11,419 results match your criteria Tonsillectomy


[ENT news 2018].

Rev Med Suisse 2019 Jan;15(N° 632-633):78-81

Service d'ORL et de chirurgie cervico-faciale, HUG, 1211 Genève 14.

The articles have been again selected among more than 15 000 abstracts and the review aims to be generalist. Interest of honey in head and neck pathologies, apnea syndrome, tonsillectomy and immunotherapy. In otology, middle ear infections and mastoiditis, cochlear implant in the elderly, deafness in children, auto-evaluation of audition and new perspectives regarding ciliar cell cultures. Read More

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January 2019

Palatine Tonsil Stenting of the Airway as Determined by Drug-Induced Sleep Endoscopy.

Case Rep Otolaryngol 2018 10;2018:2614143. Epub 2018 Dec 10.

Department of Otolaryngology-Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA.

Objective: To demonstrate lateral pharyngeal wall collapse and increased apnea-hypopnea index in a child posttonsillectomy.

Background: Some children have worsening of their sleep symptoms after tonsillectomy for obstructive sleep apnea. This case report demonstrates an open airway on drug-induced sleep endoscopy (DISE) in a child with tonsillar hypertrophy followed by more pronounced airway obstruction related to lateral pharyngeal wall collapse after tonsillectomy. Read More

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http://dx.doi.org/10.1155/2018/2614143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311753PMC
December 2018
2 Reads

Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report.

Diagnostics (Basel) 2019 Jan 15;9(1). Epub 2019 Jan 15.

Department of Otorhinolaryngology and head and neck surgery, Erasmus Medical Center, Sophia Children's Hospital, 3015 GD Rotterdam, The Netherlands.

Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. Read More

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http://dx.doi.org/10.3390/diagnostics9010011DOI Listing
January 2019

Revisiting age-related admission following tonsillectomy in the pediatric population.

Laryngoscope 2019 Jan 15. Epub 2019 Jan 15.

Pediatric Ear, Nose, and Throat Associates of Alabama, Children's Hospital of Alabama, Birmingham, Alabama, U.S.A.

Objectives/hypothesis: The objectives of this study were to examine patient outcomes using a 36-month age cutoff as a strict admission criterion following tonsillectomy, and review the safety and determine the plausibility of same-day discharge of children under 3 years old following tonsillectomy.

Study Design: Retrospective chart review.

Methods: A chart review of patients aged 24 to 42 months undergoing tonsillectomy over a 3-year period was conducted. Read More

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http://doi.wiley.com/10.1002/lary.27795
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http://dx.doi.org/10.1002/lary.27795DOI Listing
January 2019
3 Reads

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

Int J Pediatr Otorhinolaryngol 2018 Dec 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

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http://dx.doi.org/10.1016/j.ijporl.2018.12.011DOI Listing
December 2018

Bupivacaine infiltration in children for postoperative analgesia after tonsillectomy: A randomised controlled study.

Eur J Anaesthesiol 2019 Jan 10. Epub 2019 Jan 10.

From the Department of Anaesthesiology (AT, KV, MVdV, SR), Department of Otorhinolaryngology, University Hospitals of the KU Leuven (MP), I-Biostat (SF) and Department of Cardiovascular Sciences, KU Leuven-University of Leuven, Leuven, Belgium (MVdV, SR).

Background: Adenotonsillectomy is a frequently performed procedure in paediatric day-case surgery. Postoperative pain can be significant and standard analgesia protocols are often insufficient.

Objective: Our primary objective was to investigate if infiltration of the peritonsillar space with bupivacaine would reduce the need for postoperative opioids compared with pre-emptive intravenous tramadol. Read More

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http://dx.doi.org/10.1097/EJA.0000000000000950DOI Listing
January 2019

Pediatric Tonsillar Synovial Sarcoma- Very Rare Localization: A Case Report and Review of the Literature.

Turk Patoloji Derg 2019 Jan 11. Epub 2019 Jan 11.

Department of Pediatric Hematology and Oncology, Akdeniz University Medicine Faculty, ANTALYA, TURKEY.

