5,813 results match your criteria Adenoidectomy


Impact of Isolation on Adenoid Size and Symptoms in Preschool Children Who Previously Qualified for Adenoidectomy: A Case-Control Study.

Ear Nose Throat J 2021 Apr 29:1455613211010085. Epub 2021 Apr 29.

Faculty of Health Sciences, Department of Otolaryngology, Phoniatrics and Audiology, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.

Objectives: To analyze the role of factors that influence adenoid-related symptoms, and the influence of 3 months of isolation in preschool children who were qualified for adenoidectomy.

Methods: This was a cohort study of the impact of 3 months of isolation on children aged 3 to 6 years with adenoid-related symptoms and endoscopically confirmed grade II and III adenoid hypertrophy. The children had previously qualified for adenoidectomy. Read More

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Coblation Intracapsular Tonsillectomy in Children: A Prospective Study of 1257 Consecutive Cases with Long Term Follow Up.

Clin Otolaryngol 2021 Apr 27. Epub 2021 Apr 27.

Evelina London Children's Hospital, NHS Foundation Trust, Guy's and St Thomas, London, UK.

Objectives: Intracapsular tonsillectomy (ICT) is increasingly adopted by paediatric centres worldwide due to its association with reduced pain, fast recovery and low risks of post-operative complications. Questions still surround its role in patients with recurrent tonsillitis, as well as tonsillar regrowth requiring revision surgery.

Design: Prospective consecutive case series from March 2013 to April 2020. Read More

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Echocardiographic findings in children with obstructive sleep apnea: A systematic review.

Int J Pediatr Otorhinolaryngol 2021 Apr 18;145:110721. Epub 2021 Apr 18.

School of Medicine, Department of Pediatrics, Emory University, USA; School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Emory University, USA. Electronic address:

Objective: To systematically review the incidence of cardiac abnormalities in pediatric patients with obstructive sleep apnea (OSA) in order to assess the utility of preoperative echocardiographic evaluation for patients undergoing surgery.

Study Design: A systematic literature review was performed following the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Data sources were searched from January 1, 1980 to March 25, 2020. Read More

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Diagnostic concordance of telemedicine for otolaryngology, head and neck surgery in regional Australia.

ANZ J Surg 2021 Apr 23. Epub 2021 Apr 23.

Department of Otolaryngology, Head and Neck Surgery, Barwon Health, Geelong, Victoria, Australia.

Background: The use of telehealth during the COVID-19 pandemic has emerged as both a necessary and significant tool in the provision of safe and timely healthcare in the field of otolaryngology. Increased access to specialist care in a regional setting is an additional benefit. Variation in diagnostic accuracy of telehealth consultations may affect diagnosis and management. Read More

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Application of situational adaptation training combined with childlike nursing for children undergoing tonsillectomy or adenoidectomy.

Int J Pediatr Otorhinolaryngol 2021 Apr 9;145:110707. Epub 2021 Apr 9.

Department of Otorhinolaryngology, Shanxi Provincial People's Hospital Affiliated to Shanxi Medical University, Taiyuan, 030001, China.

Objective: This study aimed to investigate the clinical effect of situational adaptation training combined with child-friendly nursing in relieving the preoperative anxiety of children undergoing tonsillectomy or adenoidectomy.

Methods: A total of 160 children undergoing tonsillectomy or adenoidectomy were randomly divided into two groups: a control group and a test group. In addition to the routine operating room nursing in the control group, children in the test group underwent situational adaptation training one day before surgery and child-friendly nursing on the day of surgery. Read More

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Pediatric emergence delirium is linked to increased early postoperative negative behavior within two weeks after adenoidectomy: an observational study.

Braz J Anesthesiol 2021 Apr 19. Epub 2021 Apr 19.

Klinikum Dortmund, Department of Anesthesiology and Operative Intensive Care Medicine, Dortmund, Germany; University Hospital Bonn, Department of Anesthesiology and Operative Intensive Care Medicine, Bonn, Germany. Electronic address:

Background: The aim of this prospective multicenter observational study was to measure the incidence of postoperative pediatric emergence delirium and to investigate the occurrence of early postoperative negative behavior within two weeks after outpatient adenoidectomy in preschool children.

Methods: The study comprised 222 patients (1-7 years of age). All children received a multimodal anesthesia based on total intravenous anesthesia with propofol and remifentanil in combination with piritramid (0. Read More

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Prevalence of Patients Who Return to Theatre Post-Adenoidectomy: A Review of Hospital Episode Statistics Data (2012-2019).

