6,077 results match your criteria Adenoidectomy


Can a flexible surgical robot be used in the pediatric population: A feasibility study.

Int J Pediatr Otorhinolaryngol 2022 Jun 13;159:111206. Epub 2022 Jun 13.

Department of Otolaryngology, Penn State Milton S Hershey Medical Center, 500 University Drive, Hershey, PA, United States.

Objectives: Transoral robotic surgery in adults confers excellent results and decreased morbidity. Application of these techniques has not yet been rigorously investigated in children. The goal of this study is to evaluate the feasibility of a flexible robotic surgical system in a pediatric population. Read More

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Hemorrhage after adenotonsillectomy in children: tertiary center experiences.

Wien Med Wochenschr 2022 Jun 27. Epub 2022 Jun 27.

Department of Anaesthesiology and Intensive Care Unit, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina.

Background: Adenotonsillectomy is the most commonly performed surgery in the pediatric population. Hemorrhage after adenotonsillectomy, which can occur at any time postoperatively, is one of the most serious complications.

Objective: To determine the frequency of hemorrhage in children after adenotonsillectomy and to compare postoperative hemorrhage with regard to age and sex. Read More

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Sustaining standardized opioid prescribing practices after pediatric tonsillectomy.

Int J Pediatr Otorhinolaryngol 2022 Jun 12;159:111209. Epub 2022 Jun 12.

Children's Healthcare of Atlanta at Egleston, Atlanta, GA, USA; Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, USA; Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA. Electronic address:

Introduction: Opioid prescribing patterns after pediatric tonsillectomy are highly variable, and opioids may not improve pain control compared to over-the-counter pain relievers. We evaluated whether a standardized, opioid-sparing analgesic protocol effectively reduced opioid prescriptions without compromising patient outcomes.

Methods: A quality improvement project was initiated in July 2019 to standardize analgesic prescribing after hospital-based tonsillectomy with/without adenoidectomy. Read More

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Complications of primary pediatric endoscopic sinus surgery for chronic rhinosinusitis: A 25-year single surgeon experience.

Laryngoscope Investig Otolaryngol 2022 Jun 29;7(3):658-661. Epub 2022 Mar 29.

Department of Otolaryngology West Virginia University Morgantown West Virginia USA.

Objective: To report our experience on the complications of primary pediatric endoscopic sinus surgery (ESS).

Methods: Case series of pediatric ESS performed from 1991 to 2016 on children who failed maximal medical therapy and/or adenoidectomy. Inclusion criteria were children (age <12 years old) who underwent primary ESS with or without adenoidectomy for chronic rhinosinusitis (CRS) after failed maximal medical therapy and/or adenoidectomy. Read More

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Trial and Error: Learning From Malpractice Claims in Childhood Surgery.

J Surg Res 2022 Jun 18;279:84-88. Epub 2022 Jun 18.

Division of Pediatric Surgery, Department of Surgery, University of California San Diego School of Medicine, San Diego, California. Electronic address:

Introduction: The purpose of this study was to analyze a nationwide database of malpractice lawsuits involving pediatric surgical patients to identify contributing factors in liability claims.

Methods: Using the CRICO (Controlled Risk Insurance Company Strategies' Comparative Benchmarking System) database, malpractice claims involving patients ≤18 y old were reviewed from 2008 to 2017. Data were analyzed using descriptive statistics and logistic regression. Read More

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Association of Patient Characteristics With Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States.

JAMA 2022 06;327(23):2317-2325

Division of Hospital Medicine, Department of Pediatrics, University of Wisconsin, Madison.

Importance: The rate of postoperative death in children undergoing tonsillectomy is uncertain. Mortality rates are not separately available for children at increased risk of complications, including young children (aged <3 y) and those with sleep-disordered breathing or complex chronic conditions.

Objective: To estimate postoperative mortality following tonsillectomy in US children, both overall and in relation to recognized risk factors for complications. Read More

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Orthodontic interventions as a management option for children with residual obstructive sleep apnea: a cohort study protocol.