Tonsillar synovial sarcoma is an extremely rare entity and only 9 adult patients have been reported up to now. Here, we describe the first pediatric tonsillar synovial sarcoma of the literature in a patient who presented with a 2-month history of dysphagia and snoring. Clinical and radiological examinations showed that the tumor arose from the right palatine tonsil and narrowed the parapharyngeal space. Read More

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http://www.turkjpath.org/doi.php?doi=10.5146/tjpath.2018.014
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http://dx.doi.org/10.5146/tjpath.2018.01449DOI Listing
January 2019
1 Read

Palmoplantar pustulosis and IgA nephropathy.

J Gen Fam Med 2019 Jan 8;20(1):35-36. Epub 2018 Nov 8.

Department of Nephrology Teine Keijinkai Medical Center Sapporo Hokkaido Japan.

We present a case of IgA nephropathy complicated with palmoplantar pustulosis. The skin lesion improved with tonsillectomy. The purposes of this article were to aid physicians in understanding that (a) IgA nephropathy should be considered in patients with palmoplantar pustulosis and (b) patients with these diseases should be referred to otolaryngology specialists for tonsillectomy. Read More

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http://dx.doi.org/10.1002/jgf2.218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321824PMC
January 2019

Evidence for the approach to the diagnostic evaluation of squamous cell carcinoma occult primary tumors of the head and neck.

Oral Oncol 2019 Jan 30;88:145-152. Epub 2018 Nov 30.

Institute of Head and Neck Studies and Education (InHANSE), Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom. Electronic address:

Metastases to the cervical lymph nodes from a occult primary (CUP) of head and neck squamous carcinomas has been increasing in presentation (HNSCC). Modern diagnostic workup, including clinical evaluation, conventional imaging, FDG-PET/CT and panendoscopy/tonsillectomy enables detection of the primary site in over half of all cases, and is associated with significantly improved survival rates. Recent studies have demonstrated the utility of novel molecular pathology and transoral surgical techniques in improving diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2018.11.020DOI Listing
January 2019
1 Read

Providing quality data in health care - almost perfect inter-rater agreement in the Norwegian tonsil surgery register.

BMC Med Res Methodol 2019 Jan 7;19(1). Epub 2019 Jan 7.

Department of Medical Quality Registries, St. Olav's University Hospital, MTFS, Torgarden, P.O. Box 3250, 7006, Trondheim, Norway.

Background: The Norwegian Tonsil Surgery Register (NTSR) was launched in January 2017. The purpose of the register is to present data on tonsil surgery to facilitate improvements in patient care. Data used for evaluating the quality of medical care needs to be of high reliability. Read More

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https://bmcmedresmethodol.biomedcentral.com/articles/10.1186
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http://dx.doi.org/10.1186/s12874-018-0651-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323706PMC
January 2019
2 Reads

Does suturing tonsil pillars post-tonsillectomy reduce postoperative hemorrhage?: A literature review.

Int J Pediatr Otorhinolaryngol 2019 Feb 4;117:204-209. Epub 2018 Dec 4.

Otolaryngology- Head and Neck Surgery, Boston University School of Medicine, Boston, MA, 02118, USA.

Objective: Literature review comparing post-tonsillectomy hemorrhage in pediatric and adult patients with and without suturing tonsil pillars to investigate whether suturing tonsil pillars reduces the risk of post-tonsillectomy hemorrhage.

Review Methods: Online journal databases were searched using the key phrases "post tonsillectomy hemorrhage", "post tonsillectomy bleed", and "tonsil pillar suture". 10 published studies were found regarding tonsil pillar suturing, four directly related to postoperative bleeding and five focusing on postoperative pain reduction. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.12.003DOI Listing
February 2019

A CARE-compliant article: Lymphangiomatous polyps of the palatine tonsils in a miner: A case report.

Medicine (Baltimore) 2019 Jan;98(1):e14009

Department of Otorhinolaryngology-Head and Neck Surgery, West China Hospital, West China School of Medicine, Sichuan University, Chengdu.