Cureus 2021 Mar 18;13(3):e13980. Epub 2021 Mar 18.

Otolaryngology, The Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, GBR.

Introduction Risk of surgical intervention for post-adenoidectomy haemorrhage can be assessed with the analysis of the Hospital Episode Statistics (HES) data. Materials and methods HES data for England from 2012 to 2019 were analysed comparing the coded number of adenoidectomy procedures to the number of surgical arrests of post-adenoidectomy haemorrhage in adolescents/adults and children. Results Between April 2012 and April 2019, of 47,597 procedures, 52 (0. Read More

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Adenotonsillectomy may increase the risk of alopecia areata in childhood: a nationwide population-based cohort study.

J Am Acad Dermatol 2021 Apr 17. Epub 2021 Apr 17.

Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea; Laboratory of Cutaneous Aging and Hair Research, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea; Institute of Human Environment Interface Biology, Seoul National University College of Medicine, Seoul, Korea; Integrated Major in Innovative Medical Science, Seoul National University College of Medicine, Seoul, Korea. Electronic address:

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Association between adenoid bacteriology and clinical characteristics of adenoid-related diseases in children.

SAGE Open Med 2021 2;9:20503121211006005. Epub 2021 Apr 2.

Office for Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Introduction: The aim of this research is to find the association between the pathogenic bacteria obtained from the adenoid culture and clinical characteristics of adenoid-related diseases in children.

Methods: In this retrospective study, we reviewed the medical records of children who had adenoidectomy for adenoid-related diseases. Demographic data, diagnoses, indications for adenoidectomy and bacterial culture results were collected. Read More

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Sleep positions in children with Down syndrome and obstructive sleep apnea.

Sleep Med 2021 May 26;81:463-465. Epub 2021 Mar 26.

Division of Otolaryngology, Children's Hospital Los Angeles, Los Angeles, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Objectives: To assess sleep positions in children with both Down syndrome (DS) and obstructive sleep apnea (OSA) and determine if there is a preferred sleep position by severity of apnea.

Methods: A single-center retrospective review of patients with both DS and OSA was performed. Caregivers reported sleep position utilized greater than 50% of observed sleep time. Read More

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The comparison of ketamine with tramadol for postoperative pain relief on children following adenotonsillectomy or tonsillectomy: A meta-analysis of randomized controlled trials.

Medicine (Baltimore) 2021 Apr;100(14):e22541

Department of Pediatrics, The First People's Hospital of Xiaoshan, Hangzhou, Zhejiang Province, P.R. China.

Introduction: The comparison of ketamine with tramadol for pain control remains controversial in pediatric adenotonsillectomy or tonsillectomy. We conduct a systematic review and meta-analysis to explore the efficacy of ketamine vs tramadol for pain relief in children following adenotonsillectomy or tonsillectomy.

Methods: We have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through October 2019 for randomized controlled trials (RCTs) assessing the effect of ketamine vs tramadol for pediatric adenotonsillectomy or tonsillectomy. Read More

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Can Tonsillectomy Be Safely Performed by Residents? A Comparative Retrospective Study.

Ann Otol Rhinol Laryngol 2021 Apr 7:34894211007057. Epub 2021 Apr 7.

Department of Otolaryngology-Head and Neck Surgery, The Head and Neck Center, Rambam Health Care Campus, Clinical Research Institute at Rambam, Rappaport Institute of Medicine and Research, The Technion, Israel Institute of Technology, Haifa, Israel.

Objective: To assess whether a surgeon's level of training is associated with outcomes in pediatric tonsillectomy.

Design: A retrospective cohort study of the outcomes of pediatric tonsillectomies performed between 2006 and 2016 by senior surgeons versus resident surgeons under the supervision of senior surgeons.

Setting: An otolaryngology department in a tertiary academic hospital. Read More

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Perspectives from the Society for Pediatric Research: pharmacogenetics for pediatricians.

Pediatr Res 2021 Apr 6. Epub 2021 Apr 6.

Division of Clinical Pharmacology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

This review evaluates the pediatric evidence for pharmacogenetic associations for drugs that are commonly prescribed by or encountered by pediatric clinicians across multiple subspecialties, organized from most to least pediatric evidence. We begin with the pharmacogenetic research that led to the warning of increased risk of death in certain pediatric populations ("ultrarapid metabolizers") who are prescribed codeine after tonsillectomy or adenoidectomy. We review the evidence for genetic testing for thiopurine metabolism, which has become routine in multiple pediatric subspecialties. Read More

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Risk Factors for Postoperative Bleeding after Adenoidectomy.

