients with symptoms of OSA or sleep-related breathing disorder were followed from their initial appointment through surgery to their postoperative visit at an academic medical center. Read More

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http://dx.doi.org/10.1002/lary.27648DOI Listing
December 2018
1 Read

Risk of post-operative hemorrhage after adenoidectomy and tonsillectomy: Value of the preoperative determination of partial thromboplastin time and prothrombin time.

Int J Pediatr Otorhinolaryngol 2019 Jan 19;116:62-64. Epub 2018 Oct 19.

Department of Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:

Introduction: Tonsillectomy and adenoidectomy (T& A) are the most common pediatric surgical procedures performed world-wide. Bleeding remains the most common complication of these procedures with 1-5.7% prevalence. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.10.024DOI Listing
January 2019
1 Read

Clinical characteristics of obstructive sleep apnea versus infectious adenotonsillar hyperplasia in children.

Int J Pediatr Otorhinolaryngol 2019 Jan 3;116:177-180. Epub 2018 Nov 3.

University of Auckland, Department of Surgery, PO Box 99743, Newmarket, Auckland, 1149, New Zealand.

Introduction: Children who undergo adenotonsillectomy have a range of symptoms. Some present with infective symptoms, others with obstructive symptoms, and many with a combination of both. The most common surgical indication has changed over the past several decades from infective symptoms to obstructive symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183056
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http://dx.doi.org/10.1016/j.ijporl.2018.11.004DOI Listing
January 2019
3 Reads

Inferior Turbinate Hypertrophy: A Review of the Evolution of Management in Children.

Am J Rhinol Allergy 2018 Dec 17:1945892418815351. Epub 2018 Dec 17.

1 Department of Otolaryngology-Head and Neck Surgery, Boston University, School of Medicine, Boston, Massachusetts.

Background: Historically, there has been uncertainty in the treatment of inferior turbinate hypertrophy (ITH) in children. Although management always begins with medical therapy, the decision to offer surgery in resistant cases is becoming more widely practiced. In the pediatric population, turbinate reduction can be achieved with turbinectomy, electrocautery, lasers, submucous microdebridement, and radiofrequency volumetric tissue reduction (RVTR). Read More

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http://dx.doi.org/10.1177/1945892418815351DOI Listing
December 2018

Evaluation of retinal vasculature before and after treatment of children with obstructive sleep apnea-hypopnea syndrome by optical coherence tomography angiography.

Graefes Arch Clin Exp Ophthalmol 2018 Dec 12. Epub 2018 Dec 12.

Department of Ophthalmology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200062, China.

Purpose: To evaluate the effect of adenoidectomy on the brains of children with obstructive sleep apnea-hypopnea syndrome (OSAS) through observation of the alteration of retinal perfusion by optical coherence tomography angiography (OCTA).

Methods: Sixty-two children with OSAS (124 eyes; 5.94 ± 1. Read More

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http://dx.doi.org/10.1007/s00417-018-04207-9DOI Listing
December 2018

Risk Factors for Multiple Hemorrhages Following Tonsil Surgery in Children.

Laryngoscope 2018 Dec 8. Epub 2018 Dec 8.

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Objectives/hypothesis: Although much is known about the incidence and risk factors for hemorrhage after tonsil surgery, the incidence and factors related to multiple episodes of hemorrhage are not well examined. Our objective was to identify risk factors that may contribute to multiple hemorrhages following tonsil surgery in children.

Study Design: Retrospective chart review. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27719
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http://dx.doi.org/10.1002/lary.27719DOI Listing
December 2018
7 Reads

Is Adenoidectomy and/or Tonsillectomy a Risk Factor for Allergic Diseases and Asthma in Adulthood?

Eurasian J Med 2018 Oct;50(3):152-155

Division of Allergy and Immunology, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.

Objective: To determine the relationship between adenoidectomy and/or tonsillectomy in childhood and allergic diseases in adulthood.

Materials And Methods: A survey investigating the history of adenoidectomy and/or tonsillectomy was administered to patients that were followed-up by our department between January and June 2014 with the diagnosis of asthma, allergic rhinitis, urticaria-angioedema, drug allergy, food allergy, and venom allergy; patients willing to participate were included in the study. The relationship and risk ratios were analyzed. Read More

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http://dx.doi.org/10.5152/eurasianjmed.2018.17182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263232PMC
October 2018
1 Read

Treatment options for periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome in children and adults: a narrative review.