Rationale: Lymphangiomatous polyps of the palatine tonsils are benign tumors that are rare in both adults and children. Most patients suffering from this disease present with nonspecific symptoms similar to those of chronic tonsillitis.

Patient Concern: We report a case of a 21-year-old male miner who presented with a chronic history of a foreign body sensation in the oropharynx and an intermittently sore throat. Read More

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http://dx.doi.org/10.1097/MD.0000000000014009DOI 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

Changing trends in pediatric tonsil surgery.

Int J Pediatr Otorhinolaryngol 2018 Dec 21;118:84-89. Epub 2018 Dec 21.

Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital, P.O. Box 263 (Kasarmikatu 11-13), FI-00029, HUS, Finland.

Objectives: We analyzed trends in tonsil surgery over a 10-year period in a single tertiary care hospital and evaluated the effects of these changes on use of hospital services and healthcare costs.

Methods: This was a retrospective cohort study based on data from databases at the Department of Otorhinolaryngology, Helsinki University Hospital, Helsinki, Finland. Children under 16 years of age with tonsillectomy (TE) or tonsillotomy (TT) performed during 2007-2016 were included in the study. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.12.028DOI Listing
December 2018

Sleep-disordered breathing in the Cavalier King Charles spaniel: A case series.

Vet Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.

Objective: To describe sleep-disordered breathing (SDB) in the Cavalier King Charles spaniel (CKCS).

Study Design: Retrospective case series.

Animals: Five client-owned dogs referred for SDB. Read More

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http://dx.doi.org/10.1111/vsu.13148DOI Listing
December 2018

Human papillomavirus (HPV) vaccine effectiveness and potential herd immunity for reducing oncogenic oropharyngeal HPV16 prevalence in the UK; a cross-sectional study.

Clin Infect Dis 2018 Dec 22. Epub 2018 Dec 22.

Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, USA.

Background: Oropharyngeal cancer incidence is rapidly rising due to human papillomavirus (HPV) 16 infection. The dearth of data on effectiveness of national girl-only vaccination program in preventing oral HPV infection and the potential herd immunity effect on unvaccinated boys has resulted in considerable controversy regarding the need to vaccinate boys, especially in countries with high vaccination coverage of girls.

Methods: Subjects aged 0-65 years undergoing tonsillectomy for non-malignant indications were recruited in 6 UK hospitals. Read More

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http://dx.doi.org/10.1093/cid/ciy1081DOI Listing
December 2018

The role of anxiety in young children's pain memory development following surgery.

Pain 2018 Dec 21. Epub 2018 Dec 21.

Department of Psychology, University of Calgary and Alberta Children's Hospital Research Institute.

Pediatric pain is common, and memory for it may be distressing and have long-lasting effects. Children who develop more negatively-biased memories for pain (i.e. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001473DOI Listing
December 2018

Opioid prescription and postoperative outcomes in pediatric patients.

Laryngoscope 2018 Dec 26. Epub 2018 Dec 26.

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

Objectives/hypothesis: To determine if the amount of opioid prescribed and postoperative outcomes after adenotonsillectomy changed following implementation of mandated opioid consent forms.

Study Design: Retrospective cohort study.

Methods: Patients undergoing adenotonsillectomy 6 months before and after implementation of mandated opioid consent forms at a tertiary-care pediatric hospital were studied. Read More

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http://dx.doi.org/10.1002/lary.27614DOI Listing
December 2018
1 Read

Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess.

Laryngoscope 2018 Dec 24. Epub 2018 Dec 24.

Department of Otolaryngology Head & Neck Surgery, Ann Arbor, Michigan, U.S.A.

Objective: Peritonsillar abscess (PTA) is a common infectious complication of pharyngeal infection managed by otolaryngologists and emergency room physicians. Streptococcus and Fusobacterium (e.g. Read More

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http://dx.doi.org/10.1002/lary.27675DOI Listing
December 2018
3 Reads
2.032 Impact Factor

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

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

Relationship between obstructive sleep apnea and difficulty of anesthesia induction in children undergoing tonsillectomy.

Int J Pediatr Otorhinolaryngol 2018 Nov 13;118:42-46. Epub 2018 Nov 13.