Children (Basel) 2021 Mar 21;8(3). Epub 2021 Mar 21.

Department of Pediatrics, University Hospital Brno and Faculty of Medicine, Masaryk University, Černopolní 9, 61300 Brno, Czech Republic.

Importance: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable.

Objective: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. Read More

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Modified adenoid grading system for evaluating adenoid size in children: a prospective validation study.

Eur Arch Otorhinolaryngol 2021 Apr 2. Epub 2021 Apr 2.

Department of Otolaryngology, The Seventh Affiliated Hospital, Sun Yat-Sen University, No.628, Zhenyuan Road, Guangming (New) District, Shenzhen, 518107, Guangdong, China.

Nasal endoscopy is the best choice for evaluation of adenoid size, but very few studies published on the endoscopic quantitative assessment. This study aimed to newly propose and validate a modified adenoid grading system (MAGS) with the existing endoscopic scoring methods of adenoid size. A prospective study on children with chronic mouth breathing and having endoscopic nasal examination was conducted. Read More

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Effect of surgical intervention for mild childhood obstructive sleep apnoea on attention and behavioural outcomes: A randomized controlled study.

Respirology 2021 Apr 1. Epub 2021 Apr 1.

Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.

Background And Objective: We evaluated inattention and behavioural outcomes following surgery versus watchful waiting (WW) in school-aged children with mild obstructive sleep apnoea (OSA).

Methods: A prospective randomized controlled study was performed in pre-pubertal children aged 6-11 years with polysomnography (PSG)-confirmed mild OSA. They were assigned randomly to early surgical intervention (ES) or WW. Read More

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The use of laryngeal mask airway for tonsillectomy and adenoidectomy.

Int J Pediatr Otorhinolaryngol 2021 May 20;144:110691. Epub 2021 Mar 20.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, NY, 11549, USA; Division of Pediatric Otolaryngology, Steven and Alexandra Cohen Children's Medical Center of New York, 430 Lakeville Road, New Hyde Park, NY, 11042, USA. Electronic address:

Purpose: Patients undergoing tonsillectomy and adenoidectomy traditionally receive anesthesia with endotracheal intubation (ETT) for airway management. The laryngeal mask airway (LMA) may be used instead and may be associated with less airway stimulation and shorter operating room times. The purpose of this study was to report on a large cohort of patients undergoing tonsillectomy and/or adenoidectomy while using the LMA for airway maintenance during anesthesia. Read More

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Suprazygomatic maxillary (SZM) nerve blocks for perioperative pain control in pediatric tonsillectomy and adenoidectomy.

J Clin Anesth 2021 Mar 20;71:110240. Epub 2021 Mar 20.

Department of Anesthesiology, Perioperative, and Pain Medicine, Lucile Packard Children's Hospital at Stanford, Stanford, CA, United States. Electronic address:

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Prevalence of Dysphonia in Children with Adenotonsillar Problems and the Impact of Surgery on Voice.

Laryngoscope 2021 Mar 22. Epub 2021 Mar 22.

Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hwaseong, South Korea.

Objective/hypothesis: Adenotonsillar problems might affect the voices of patients with pediatric dysphonia, which is very common. This study aimed to evaluate the prevalence of dysphonia in patients with adenotonsillar problems and to demonstrate the impact of tonsillectomy and adenoidectomy (T & A) on their voice postoperatively.

Study Design: Single-institution retrospective study. Read More

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Impact of Oral Steroids on Tonsillectomy Postoperative Complications and Pain.

Ear Nose Throat J 2021 Mar 18:1455613211000832. Epub 2021 Mar 18.

Department of Otolaryngology-Head and Neck Surgery, 12215University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Objectives: To analyze the impact of steroids on postoperative tonsillectomy recovery and implement findings for improvement in postoperative management.

Methods: Institutional review board approved prospective study with retrospective analysis of private practice setting tonsillectomy patients (November 2015 to January 2017). A questionnaire was provided postoperatively to patients undergoing tonsillectomy with or without adenoidectomy. Read More

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Predictive clinical exam findings in post-tonsillectomy hemorrhage.

Int J Pediatr Otorhinolaryngol 2021 May 11;144:110671. Epub 2021 Mar 11.

Department of Pediatric Otolaryngology, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA.

Objectives: Post tonsillectomy hemorrhage (PTH) is a common complication of tonsillectomy. Our objectives were to: 1) Examine the postoperative course of patients presenting to St. Christopher's Hospital for Children (SCHC) with PTH; 2) Compare patients with and without a blood clot visualized in the tonsillar fossa at time of presentation to determine if outcomes regarding return to the operating room (OR) differ. Read More

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[Obstructive sleep apnea syndrome in children].