Clin Rheumatol 2018 Nov 28. Epub 2018 Nov 28.

Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease and Rheumatology-Ophthalmology Collaborative Uveitis Center, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy.

Periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome is the most frequent non-hereditary autoinflammatory disorder in childhood: Its onset is usually observed before 5 years, though reports regarding adulthood are increasing. The pathogenesis of the syndrome is not completely understood, but a multifactorial origin, probably based on a polygenic pattern of susceptibility, is the most probable rational pathogenetic hypothesis. Treatment of PFAPA syndrome relies on the administration of low-dose corticosteroids, which promptly abort flares but cannot prevent subsequent disease episodes over time. Read More

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http://link.springer.com/10.1007/s10067-018-4361-2
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http://dx.doi.org/10.1007/s10067-018-4361-2DOI Listing
November 2018
7 Reads

Dexamethasone Reduces the Incidence of Postoperative Nausea and Vomiting in Children Undergoing Endoscopic Adenoidectomy under General Anesthesia Without Increasing the Risk of Postoperative Hemorrhage.

Med Sci Monit 2018 Nov 22;24:8430-8438. Epub 2018 Nov 22.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Brno, Brno, Czech Republic.

BACKGROUND Postoperative nausea and vomiting (PONV) is a common complication of pediatric anesthesia, but the overall incidence of PONV in patients undergoing adenoidectomy is unknown. The aim of this controlled study was to compare the effect of dexamethasone administration with placebo to reduce PONV in children undergoing endoscopic adenoidectomy under general anesthesia. MATERIAL AND METHODS A randomized placebo-controlled study included 118 pediatric patients who underwent elective endoscopic adenoidectomy under general anesthesia. Read More

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http://dx.doi.org/10.12659/MSM.911231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263352PMC
November 2018
6 Reads

A retrospective study on sleep-disordered breathing in Morquio-A syndrome.

Am J Med Genet A 2018 Dec 18;176(12):2595-2603. Epub 2018 Nov 18.

Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, Paris, France.

Respiratory problems are common in Morquio-A syndrome (MPS IVA) but objective data on sleep-disordered breathing are scarce. The aim of our study was to review polygraphic (PG) findings and the need for noninvasive continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in children with MPS IVA. A retrospective review of the clinical charts and PG of 16 consecutive children (7 boys, mean age 10. Read More

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http://doi.wiley.com/10.1002/ajmg.a.40642
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http://dx.doi.org/10.1002/ajmg.a.40642DOI Listing
December 2018
12 Reads

IL-17A expression in the adenoid tissue from children with sleep disordered breathing and its association with pneumococcal carriage.

Sci Rep 2018 Nov 13;8(1):16770. Epub 2018 Nov 13.

Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Tonsil and adenoid-tissue hypertrophy (AH) is the most common cause of pediatric sleep-disordered breathing (SDB), with AH possibly initiated by repeated exposure to infectious agents or allergens. Here, we evaluated IL-17A activity in adenoid tissue from children with SDB and its association with AH and pneumococcal carriage. Thirty-five children (aged 3-12 years) with SDB and receiving adenoidectomy and tonsillectomy were enrolled. Read More

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http://www.nature.com/articles/s41598-018-35169-x
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http://dx.doi.org/10.1038/s41598-018-35169-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233154PMC
November 2018
4 Reads

Postoperative respiratory complications and racial disparities following inpatient pediatric tonsillectomy: A cross-sectional study.

Laryngoscope 2018 Nov 9. Epub 2018 Nov 9.

Department of Otolaryngology-Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.

Objectives/hypothesis: To study rates of respiratory complications/interventions among inpatient tonsillectomy patients in the United States and identify risk factors for these events.

Study Design: Retrospective database review.

Methods: Children (age < 18 years) undergoing tonsillectomy with or without adenoidectomy in 2006, 2009, and 2012 were studied using the Kids Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. Read More

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http://doi.wiley.com/10.1002/lary.27405
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http://dx.doi.org/10.1002/lary.27405DOI Listing
November 2018
9 Reads

[International consensus on the treatment of pediatric otitis media with effusion and current status of treatment in China].