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

Objective: To determine whether anesthesiologists need to rely on polysomnography (PSG) when predicting need for airway intervention during induction in patients with sleep-disordered breathing (SDB).

Methods: Prospective case-control observational study at a tertiary care pediatric hospital. Children between the ages of 2-17 undergoing tonsillectomy were divided into three groups: those presenting with OSA observed by history and/or physical examination alone (SDB; n = 33), those with OSA determined by preoperative PSG (OSA; n = 32), and a control group (n = 35) undergoing tonsillectomy for recurrent tonsillitis. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.11.013DOI Listing
November 2018
1 Read

Tonsillectomy using the BiZact: A pilot study in 186 children and adults.

Clin Otolaryngol 2018 Dec 21. Epub 2018 Dec 21.

The Department of Otorhinolaryngology, Head and Neck Surgery, The Royal Adelaide Hospital, Adelaide, South, Australia.

1.The BiZact tonsillectomy device, produced by Medtronic (Minneapolis, MN, USA), was approved for market use in Australia by the Therapeutics Good Administration (TGA) in 2016 and is a new device for tonsillectomy 2.Results from this pilot study of 186 patients demonstrate a post-operative hemorrhage rate of 4. Read More

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http://dx.doi.org/10.1111/coa.13273DOI Listing
December 2018
1 Read
2.268 Impact Factor

Role of palatine tonsillectomy in the diagnostic workup of head and neck squamous cell carcinoma of unknown primary origin: A systematic review and meta-analysis.

Head Neck 2018 Dec 21. Epub 2018 Dec 21.

Humanitas Clinical and Research Center, Rozzano (MI).

Background: This systematic review and meta-analysis aims to evaluate the effectiveness of palatine tonsillectomy in patients with cervical metastasis from squamous cell carcinoma of unknown primary (SCCUP) origin.

Methods: A systematic review including studies that encompassed palatine tonsillectomy in the SSCUP diagnostic evaluation was conducted. A single arm meta-analysis was then made to obtain the overall identification rate of tonsillectomy. Read More

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http://dx.doi.org/10.1002/hed.25522DOI Listing
December 2018

Polysomnography outcomes in children with small tonsils undergoing drug-induced sleep endoscopy-directed surgery.

Laryngoscope 2018 Dec 21. Epub 2018 Dec 21.

Department of Otolaryngology-Head and Neck Surgery, Seattle, Washington.

Objectives/hypothesis: The optimal surgical treatment to improve sleep apnea in children with small tonsils is not known. Drug-induced sleep endoscopy (DISE) may be useful in selecting effective surgical procedures for this patient population. This study compared polysomnography (PSG) measures before and after DISE-directed surgery in children with small tonsils. Read More

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http://dx.doi.org/10.1002/lary.27759DOI Listing
December 2018
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

Efficacy and Safety of Agents in IgA Nephropathy: An Update Network Meta-Analysis.

Kidney Blood Press Res 2018 14;43(6):1890-1897. Epub 2018 Dec 14.

Department of Cardiovascular Medicine, the Second Affiliated Hospital of Nanchang University, Nanchang, China.

Background/aims: The present network meta-analysis of randomized controlled trials (RCTs) was to explore the efficacy and safety of different pharmacologic interventions in IgA nephropathy with proteinuria more than 0.75 g/d.

Methods: We systematically searched the Cochrane Library, Embase, and PubMed database for studies compared the rate of clinical remission and/or serious adverse events in IgA nephropathy patients with proteinuria (> 0. Read More

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https://www.karger.com/Article/FullText/496000
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http://dx.doi.org/10.1159/000496000DOI Listing
December 2018
5 Reads

The Impact of a Stepwise Approach to Primary Tumor Detection in Squamous Cell Carcinoma of the Neck With Unknown Primary.

Laryngoscope 2018 Nov 22. Epub 2018 Nov 22.

Department of Otolaryngology-Head and Neck Surgery, Baltimore, Maryland, U.S.A.

