5,324 results match your criteria Adenoidectomy


Evolution of obstructive sleep apnea syndrome, nasal flow and systolic pressure of the pulmonary artery in children with indication for adenoidectomy and/or tonsillectomy over 18 months.

Int J Pediatr Otorhinolaryngol 2019 Feb 20;120:210-214. Epub 2019 Feb 20.

Department of Ophthalmology and Otorhinolaryngology, School of Medicine, University of Minas Gerais (UFMG), Brazil.

Background: Obstructive sleep apnea syndrome in childhood has aroused great interest due to its cardiovascular repercussions and its adverse effects on the quality of life of the affected individuals. However, fundamental aspects of the syndrome remain unknown.

Objective: Herein we prospectively assessed pulmonary artery systolic pressure (PASP) and nasal flow in children with obstructive oral breathing with an indication for adenoidectomy and/or tonsillectomy and their relationship to the obstructive apnea and hypopnea index (OAHI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2019.02.024DOI Listing
February 2019

Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy.

J Laryngol Otol 2019 Mar 19:1-6. Epub 2019 Mar 19.

ENT Department,KEM Hospital,Pune,India.

Objective: To compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.

Methods: This prospective non-randomised study was carried out on 60 patients aged 5-12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S0022215119000227DOI Listing

Nasopharyngeal Width and Its Association With Sleep-Disordered Breathing Symptoms in Children.

Clin Exp Otorhinolaryngol 2019 Mar 6. Epub 2019 Mar 6.

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Objectives: Although adenotonsillar hypertrophy is the main cause of sleep-disordered breathing in children, surrounding anatomic factors, such as the width of the nasopharynx, can affect upper airway patency. However, there have been no reports of the association of nasopharyngeal width with sleep-disordered breathing in children. This study was undertaken to measure nasopharyngeal width in children undergoing adenotonsillectomy for sleep-disordered breathing and to investigate the clinical implications of this factor. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21053/ceo.2018.01151DOI Listing
March 2019
1 Read

Population-based study of congenital heart disease and revisits after pediatric tonsillectomy.

Laryngoscope Investig Otolaryngol 2019 Feb 17;4(1):30-38. Epub 2019 Jan 17.

The Research Institute Nationwide Children's Hospital Columbus Ohio.

Objective: Accurate assessment of risk factors such as congenital heart disease (CHD) can aid in risk stratification of children presenting for surgery. Risk stratification is especially important in tonsillectomy ± adenoidectomy (T/A), a common pediatric procedure that is usually performed electively, but that has a high rate of adverse events. In this study, we examined the association of CHD with revisits after T/A. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lio2.243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383313PMC
February 2019

The Role of the Adenoids in Pediatric Chronic Rhinosinusitis.

Med Sci (Basel) 2019 Feb 25;7(2). Epub 2019 Feb 25.

Department of Otolaryngology, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN 37235, USA.

There are several mechanisms by which the adenoids contribute to pediatric chronic rhinosinusitis (PCRS), particularly with children aged 12 years and younger. Understanding the role that the adenoids play in PCRS is crucial when attempting to treat these patients. A literature review was performed to address this problem and provide information surrounding this topic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/medsci7020035DOI Listing
February 2019
1 Read

Readmissions following ambulatory pediatric endoscopic sinus surgery.

Laryngoscope 2019 Mar 1. Epub 2019 Mar 1.

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

Objectives/hypothesis: Endoscopic sinus surgery (ESS) is indicated in select pediatric patients with medically refractory sinus disease. Our objectives were to examine indications and rates of readmission following ambulatory pediatric ESS and identify specific subgroups that may benefit from inpatient admission.

Study Design: Retrospective database review. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lary.27898DOI Listing
March 2019
1 Read

Bacterial biofilm in adenoids of children with chronic otitis media. Part I: a case control study of prevalence of biofilms in adenoids, risk factors and middle ear biofilms.

Acta Otolaryngol 2019 Feb 26:1-6. Epub 2019 Feb 26.

e Department of Pediatric Otorhinolaryngology , Head & Neck Surgery, Robert Debré University Hospital APHP, Paris 7 University, Sorbonne Cité , Paris , France.