BMJ Open 2022 Jun 15;12(6):e061651. Epub 2022 Jun 15.

Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Introduction: Obstructive sleep apnoea (OSA) is a sleep-breathing disorder that seems likely to have long-term negative social and health consequences in children and adolescents. There are no established standard management approaches when the first line of therapy, the tonsillectomy and adenoidectomy (T&A), is not indicated or fails to address paediatric OSA (residual paediatric OSA). This protocol describes a prospective cohort study that aims to assess the effectiveness of orthodontic interventions for managing residual paediatric OSA in patients with concomitant craniofacial issues. Read More

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Hospital Prices for Pediatric Tympanostomy Tube Placement and Adenotonsillectomy in 2021.

Laryngoscope 2022 Jun 9. Epub 2022 Jun 9.

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.

Objectives: Hospital prices vary substantially for myringotomy with tympanostomy tube placement (M&T) and adenotonsillectomy (T&A). The Centers for Medicare and Medicaid Services recently implemented hospital price transparency requirements to help families make financially informed decisions about where to seek care. We sought to determine price availability and the extent of price variation for these procedures. Read More

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Adenotonsillectomy and adenoidectomy in children: The impact of timing of surgery and post-operative outcomes.

J Paediatr Child Health 2022 Jun 3. Epub 2022 Jun 3.

The Children's Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Aim: To investigate the impact of adenotonsillectomy (ADT) and adenoidectomy (AD) on child health and evaluated their post-operative complications.

Methods: We included all children aged <16 years undergoing ADT (tonsillectomy ± adenoidectomy) or AD in New South Wales, Australia, 2008-2017. Health information was obtained from administrative hospitalisation data. Read More

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[Effects of high-flow nasal oxygen combined with early extubation on the incidence of respiratory adverse events during emergence from general anesthesia in children undergoing adenoid-tonsillectomy].

Zhonghua Yi Xue Za Zhi 2022 Jun;102(21):1584-1589

Department of Anesthesiology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China.

To investigate the effects of high-flow nasal oxygen (HFNO) combined with early extubation on the incidence of respiratory adverse events (RAE) during emergence from general anesthesia in children undergoing adenoid-tonsillectomy. From December 2021 to January 2022, 40 pediatric patients [21 males, 19 females, with a median age of 4 (4, 5) years] undergoing tonsillectomy and/or adenoidectomy in Eye & ENT Hospital of Fudan University were randomly divided into two groups: HFNO-assisted early extubation group (Group H, =20) and conventional extubation group (Group C, =20) by using a random number table. After entering the post-anesthesia care unit (PACU), the patients in group H received humidified and heated oxygen (flow rate: 25 L/min) through a nasal cannula until their consciousness regained. Read More

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Safety and long-term efficacy of tonsillectomy versus subtotal tonsillectomy in children with sleep disordered breathing.

Am J Otolaryngol 2022 Jul-Aug;43(4):103494. Epub 2022 May 10.

Department of Otolaryngology Head and Neck Surgery, Barzilai Medical Center, Ashkelon Israel and Department of Medical Sciences Ben Gurion University of the Negev, Beer sheva, Israel.

Objectives: to compare safety and long-term symptoms after TE compared to Subtotal Tonsillectomy (STT).

Methods: A retrospective review data of 412 patients, one to twelve years old that underwent either TE or STT, as treatment for sleep disorder breathing, at two different medical centers. Symptoms were assessed by a questionnaire 3-5 years post-surgery. Read More

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The Effect of Pre-Emptive Analgesia on the Postoperative Pain in Pediatric Otolaryngology: A Randomized, Controlled Trial.

J Clin Med 2022 May 11;11(10). Epub 2022 May 11.

Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, 50-556 Wroclaw, Poland.

The aim of this randomized, controlled trial was to determine whether children undergoing otolaryngological procedures (adenoidectomy, adenotonsillotomy, or tonsillectomy) benefit from pre-emptive analgesia in the postoperative period.