Objectives/hypothesis: To examine the cumulative effect of diagnostic steps for primary tumor identification in patients with head and neck squamous cell carcinoma of unknown primary (HNSCCUP), including lingual tonsillectomy, and the impact of primary tumor identification on subsequent treatment.

Study Design: Retrospective analysis.

Methods: We reviewed the records of 110 patients diagnosed with HNSCCUP between 2003 and 2015. Read More

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http://doi.wiley.com/10.1002/lary.27625
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http://dx.doi.org/10.1002/lary.27625DOI Listing
November 2018
5 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

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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

[Risk factor analysis of secondary post-tonsillectomy hemorrhage in children].

Authors:
L Tian D Lin

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(23):1813-1816

Department of Otolaryngology,Children' s Hospital of Nanjing Medical University, Nanjing, 210008, China.

To analyze the risk factors of secondary post-tonsillectomy hemorrhage (PTH) in children, and to provide a theoretical basis for reducing complications after tonsillectomy. A retrospective analysis of 354 children underwent tonsillectomy was performed, among which 42 secondary hemorrhage cases were divided into bleeding group, and other 312 cases were divided into non-bleeding group. To analyze the risk factors of secondary PTH and to discusses the pathogenesis of the hemorrhage, statistical analysis was conducted among eight clinical data including gender, age, reason of surgery, degree of tonsil embedding, surgery approach, surgeon' s skill level, intra-operative hemorrhagic volume, and postoperative absence of upper respiratory tract infection. 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.1001-1781.2018.23.011DOI Listing
December 2018
10 Reads

[The study about the role of laryngopharyngeal reflux for the hemorrhage after tonsillectomy].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1387-1390

Department of Otorhinolaryngology Head and Neck Surgery, Peking University, People's Hospital, Beijing,100023,China.

To assess the role of LPR in the development of complications, such as hemorrhage, following tonsillectomy in adult patients. We want to provide a guidence for future clinical practice.Totally 70 adult patients who had indication of tonsillectomy were recruited and divided into two groups, the laryngopharyngeal reflux (LPR) group and the control group, which were identified by the results of Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). 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.1001-1781.2018.18.006DOI Listing
September 2018
3 Reads

Efficacy of Telephone Follow-Up in Children Tonsillectomy with Day Surgery.

Indian J Pediatr 2018 Dec 13. Epub 2018 Dec 13.

Department of ENT, Affiliated Renhe Hospital of China, Three Gorges University, Second Clinical Medical College of China, No. 410 Yiling Road, Yi Chang, Hubei, China.

Objective: Day surgery for tonsillectomy has become more and more popular in China. However, many parents face difficulties to cope up with the pain and side effects after surgery. The present study was aimed to examine the efficacy of telephone follow-up on children's post-discharge recovery after tonsillectomy. Read More

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http://link.springer.com/10.1007/s12098-018-2813-y
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http://dx.doi.org/10.1007/s12098-018-2813-yDOI Listing
December 2018
3 Reads

Carcinoma of Unknown Primary in Head and Neck Region.

Klin Onkol 2018 ;31(4):277-281

Introduction: Carcinoma of unknown primary (CUP) in head and neck region is diagnosed in 5% of patients with malignant tumour of head and neck. In the management of patients with CUP, complex investigation to diagnose the occult tumour is always necessary. Detection of origin allows targeted specific treatment that significantly improves the prognosis of the disease. Read More

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https://www.linkos.cz/files/klinicka-onkologie/441/5358.pdf
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http://dx.doi.org/10.14735/amko2018277DOI Listing
January 2018
6 Reads

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

Surgical Management of Stylohyoid Pain (Eagle's) Syndrome: A 5-Year Experience.

Ann Otol Rhinol Laryngol 2018 Dec 10:3489418816999. Epub 2018 Dec 10.

1 Department of Otolaryngology/Head & Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA, USA.

Objectives:: (1) To define patient demographics and common symptoms in patients who undergo styloidectomy for stylohyoid pain syndrome (Eagle's syndrome). (2) To evaluate the effectiveness of styloidectomy in reducing symptoms of Eagle's syndrome.