HNO 2021 Apr 17;69(4):325-334. Epub 2021 Mar 17.

Hals‑, Nasen‑, Ohrenklinik und Poliklinik und Kopf-Hals-Chirurgie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.

Pediatric obstructive sleep apnea syndrome (OSAS) has a high prevalence in the general population. Risk factors are adenotonsillar hyperplasia, preterm birth, obesity, and craniofacial dysmorphia. A special feature of pediatric OSAS is that it can manifest in behavioral problems. Read More

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Endovascular Embolization for Control of Post-Tonsillectomy Hemorrhage.

Cureus 2021 Feb 8;13(2):e13217. Epub 2021 Feb 8.

Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, USA.

Post-operative hemorrhage is a potentially life-threatening complication of tonsillectomy. While standard surgical maneuvers including the use of electrocautery, application of topical hemostatic agents, direct pressure, and suturing of the tonsillar pillars have traditionally been used for the treatment of severe bleeding, endovascular approaches are an important adjunct when other techniques are unsuccessful. Here, we describe the case of a 10-year-old female who presented with severe bleeding four days after tonsillectomy and adenoidectomy for chronic tonsillitis. Read More

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February 2021

Effects of Premedication With Midazolam on Recovery and Discharge Times After Tonsillectomy and Adenoidectomy.

Cureus 2021 Feb 3;13(2):e13101. Epub 2021 Feb 3.

Anesthesiology, Children's National Medical Center, Washington, D.C., USA.

Background Midazolam is commonly used preoperatively for anxiety. Adverse effects data in pediatric patients with obstructive sleep apnea (OSA) undergoing tonsillectomy and adenoidectomy (T&A) is limited. Aims We hypothesized that preoperative midazolam increases the time to emergence from anesthesia and postoperative discharge. Read More

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February 2021

Regarding 'The impact of new evidence on regional variation in paediatric tonsillectomy and adenoidectomy: a historical review' by van Munster et al.

Authors:
L Dwyer-Hemmings

J Laryngol Otol 2021 Apr 17;135(4):370-371. Epub 2021 Mar 17.

Institute of Medical and Biomedical Education, St George's Hospital, University of London, London, UK.

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Role of tonsillectomy and adenoidectomy in parental satisfaction of treatments for PANDAS.

Am J Otolaryngol 2021 Feb 27;42(4):102963. Epub 2021 Feb 27.

Department of Pediatrics, Medstar Georgetown University Hospital, Washington, D.C., United States of America.; Department of Otolaryngology - Head and Neck Surgery, Medstar Georgetown University Hospital, Washington, D.C., United States of America. Electronic address:

Objective: To examine caregiver satisfaction with treatments for pediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS) and how symptom frequency changes over time.

Methods: A list was created for PANDAS subjects seen at the Georgetown Pediatric Otolaryngology clinic from 2015 to 2018. Questionnaires were distributed to caregivers able to be contacted; 62% responded (n = 60). Read More

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February 2021

Management of Recurrent and Delayed Post-Tonsillectomy and Adenoidectomy Hemorrhage in Children.

Ear Nose Throat J 2021 Mar 9:145561321999594. Epub 2021 Mar 9.

Department of Paediatric Otolaryngology, The Children's Hospital at Westmead, New South Wales, Australia.

Objective: To review our experience on post-tonsillectomy and/or adenoidectomy hemorrhage (PTAH) at a tertiary pediatric referral hospital and to evaluate the management and risk factors for recurrent postoperative hemorrhage and for delayed bleeding after day 14.

Methods: A retrospective chart review was performed for all pediatric patients admitted to The Children's Hospital at Westmead for PTAH between July 01, 2014, and June 30, 2019. Patients with recurrent hemorrhage and those with bleeding after day 14 were selected for subanalysis. Read More

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The role of antibiotics in the surgical management of paediatric obstructive sleep apnoea (OSA): a cohort study.

Eur Arch Otorhinolaryngol 2021 Mar 9. Epub 2021 Mar 9.

Department of Paediatric and Adult ENT Surgery, The Royal London Hospital, Whitechapel Road, London, E1 1BB, UK.

Purpose: Obstructive sleep apnoea (OSA) describes an irregular night-time breathing pattern that is present in approximately 1.8% of children and can have a negative impact on quality of life. The use of antibiotics postoperatively is controversial. Read More

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