Background: Biofilms are communities of bacteria embedded in a self-produced glycocalyx matrix. Adenoids have been shown to harbor bacterial biofilms. Aim/objectives: To compare the prevalence of biofilms in adenoid of children with chronic otitis media (COM) (group1) versus a control group without any COM (group 2) having adenoids removed because of hypertrophy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00016489.2019.1571282DOI Listing
February 2019
1 Read

The Adenoids but Not the Palatine Tonsils Serve as a Reservoir for Bacteria Associated with Secretory Otitis Media in Small Children.

mSystems 2019 Jan-Feb;4(1). Epub 2019 Feb 12.

Department of Biomedicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark.

Acute otitis media (AOM), secretory otitis media (SOM), and acute pharyngotonsillitis are the most frequent reasons for visits to general practitioners, pediatricians, and otolaryngologists. Microbial colonization of the epithelial lining of Waldeyer's lymphatic tissues, consisting of the palatine tonsils, lingual tonsils, adenoids, and Eustachian tube tonsil, is a well-known clinical challenge during infancy due to frequent episodes of upper respiratory tract infections. However, no previous studies have investigated the combined role of the palatine tonsils and the adenoids as a reservoir for pathogens associated with SOM in small children. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1128/mSystems.00169-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372837PMC
February 2019
1 Read

Clinical Practice Guideline: Tonsillectomy in Children (Update).

Otolaryngol Head Neck Surg 2019 Feb;160(1_suppl):S1-S42

15 Department of Research and Quality, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

Objective: This update of a 2011 guideline developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is one of the most common surgical procedures in the United States, with 289,000 ambulatory procedures performed annually in children <15 years of age based on the most recent published data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599818801757DOI Listing
February 2019
2 Reads

Drug-induced sleep endoscopy-directed adenotonsillectomy in pediatric obstructive sleep apnea with small tonsils.

Authors:
Jie Chen Shan He

PLoS One 2019 22;14(2):e0212317. Epub 2019 Feb 22.

Department of Otolaryngology, Shanghai Children's Medical Center Affiliated with Shanghai Jiaotong University School of Medicine, Shanghai, China.

The study aims to examine drug-induced sleep endoscopy (DISE) in the decision-making process of pediatric obstructive sleep apnea (OSA) patients with small tonsils. This was a retrospective study of children who underwent awake flexible endoscopy, DISE, and adenoidectomy with/without tonsillectomy at the Shanghai Children's Medical Center between 03/2015 and 12/2016. Tonsillectomy was performed for tonsillar obstruction found by DISE. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0212317PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386441PMC
February 2019
1 Read

Hemodynamic and pharmacokinetic analysis of oxymetazoline use during nasal surgery in children.

Laryngoscope 2019 Feb 20. Epub 2019 Feb 20.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, U.S.A.

Objectives/hypothesis: Oxymetazoline is an α-adrenergic agonist that is commonly used as a topical hemostatic agent in the operating room during ear, nose, and throat surgery. There are limited data on oxymetazoline pharmacokinetics in children who undergo general anesthesia. We assessed the hemodynamic effects and systemic absorption of topically applied oxymetazoline in children undergoing various nasal procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lary.27760DOI Listing
February 2019
3 Reads

Regulatory T lymphocytes are associated with increased nasopharyngeal colonization in children.

Int J Pediatr Otorhinolaryngol 2019 Feb 5;120:51-57. Epub 2019 Feb 5.

Office of Senior DVC and Provost, Swinburne University of Technology, Melbourne, Australia. Electronic address:

Objectives: Regulatory T lymphocytes (T) have been linked to survival of commensal bacteria at mucosal sites, but their presence and role in chronic otitis media (COM) and their response to otopathogens has not been evaluated previously. We investigated the association between T lymphocytes and otopathogens in COM prone and non-COM prone children.

Methods: Forty children, 2-7 years of age, scheduled for adenoidectomy were enrolled into COM (n = 20) or non-COM (n = 20) groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2019.02.011DOI Listing
February 2019

[Comparison of tympanocentesis, CO₂ laser tympanostomy and grommet insertion in the treatment for secretory otitis media in children].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(22):1723-1727

Department of Otolaryngology Head and Neck Surgery,Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.