Methods:: Retrospective chart review and prospective case series. Read More

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http://dx.doi.org/10.1177/0003489418816999DOI Listing
December 2018
4 Reads

Endovascular Embolization of Post-tonsillectomy Pseudoaneurysm: A Single-Center Case Series.

Cardiovasc Intervent Radiol 2018 Dec 5. Epub 2018 Dec 5.

Department of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Objective: The aim of this study was to evaluate the efficacy and safety of endovascular embolization of post-tonsillectomy pseudoaneurysm with the usage of monomeric n-butyl-2-cyanoacrylate (NBCA) glue as a first intention.

Methods: We retrospectively analyzed the technical details and clinical outcome of ten consecutive children presented with delayed post-tonsillectomy bleeding, caused by lingual or facial artery pseudoaneurysm, which was treated by endovascular embolization.

Results: Seven patients had lingual artery pseudoaneurysm, and three patients had injury of a common linguo-facial trunk. Read More

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http://link.springer.com/10.1007/s00270-018-2131-9
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http://dx.doi.org/10.1007/s00270-018-2131-9DOI Listing
December 2018
4 Reads

Surgical ablation of lingual tonsils in the treatment of obstructive sleep apnea.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Nov 29. Epub 2018 Nov 29.

Dept Otolaryngology-Head & Neck Surgery, Foch Hospital, 40, rue Worth, 92150 Suresnes, France. Electronic address:

Objectives/hypothesis: The retrolingual space is one of the potential sites of obstruction identified in patients with obstructive sleep apnea syndrome (OSAS). Hypertrophied lingual tonsils (LT) can obstruct the airway at this level. The goal of this study was to measure the tolerance and efficacy of lingual tonsillectomy in patients with OSAS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18797296183019
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http://dx.doi.org/10.1016/j.anorl.2018.11.001DOI Listing
November 2018
8 Reads

Honey as a Treatment in Otorhinolaryngology: A Review by Subspecialty.

Ann Otol Rhinol Laryngol 2018 Dec 2:3489418815188. Epub 2018 Dec 2.

3 Department of Head and Neck Surgery, University of California, Los Angeles, California, USA.

Objectives:: To provide an up-to-date review of honey's effectiveness and potential applications in otorhinolaryngology.

Methods:: A literature search of the online databases PubMed, EMBASE, and Cochrane Central Register of Controlled Trials was conducted.

Results:: Sixty-three studies were identified within head and neck surgery (n = 23, 36%); pediatric otolaryngology (n = 18, 29%); rhinology, sinus, and skull base surgery (n = 11, 17%); otology (n = 6, 10%), facial plastic and reconstructive surgery (n = 3, 5%); and laryngology (n = 2, 3%). Read More

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http://dx.doi.org/10.1177/0003489418815188DOI Listing
December 2018
1 Read

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
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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

Correlation between Brodsky Tonsil Scale and Tonsil Volume in Adult Patients.

Biomed Res Int 2018 24;2018:6434872. Epub 2018 Oct 24.

Department of Otorhinolaryngology, Head and Neck Surgery, Peking University First Hospital, No. 8 Xi Shiku Street, Xi Cheng District, Beijing 100034, China.

Purpose: To evaluate the value of Brodsky tonsil scale in predicting the objective tonsil volume and to identify the potential factors that might interfere with the accuracy of prediction.

Methods: A total of 87 adult patients who underwent single tonsillectomy or uvulopalatopharyngoplasty (UPPP) procedure including tonsillectomy in our hospital between Jan 2015 and Dec 2016 were included. The data of Brodsky tonsil scale evaluated preoperatively and objective tonsil volume evaluated postoperatively were collected for analysis. Read More

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https://www.hindawi.com/journals/bmri/2018/6434872/
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http://dx.doi.org/10.1155/2018/6434872DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220413PMC
October 2018
6 Reads

Microbiological Profile of Chronic Tonsillitis in the Pediatric Age Group.

Cureus 2018 Sep 22;10(9):e3343. Epub 2018 Sep 22.

Otolaryngology, Sri Lakshmi Narayana Institute of Medical Science, Puducherry, IND.