Methods: Fifty-five children were assessed for eligibility for the research. Four children refused to participate during the first stage of the study, leaving fifty-one ( = 51) to be randomly assigned either to receive pre-emptive analgesic acetaminophen (15 mg/kg; = 26) or a placebo ( = 25) in addition to midazolam (0. Read More

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Assessment of Central Sleep Apnea Events in Children with Sleep-Disordered Breathing.

Sleep Disord 2022 17;2022:2590337. Epub 2022 May 17.

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

Purpose: To determine the prevalence of central apnea (CA) events and central sleep apnea (CSA) in children with sleep-disordered breathing (SDB) and to assess the effect of tonsillectomy and adenoidectomy (TA) on CSA in children with obstructive sleep apnea (OSA). . The medical charts of children with SDB were reviewed to obtain information on past medical history, polysomnography (PSG) findings, and surgical management. Read More

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Postoperative respiratory complications in children with obstructive sleep apnoea syndrome.

Acta Otorhinolaryngol Ital 2022 Apr;42(2):162-168

Department of Pulmonology, Semmelweis University, Budapest, Hungary.

Objective: We aimed to prospectively assess the effect of comorbidities on the occurrence of postoperative respiratory complications (PoRCs) after adenotonsillectomy in children with obstructive sleep apnoea syndrome (OSA) and whether otherwise healthy children need a higher level of postoperative monitoring.

Methods: 577 children who had OSA and underwent adenotonsillectomy were enrolled. The effects of demographics, comorbidities and OSA on PoRCs were investigated with logistic regression analysis. Read More

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A Case of Adult Clival Osteomyelitis.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221101858

Robert Wood Johnson Barnabas Health and Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Clival osteomyelitis is a potentially life-threatening skull base infection. It is rare and generally challenging to diagnose and treat. Clival osteomyelitis is typically seen in the pediatric population and is very rare in the adult population. Read More

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Day-case discharge criteria and safety of children undergoing adenoidectomy and tonsillectomy for obstructive symptoms-A systematic review.

Clin Otolaryngol 2022 May 23. Epub 2022 May 23.

Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.

Objectives: Obstructive sleep apnoea (OSA) is a common indication for adenoidectomy and tonsillectomy in children. Traditional practice involves overnight admission to monitor for respiratory complications. However, there is a shift towards same-day discharge in selected patients. Read More

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Analgesic Effects and Safety of Dexmedetomidine Added to Nalbuphine or Sufentanil Patient-Controlled Intravenous Analgesia for Children After Tonsillectomy Adenoidectomy.

Front Pharmacol 2022 5;13:908212. Epub 2022 May 5.

Department of Anesthesiology, Children's Hospital of Henan, Zhengzhou, China.

Tonsillectomy is a frequently performed surgical procedure in children, requiring post-operative analgesia. This study evaluated the efficacy and safety of nalbuphine or sufentanil combined with dexmedetomidine for patient-controlled intravenous analgesia (PCIA) after pediatric tonsillectomy adenoidectomy. A total of 400 patients undergoing tonsillectomy with and without adenoidectomy were included in the study. Read More

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Is it necessary to perform a follow-up study after adenotonsillectomy in all children with moderate-severe obstructive sleep apnoea?

Acta Otorrinolaringol Esp (Engl Ed) 2022 May-Jun;73(3):191-195

Unidad Multidisciplinar de Sueño, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

Hypertrophy of adenotonsillar tissue is the most common cause of OSAS in otherwise healthy children, and therefore adenotonsillectomy is the first line treatment. Scientific societies recommend nocturnal follow-up PSG to assess for residual OSAS in children with preoperative evidence for moderate to severe OSAS, obesity, craniofacial anomalies that obstruct the upper airway and neurological disorders, based on the increasing trend of publications reporting residual OSAS after adenotonsillectomy. Follow-up PSG values in children with a pre-operative diagnosis of severe OSAS were analysed retrospectively, and compared to the parents' impression after ENT surgery. Read More

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PICU admission and complications following adenotonsillectomies in pediatric patients: A retrospective cohort study.