To compare adenoidectomy combined tympanocentesis, CO₂ laser tympanostomy and grommet insertion in the treatment for secretory otitis media (SOM) in children, and to provide basis for selection of surgical treatments. Four hundred and twenty-six ears in 244 children with adenoid hypertrophy and SOM were divided into 3 groups which were: group A, 80 cases (142 ears) were treated with adenoidectomy combined with tympanocentesis; group B, 86 cases (145 ears) were treated with adenoidectomy combined with CO₂ laser tympanostomy; group C, 78 cases (139 ears) were treated with adenoidectomy combined with grommet insertion. Endotoscopy, tympanometry and PTA (or ABR) were conducted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13201/j.issn.1001-1781.2018.22.010DOI Listing
November 2018

The Hemostatic Efficacy of Hydrogen Peroxide Irrigation to Control Intraoperative Bleeding in Adenoidectomy.

Turk Arch Otorhinolaryngol 2018 Dec 1;56(4):193-198. Epub 2018 Dec 1.

Department of Otorhinolaryngology, Okmeydanı Training and Research Hospital, İstanbul, Turkey.

Objective: Although adenoidectomy is generally accepted as a safe procedure, intraoperative hemorrhage is still the most common and potentially life-threating complication, especially in pediatric patients. We evaluated the clinical effect of intraoperative hydrogen peroxide irrigation with respect to hemostasis and operation times in pediatric adenoidectomy.

Methods: This was a prospective, randomized, double-blind study to investigate hydrogen peroxide solution in hemostasis in pediatric patients undergoing adenoidectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/tao.2018.2003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340324PMC
December 2018
1 Read

Curettage adenoidectomy versus endoscopic microdebrider adenoidectomy in children: A randomized controlled trial.

Int J Pediatr Otorhinolaryngol 2019 Apr 16;119:63-69. Epub 2019 Jan 16.

Department of Otorhinolaryngology Head and Neck Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.

Introduction: Adenoidectomy is one of the most frequently performed surgical procedures with different techniques and technologies. Although curettage adenoidectomy (CA) has been practiced conventionally for many years, endoscopic microdebrider adenoidectomy (EMA) has emerged as an innovative surgical method. Comparing physiological effects, efficacy and safety of the endoscopic microdebrider adenoidectomy (EMA) and curettage adenoidectomy (CA) in pediatric population is aimed with this prospective, single-blind, randomized, controlled trial. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2019.01.018DOI Listing

Effect of Adenotonsillectomy on Ambulatory Blood Pressure in Pediatric Obstructive Sleep Apnea: 6-Month Follow-up Study.

Otolaryngol Head Neck Surg 2019 Jan 22:194599818825462. Epub 2019 Jan 22.

1 Department of Otolaryngology, National Taiwan University Hospital and Children's Hospital, Taipei, Taiwan.

Objective: To investigate 24-hour ambulatory blood pressure changes 6 months after surgery among children with obstructive sleep apnea.

Study Design: Prospective interventional study.

Setting: Tertiary medical hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599818825462DOI Listing
January 2019
8 Reads

Role of antibiotics in post-tonsillectomy morbidities; A systematic review.

Int J Pediatr Otorhinolaryngol 2019 Mar 13;118:192-200. Epub 2018 Dec 13.

Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, Egypt.

Objective: To evaluate the role of postoperative antibiotics on post-tonsillectomy morbidities.

Study Design: Systematic Review.

Methods: Published papers and electronic databases (Medline, Web of Science, Embase) were searched from January 1985 up to March 2016 using the following key words in different combinations; Tonsil; Tonsillectomy; Post-tonsillectomy; Adenotonsillectomy; Antibiotics; Post-tonsillectomy morbidity; Bleeding; Secondary Hemorrhage. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01655876183061
Publisher Site
http://dx.doi.org/10.1016/j.ijporl.2018.12.011DOI Listing
March 2019
8 Reads

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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/lary.27794
Publisher Site
http://dx.doi.org/10.1002/lary.27794DOI Listing
January 2019
7 Reads

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

Laryngorhinootologie 2019 Mar 9;98(3):167-174. 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

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0816-5807
Publisher Site
http://dx.doi.org/10.1055/a-0816-5807DOI Listing
March 2019
1 Read

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

View Article

Download full-text PDF

Source
https://www.cambridge.org/core/product/identifier/S002221511
Publisher Site
http://dx.doi.org/10.1017/S0022215118002268DOI Listing
January 2019
1 Read

Tonsillectomy and Adenoidectomy in Children.

Authors:
Karen Hawley

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

View Article

Download full-text PDF

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

Pathogen reservoir hypothesis investigated by analyses of the adenotonsillar and middle ear microbiota.