Authors:

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(21):1674-1678

International consensus on the treatment of pediatric otitis media with effusion and current status of treatment in China Summary Otitis media with effusion (OME) is a non-suppurative inflammatory disease of the middle ear characterized by middle ear effusion and hearing loss, which is common in children.The main impact of OME in children is hearing loss and cooccurring recurrent acute otitis media, which would affect speech language development. Thus OME should be highly vigilant and prompt treatment is necessary. Read More

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http://www.cnki.net/kcms/doi/10.13201/j.issn.1001-1781.2018.
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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.21.017DOI Listing
November 2018
6 Reads

Randomized trial of acupuncture with antiemetics for reducing postoperative nausea in children.

Acta Anaesthesiol Scand 2018 Nov 6. Epub 2018 Nov 6.

Department of Anesthesia and Perioperative Medicine, Division of Pediatric Anesthesia, Oregon Health & Science University, Portland, Oregon.

Background: Postoperative nausea and vomiting (PONV) is common after tonsillectomy in children. There is evidence that perioperative acupuncture at the pericardium 6 (P6) point is effective for preventing PONV in adults. Our goal was to determine if intraoperative acupuncture at the P6 point, in addition to usual antiemetics, is more effective than antiemetics alone in preventing PONV in children. Read More

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http://dx.doi.org/10.1111/aas.13288DOI Listing
November 2018

Parental satisfaction of child's perioperative care.

Paediatr Anaesth 2018 Nov;28(11):955-962

Center on Stress and Health, Orange, California.

Background: Satisfaction in the hospital setting is an important component of both hospital funding and patient experience. When it comes to a child's hospital experience, parent satisfaction of their child's perioperative care is also necessary to understand. However, little research has been conducted on the predictors of this outcome. Read More

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http://dx.doi.org/10.1111/pan.13496DOI Listing
November 2018
21 Reads

A 5-year retrospective cohort study of unplanned readmissions in an Australian tertiary paediatric hospital.

Aust Health Rev 2018 Oct 29. Epub 2018 Oct 29.

The aim of this study was to examine the characteristics and prevalence of all-cause unplanned hospital readmissions at a tertiary paediatric hospital in Western Australia from 2010 to 2014. A retrospective cohort descriptive study was conducted. Unplanned hospital readmission was identified using both 28- and 30-day measurements from discharge date of an index hospital admission to the subsequent related unplanned admission date. Read More

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http://dx.doi.org/10.1071/AH18123DOI Listing
October 2018
1 Read

A comparative study between adenoids and nasal mucosa for ciliated epithelium in children with recurrent or chronic rhinosinusitis.

Int J Pediatr Otorhinolaryngol 2018 Dec 21;115:94-96. Epub 2018 Sep 21.

Department of Otolaryngology, Georgetown University Hospital, Washington, DC, USA.

Objective: To determine whether adenoid epithelium is superior to nasal mucosa for biopsy of ciliated epithelium for electron microscopy (EM) to evaluate pediatric patients with rhinosinusitis for primary ciliary dyskinesia (PCD).

Methods: A retrospective review compared electron microscopic results in children with chronic or recurrent rhinosinusitis who underwent both adenoidectomy or nasopharyngeal biopsy and nasal mucosa biopsy in the course of evaluation for PCD at a tertiary care institution.

Results: Forty pediatric patients met inclusion criteria for this study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183047
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http://dx.doi.org/10.1016/j.ijporl.2018.09.018DOI Listing
December 2018
5 Reads

Adenoid hypertrophy affects screening for primary ciliary dyskinesia using nasal nitric oxide.

Int J Pediatr Otorhinolaryngol 2018 Dec 14;115:6-9. Epub 2018 Sep 14.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Czech Republic.

Aim: In patients with primary ciliary dyskinesia (PCD), the release of nitric oxide (NO) is extremely low by epithelia of the nasopharynx and sinuses. Measurement of nasal NO (nNO) is recommended as a screening test for PCD. The study aimed to evaluate if adenoids affects nNO and may deteriorate the performance of the test. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183046
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http://dx.doi.org/10.1016/j.ijporl.2018.09.007DOI Listing
December 2018
16 Reads

Urine concentrations changes of cysteinyl leukotrienes in non-obese children with obstructive sleep apnea undergoing adenotonsillectomy.