Int J Pediatr Otorhinolaryngol 2022 Jul 27;158:111166. Epub 2022 Apr 27.

Department of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Background: Children with obstructive sleep apnea (OSA) have higher risks of post-operative respiratory complication after adenotonsillectomy. However, there is no clinical standard criteria for pediatric intensive care unit (PICU) admission following adenotonsillectomy. The purpose of this study was to identify perioperative risk factors associated with the need for PICU level care after adenotonsillectomy. Read More

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Neurobehavioral morbidity of pediatric mild sleep-disordered breathing and obstructive sleep apnea.

Sleep 2022 05 12;45(5). Epub 2022 Feb 12.

Brigham and Women's Hospital, Division of Sleep and Circadian Disorders, Boston, MA, USA.

Study Objectives: Obstructive sleep apnea is associated with neurobehavioral dysfunction, but the relationship between disease severity as measured by the apnea-hypopnea index and neurobehavioral morbidity is unclear. The objective of our study is to compare the neurobehavioral morbidity of mild sleep-disordered breathing versus obstructive sleep apnea.

Methods: Children 3-12 years old recruited for mild sleep-disordered breathing (snoring with obstructive apnea-hypopnea index < 3) into the Pediatric Adenotonsillectomy Trial for Snoring were compared to children 5-9 years old recruited for obstructive sleep apnea (obstructive apnea-hypopnea 2-30) into the Childhood Adenotonsillectomy Trial. Read More

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Establishment of resilience in a challenging recovery at home after pediatric tonsil surgery-Children's and caregivers' perspectives.

Paediatr Neonatal Pain 2021 Jun 10;3(2):75-86. Epub 2021 May 10.

School of Health Sciences Faculty of Medicine and Health Örebro University Örebro Sweden.

The objective of this study was to explore children's and caregivers' experiences and management of postoperative recovery at home after tonsil surgery. The study had an explorative qualitative design with an inductive approach. Twenty children (5-12 years of age) undergoing tonsillectomy or tonsillotomy with or without adenoidectomy participated along with their caregivers in semi-structured interviews at a mean time of 28 days after surgery. Read More

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[Preliminary experience of surgical treatment for torus tubarius hypertrophy in children].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Apr;57(4):505-509

Department of Otorhinolaryngology Head and Neck Surgery, the Fourth Medical Center of the People's Liberation Army General Hospital, Beijing 100142, China ColIege of Otolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital, National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China.

To assess the incidence of symptomatic torus tubarius hypertrophy (TTH) in recurred OSA in children, and to explore the preliminary experience of partial resection of TTH assisted with radiofrequency ablation. From January 2004 to February 2020, 4 922 children, who diagnosed as OSA and received adenotonsillectomy at the Department of Otolaryngology, The 4th Medical Center of the PLA General Hospital, were retrospectively reviewed. There were 3 266 males and 1 656 females, the age ranged from 1 to 14 years old(median age of 5. Read More

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Posterior pharyngeal wall augmentation in post-adenoidectomy velopharyngeal insufficiency.

Eur Arch Otorhinolaryngol 2022 May 9. Epub 2022 May 9.

ORL Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Purpose: To assess the efficacy of posterior pharyngeal wall augmentation using septal or conchal cartilages with other bulks-according to the persistent gap and the individual anatomy of each patient-in improving velopharyngeal function in patients who acquired persistent velopharyngeal insufficiency (VPI) post-adenoidectomy.

Methods: Observational descriptive prospective case series of 24 patients (their ages ranged between 3 and 26 years) who developed persistent VPI post-adenoidectomy (more than 3 months) although they had normal speech resonance before adenoidectomy.

Results: The present study demonstrated that statistically significant improvement in auditory perceptual assessment (APA) was found regarding all obligatory speech disorders and unintelligibility of speech. Read More

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Herpesvirus infections in adenoids in patients with chronic adenotonsillar disease.

J Med Virol 2022 Apr 29. Epub 2022 Apr 29.