Int J Pediatr Otorhinolaryngol 2019 Mar 21;118:103-109. Epub 2018 Dec 21.

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

Introduction: Adenotonsillar and middle ear diseases result in some of the most frequently performed operations in the pediatric population worldwide. The pathogen reservoir hypothesis (PRH) suggests that the adenoids act as a reservoir of bacteria which play a potential pathogenic role in otitis media. Evidence supporting this hypothesis is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.12.030DOI Listing
March 2019
1 Read

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

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

Dynamic tonsillar prolapse masquerading as paradoxical vocal fold movement dysfunction.

Int J Pediatr Otorhinolaryngol 2019 Mar 2;118:68-72. Epub 2018 Dec 2.

Division of Pediatric Otolaryngology, UPMC Children's Hospital of Pittsburgh, USA.

Introduction: Paradoxical vocal fold movement dysfunction (PVFMD) is a disorder in which the vocal folds involuntarily adduct during inspiration resulting in stridor, cough, dysphonia and dyspnea. Diagnosis of PVFMD is difficult given the episodic nature of the disorder and the often-normal laryngeal exam in between episodes. Moreover, additional sources of obstruction have been identified as sources of Periodic Occurrence of Laryngeal Obstruction (POLO). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.11.023DOI Listing
March 2019
2 Reads

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01655876183059
Publisher Site
http://dx.doi.org/10.1016/j.ijporl.2018.11.031DOI Listing
February 2019
9 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

View Article

Download full-text PDF

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

Predictors for hemorrhage following pediatric adenotonsillectomy.

Int J Pediatr Otorhinolaryngol 2019 Feb 29;117:143-147. Epub 2018 Nov 29.

Department of Otolaryngology-HNS and Communicative Disorders, University of Louisville School of Medicine, Louisville, KY, USA. Electronic address:

Objective: To determine risk factors and trends for posttonsillectomy hemorrhage (PTH) following adenotonsillectomy (T&A) at a single children's tertiary referral hospital.

Methods: Charts from all patients 2-12 years old undergoing T&A alone at a single children's hospital from January 1, 2010 through December 31, 2015 were reviewed. Data was collected on patient demographics, indication for procedure, time of year, academic affiliation of surgeon, surgical technique and method, post-operative pain medication prescribed,and readmission for PTH. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.11.029DOI Listing
February 2019
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.10.039DOI Listing
February 2019
2 Reads

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lary.27648DOI Listing
December 2018
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijporl.2018.10.024DOI Listing
January 2019
5 Reads

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

View Article

Download full-text PDF

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

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

Am J Rhinol Allergy 2019 Mar 17;33(2):212-219. 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

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/1945892418815351
Publisher Site
http://dx.doi.org/10.1177/1945892418815351DOI Listing
March 2019
6 Reads

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 2019 Mar 12;257(3):543-548. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00417-018-04207-9DOI Listing
March 2019
1 Read

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

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27719
Publisher Site
http://dx.doi.org/10.1002/lary.27719DOI Listing
December 2018
11 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

View Article

Download full-text PDF

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

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

Clin Rheumatol 2019 Jan 28;38(1):11-17. 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

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10067-018-4361-2
Publisher Site
http://dx.doi.org/10.1007/s10067-018-4361-2DOI Listing
January 2019
17 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

View Article

Download full-text PDF

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

Obstructive sleep disordered breathing in children - an important problem in the light of current European guidelines.

Otolaryngol Pol 2018 Jun;72(5):9-16

Medical Center in Ostrołęka, Branch in Różan.

Obstructive sleep-disordered breathing (SDB) is a common clinical problem. An unrecognized and untreated SDB is a serious threat for an intensively developing organism of a child. The consequences of SDB include cardiovascular and neurological complications, growth disorders and enuresis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5604/01.3001.0012.1570DOI Listing
June 2018
13 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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/ajmg.a.40642
Publisher Site
http://dx.doi.org/10.1002/ajmg.a.40642DOI Listing
December 2018
17 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

View Article

Download full-text PDF

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

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

Laryngoscope 2019 Apr 9;129(4):995-1000. 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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/lary.27405
Publisher Site
http://dx.doi.org/10.1002/lary.27405DOI Listing
April 2019
10 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

View Article

Download full-text PDF

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

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

Acta Anaesthesiol Scand 2019 Mar 6;63(3):292-297. 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

View Article

Download full-text PDF

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