Int J Pediatr Otorhinolaryngol 2018 Dec 4;115:149-152. Epub 2018 Oct 4.

Department of Otorhinolaryngology, University Hospital of Larissa, Greece.

Objective: The main objective of the study was to compare preoperative to postoperative levels of urine-Cysteinyl leukotrienes (uCysLT) in children undergoing adenotonsillectomy (AT) for obstructive sleep apnea (OSA) in order to investigate whether exaggerated leukotriene activity is the cause or consequence of OSA.

Methods And Materials: A prospective study was conducted on non-obese children (4-10 years old) referred for overnight PSG. Children with moderate/severe OSA treated with AT were included. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.10.002DOI Listing
December 2018
2 Reads

Reducing observation time in children post-adenoidectomy.

Clin Otolaryngol 2018 Oct 26. Epub 2018 Oct 26.

Royal Sussex Country Hospital, Brighton, UK.

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http://dx.doi.org/10.1111/coa.13250DOI Listing
October 2018

Resolution of obstructive sleep apnea after mandibular distraction osteogenesis in setting of delayed tongue-lip adhesion takedown: A case report.

Medicine (Baltimore) 2018 Oct;97(42):e12853

Department of Plastic Surgery, Children's Hospital Colorado, Aurora, CO.

Rationale: There is a high prevalence of obstructive sleep apnea (OSA) in patients with Pierre Robin sequence (PRS), and treatment approaches are highly variable. One approach is a temporary tongue-lip adhesion (TLA) that acts as a temporizing measure while the mandible continues to grow and is usually taken down at 1 year of age.

Patient Concerns: Side effects of prolonged tongue-lip adhesion and optimal workup and treatment of persistent OSA in the setting of a tongue-lip adhesion. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810190-0005
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http://dx.doi.org/10.1097/MD.0000000000012853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211851PMC
October 2018
5 Reads

Persistent sleep disordered breathing after adenoidectomy and/or tonsillectomy: a long-term survey in a tertiary pediatric hospital.

Sleep Breath 2018 Dec 15;22(4):1197-1205. Epub 2018 Oct 15.

Centre de recherche, CHU Sainte-Justine, Montréal, Canada.

Purpose: To determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms.

Methods: The clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS). Read More

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http://link.springer.com/10.1007/s11325-018-1734-3
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http://dx.doi.org/10.1007/s11325-018-1734-3DOI Listing
December 2018
5 Reads
2.870 Impact Factor

Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction.

Braz J Otorhinolaryngol 2018 Sep 25. Epub 2018 Sep 25.

Yıldırım Beyazıt University, Yenimahalle Training and Research Hospital, Ankara, Turkey.

Introduction: Adenoidectomy can be performed with many ways, including curettage and microdebrider endoscopic-assisted adenoidectomy. Those two techniques have advantages and disadvantages.

Objective: The objective of this study is to research the effects of curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy on the tympanum pressures in pediatric patients with adenoid hypertrophy without otitis media with effusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18088694183065
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http://dx.doi.org/10.1016/j.bjorl.2018.08.004DOI Listing
September 2018
1 Read

Comparison of Routine Histopathological Examination Results in Children and Adults After Tonsillectomy and/or Adenoidectomy.

Turk Arch Otorhinolaryngol 2018 Sep 1;56(3):170-173. Epub 2018 Sep 1.

Department of Otorhinolaryngology, Tokat State Hospital, Tokat, Turkey.

Objective: Tonsillectomy and/or adenoidectomy is one of the most common otolaryngologic surgical procedures. There is still an ongoing debate as to whether or not histopathological examination should be performed in which cases after these surgeries. The aim of this study is to compare the histopathologic examination results of routine tonsillectomy and/or adenoidectomy surgical specimens of children and adults. Read More

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http://dx.doi.org/10.5152/tao.2018.3391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177489PMC
September 2018

Postoperative complications following tonsil and adenoid removal in Kuwaiti children: A retrospective study.

Ann Med Surg (Lond) 2018 Nov 24;35:124-128. Epub 2018 Sep 24.

Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait.