Department of Pediatrics and Adolescent Medicine, Turku University Hospital, University of Turku, Turku, Finland.

Adenoids and tonsils have gained interest as a new in vivo model to study local immune functions and virus reservoirs. Especially herpesviruses are interesting because their prevalence and persistence in local lymphoid tissue are incompletely known. Our aim was to study herpesvirus and common respiratory virus infections in nonacutely ill adenotonsillar surgery patients. Read More

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Comparison of clinical practice of tonsil surgery from quality register data from Sweden and Norway and one clinic in Denmark.

BMJ Open 2022 04 27;12(4):e056551. Epub 2022 Apr 27.

Department of Clinical and Experimental Medicine, Linköpings universitet Hälsouniversitetet, Linkoping, Sweden.

Objectives: To compare the application of indications, demographics, surgical and haemostatic techniques in tonsil surgery in three countries.

Design: Non-randomised, prospective, observational cohort.

Setting: All patients registered in the National Tonsil Surgery Quality Registers in Sweden, Norway and West Jutland, Denmark. Read More

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Efficacy of orthodontic treatment versus adenotonsillectomy in children with moderate obstructive sleep apnoea and mandibular retrognathia: study design and protocol for a non-inferiority randomised controlled trial.

BMJ Open 2022 04 26;12(4):e055964. Epub 2022 Apr 26.

Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China

Introduction: Orthodontic treatment and adenotonsillectomy (AT) are both conventional treatments for paediatric obstructive sleep apnoea (OSA). Each approach has distinct treatment advantages; however, there is currently a lack of solid evidence to support their efficacy comparison. We hypothesise that the objective effect of orthodontic treatment is not inferior to AT in children with moderate OSA and mandibular retrognathia, but orthodontic treatment has the advantage of promoting dentofacial growth. Read More

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Changes in Cough Reflex Sensitivity in Children After Removal of Hypertrophied Adenoid Tissue.

J Asthma Allergy 2022 19;15:517-524. Epub 2022 Apr 19.

Department of Pathological Physiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovak Republic.

Purpose: The co-occurrence of adenoids and chronic cough is common in children. The goal of this research was to specify changes in cough reflex sensitivity as a result of adenoid tissue removal.

Patients And Methods: The sample group consisted of 17 children (six boys and 11 girls, aged 4-12 years, mean age 6. Read More

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Adenoidectomy may decrease the need for a third set of tympanostomy tubes in children.

Int J Pediatr Otorhinolaryngol 2022 Jun 11;157:111130. Epub 2022 Apr 11.

University of Rochester Department of Otolaryngology Head and Neck Surgery, Rochester, NY 601 Elmwood Avenue, Rochester, NY, 14642, United States. Electronic address:

Objective: To determine whether removing or retaining adenoids at the time of placement of a second set of ear tubes impacts the need for a third set of ear tubes later in childhood.

Study Design: Single-institution retrospective case series.

Setting: Tertiary academic university hospital. Read More

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The effect on the T-14 paediatric throat disorders outcome score of delaying adenotonsillectomy surgery due to COVID-19.

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Alder Hey Children's NHS Foundation Trust, UK.

Introduction: Adenotonsillectomy is commonly performed for recurrent tonsillitis and obstructive sleep apnoea. These conditions may improve with age. The COVID-19 pandemic led to all UK elective surgery being suspended. Read More

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Mild Grisel Syndrome: Expanding the Differential for Posttonsillectomy Adenoidectomy Symptoms.

Fed Pract 2022 Feb 18;39(2):e6-e10. Epub 2022 Feb 18.

Carl R. Darnall Army Medical Center Department of Emergency Medicine, Fort Hood, Texas.

Background: Tonsillectomy with or without adenoidectomy is the second most common pediatric surgical procedure in the United States with up to 97% performed as an outpatient.1,2 While it is largely a safe procedure, several complications have been described and are encountered in the emergency department and primary care setting.

Presentation: A 29-month child presented to the emergency department with neck stiffness 10 days after tonsillectomy and adenoidectomy. Read More

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February 2022