Background: Adenoidectomy and adenotonsillectomy are two of the most common procedures that are performed by otolaryngologists around the world. Complications, ranging from major to minor ones, are affected by the preoperative symptoms and health status of the patient. We aimed to identify the prevalence of major postadenoidectomy and adenotonsillectomy complications, including bleeding, and minor complications, including malodor, fever, and snoring. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183018
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http://dx.doi.org/10.1016/j.amsu.2018.09.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170931PMC
November 2018
10 Reads

Relation between adenoid size and otitis media with effusion.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Dec 2;135(6):399-402. Epub 2018 Oct 2.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.

Aims: This study compares the efficacy of adenoidectomy on otitis media with effusion (OME) in patients with different size of adenoids and the connection between differently sized adenoids and middle ear effusion.

Material And Methods: Children with a history of at least 3 months' OME underwent adenoidectomy and myringotomy without the insertion of a tympanostomy tube. Treatment assignment was stratified by adenoids' size causing choanal obstruction (grade I-III) and according to Eustachian tube ostium obstruction (grade A-C). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18797296183014
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http://dx.doi.org/10.1016/j.anorl.2017.11.011DOI Listing
December 2018
13 Reads

Effects of different doses of intranasal dexmedetomidine on preoperative sedation and postoperative agitation in pediatric with total intravenous anesthesia undergoing adenoidectomy with or without tonsillectomy.

Medicine (Baltimore) 2018 Sep;97(39):e12140

Department of Anesthesiology, Jilin University Second Hospital, Changchun, Jilin, PR China.

Dexmedetomidine is a highly selective α2 receptor agonist, this study aimed to investigate the effects of different doses of intranasal dexmedetomidine on the preoperative sedation and postoperative agitation in pediatric with total intravenous anesthesia (TIVA) for adenoidectomy with or without tonsillectomy.This is a double-blind placebo-controlled randomized trial. Pediatric were randomly divided into the D1, D2, and S groups, each group contained 30 patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000012140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181524PMC
September 2018
6 Reads
5.723 Impact Factor

Safety of radiofrequency ablation for adenotonsillectomy after cochlear implantation.

Int J Pediatr Otorhinolaryngol 2018 Nov 27;114:67-70. Epub 2018 Aug 27.

Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati School of Medicine, Cincinnati, OH, United States; Division of Otolaryngology - Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States. Electronic address:

Objective: While a cadaveric animal study has suggested that radiofrequency ablation can be safely used in patients with cochlear implants, no in vivo studies have been published to confirm that radiofrequency ablation does not alter the integrity of the cochlear implant device.

Methods: Cochlear implant impedance and functional performance were studied through a prospective case series in five children with seven functioning multichannel implants before and after radiofrequency ablation adenotonsillectomy.

Results: There were 4 females and 1 male patient, aged 6-10 years (mean 8. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183043
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http://dx.doi.org/10.1016/j.ijporl.2018.08.028DOI Listing
November 2018
2 Reads

A review of adenotonsillar hypertrophy and adenotonsillectomy in children after solid organ transplantation.

Int J Pediatr Otorhinolaryngol 2018 Nov 23;114:29-35. Epub 2018 Aug 23.

Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, NE2 4HH, UK; Department of Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle Upon Tyne, NE1 4LP, UK.

Objective: Paediatric solid organ transplantation is an increasingly successful treatment. Improved survival is paralleled by increased secondary complications of immunosuppression, including post-transplant lymphoproliferative disease (PTLD). PTLD frequently presents in Waldeyer's lymphatic ring. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183041
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http://dx.doi.org/10.1016/j.ijporl.2018.08.020DOI Listing
November 2018
5 Reads

Snoring sound energy as a potential biomarker for disease severity and surgical response in childhood obstructive sleep apnoea: A pilot study.

Clin Otolaryngol 2019 Jan 23;44(1):47-52. Epub 2018 Oct 23.

Department of Otorhinolaryngology-Head and Neck Surgery, Sleep Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Objective: To investigate the relationship between baseline snoring sound energy (SSE) and disease severity, changes in SSE after adenotonsillectomy, and the predictors of surgical success in children with obstructive sleep apnoea (OSA).

Design: Prospective cohort study.

Setting: Tertiary referral medical centre. Read More

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http://dx.doi.org/10.1111/coa.13231DOI Listing
January 2019
1 Read

Techniques for evaluation and management of tongue-base obstruction in pediatric obstructive sleep apnea.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):409-416

Division of Pediatric Otolaryngology - Head and Neck Surgery.

Purpose Of Review: Tongue-base obstruction (TBO) is a common cause of persistent obstructive sleep apnea (OSA) after tonsillectomy and adenoidectomy in children. This review discusses available diagnostic modalities and surgical treatment options for the management of TBO.

Recent Findings: Recently, a systematic review that included nine studies using drug-induced sleep endoscopy (DISE) in the evaluation of children with persistent OSA after tonsillectomy and adenoidectomy identified the tongue-base as the most common site of obstruction. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000489DOI Listing
December 2018
1 Read

Facial growth direction after surgical intervention to relieve mouth breathing: a systematic review and meta-analysis.

J Orofac Orthop 2018 Nov 19;79(6):412-426. Epub 2018 Sep 19.

Department of Orthodontics, School of Dentistry, Universidade Federal Fluminense, Niterói (RJ), Brazil.

Objectives: A systematic review was performed to assess the prognosis for facial growth direction documented by mandibular plane inclination and anterior face height in growing subjects who had undergone surgical intervention to relieve mouth breathing (PROSPERO database, registration no. CRD 42013005707).

Methods: PubMed, Scopus, Web of Science, the Cochrane Library and LILACS were searched based on the guidelines of the PRISMA statement. Read More

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http://dx.doi.org/10.1007/s00056-018-0155-zDOI Listing
November 2018

Surgical treatment of otitis media with effusion in Maori children.

ANZ J Surg 2018 Nov 13;88(11):1141-1144. Epub 2018 Sep 13.

Department of Surgery, The University of Auckland, Auckland, New Zealand.

Background: This study aimed to compare the incidence and outcomes of Maori and non-Maori children with otitis media with effusion who underwent myringotomy plus ventilation tube insertion (MVTI).

Methods: De-identified extraction of Auckland District Health Board (ADHB) morbidity records belonging to all children who underwent an MVTI procedure between January 1996 and June 2016 at Starship Children's Hospital was performed. Demographic, procedural and outcome data were analysed. Read More

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http://dx.doi.org/10.1111/ans.14788DOI Listing
November 2018
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Postoperative characteristics of combined pharyngoplasty and tonsillectomy versus tonsillectomy in children with obstructive sleep apnea syndrome.

Arch Argent Pediatr 2018 Oct;116(5):316-321

Department of otolaryngology, Children's Hospital of Chongqing Medical University, China.

Purpose: The study aims to identify the postoperative advantages of tonsillectomy in conjunction with pharyngoplasty and tonsillectomy alone in children with obstructive sleep apneas.

Methods: In a prospective observational study, patients who met the study criteria were randomly divided into two groups: tonsillectomy and pharyngoplasty group, and tonsillectomy alone group. In both groups, adenoidectomy was also performed in patients with adenoid hypertrophy. Read More

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http://dx.doi.org/10.5546/aap.2018.eng.316DOI Listing
October 2018
2 Reads

The effects of adenoidectomy on the smell perception of children.

Int Forum Allergy Rhinol 2019 Jan 11;9(1):87-92. Epub 2018 Sep 11.

Smell and Taste Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Background: In this study, we employed a novel children's olfactory test in order to more accurately assess the relationship between nasopharyngeal obstruction and odor identification ability. We quantified the impact of adenoidectomy on olfactory function, established whether the influences of the operation were related to the preoperative amount of nasopharyngeal obstruction, and determined whether sex influenced the olfactory measures.

Methods: Fifty-three boys and 23 girls were administered a standardized children's olfactory test, the Pediatric Smell Wheel™, before and 45 days after adenoidectomy. Read More

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http://dx.doi.org/10.1002/alr.22209DOI Listing
January 2019

Is Adenoidectomy Preventable?

Turk Arch Otorhinolaryngol 2018 Jun 1;56(2):129-131. Epub 2018 Jun 1.

Department of Otolaryngology, Ospedale San Gennaro, Naples, Italy.

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http://www.turkarchotolaryngol.net/eng/makale/729/76/Full-Te
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http://dx.doi.org/10.5152/tao.2018.3352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123111PMC
June 2018
1 Read