Introduction Tonsillitis is a very common disease in children. Understanding the microbiology and pathology of chronic tonsillitis is an important step in its management. The aim of the study was to describe the microbiological profile of core tonsillar tissue in chronic tonsillitis in children. Read More

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http://dx.doi.org/10.7759/cureus.3343DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248716PMC
September 2018
2 Reads

Letter to the editor: Effect of changing postoperative pain management on bleeding rates in tonsillectomy patients.

Authors:
Zhengcai Lou

Am J Otolaryngol 2018 Sep 30. Epub 2018 Sep 30.

Department of Otorhinolaryngology, the affiliated Yiwu Hospital, Yiwu City, 322000, Zhejiang Province, China. Electronic address:

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http://dx.doi.org/10.1016/j.amjoto.2018.09.020DOI Listing
September 2018

The effects of tonsillectomy by low-temperature plasma on the growth development and psychological behavior in children with obstructive sleep apnea hypopnea syndrome.

Medicine (Baltimore) 2018 Nov;97(47):e13205

We investigated the effects of tonsillectomy by low-temperature plasma on the growth development and psychological behavior in children with obstructive sleep apnea hypopnea syndrome (OSAHS).This study included 72 moderate and severe OSAHS children with tonsils or adenoids hypertrophy, which were randomly assigned into either the study group (n = 36) or the control group (n = 36). Patients in study group underwent tonsillectomy by low-temperature plasma, while in the control group underwent tonsil-pecking, then the efficacy were compared. Read More

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http://dx.doi.org/10.1097/MD.0000000000013205DOI Listing
November 2018
6 Reads

Increased risk of inflammatory bowel disease in families with tonsillectomy: A Danish national cohort study.

Epidemiology 2018 Nov 19. Epub 2018 Nov 19.

Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, 2300 Copenhagen, Denmark, Peter Bager research scientist, Sanne Gørtz statistician, Bjarke Feenstra senior research scientist, Morten Frisch senior research scientist, Mads Melbye CEO and professor.

Background: The possible etiologic link between tonsillectomy and inflammatory bowel diseases remains unclear. To investigate the hereditary component, we assessed the risk of inflammatory bowel disease after own tonsillectomy as well as after tonsillectomy among family members.

Methods: A nationwide Danish cohort of 7,045,288 individuals was established and linked to comprehensive national registers with data on kinship, tonsillectomy surgery, and diagnosis of inflammatory bowel disease from all health sectors. Read More

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http://dx.doi.org/10.1097/EDE.0000000000000946DOI Listing
November 2018
3 Reads

The impact of platelet-rich plasma therapy on short-term postoperative outcomes of pediatric tonsillectomy patients.

Eur Arch Otorhinolaryngol 2018 Nov 20. Epub 2018 Nov 20.

Department of Otorhinolaryngology, University of Health Sciences Adana City Hospital, Adana, Turkey.

Introduction: To compare the short-term outcomes of pediatric patients who underwent tonsillectomy alone vs. tonsillectomy plus platelet-rich plasma (PRP) therapy in terms of postoperative pain, appetite status, analgesia requirement, and bleeding complications.

Materials And Methods: This study included a total of 80 pediatric tonsillectomy patients (53. Read More

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http://dx.doi.org/10.1007/s00405-018-5211-1DOI Listing
November 2018
9 Reads

Tongue base mucosectomy for carcinoma of unknown primary using endoscopic electrocautery: rationale for wider implementation of an institutionally restricted technique.

J Laryngol Otol 2018 Nov 20:1-5. Epub 2018 Nov 20.

Department of ENT, Head and Neck Surgery,Royal Sussex County Hospital,Brighton, and Head and Neck Unit,Queen Victoria Hospital,East Grinstead,UK.

Background: Cervical metastasis from an unknown primary site invariably results in pan-mucosal irradiation if a primary tumour is not identified. Transoral robotic and laser-assisted mucosectomy are valid techniques to increase diagnostic rates, but these remain restricted to certain centres. This paper describes, in detail, a technique in which mucosectomy is performed via endoscopic electrocautery. Read More

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http://dx.doi.org/10.1017/S0022215118002062DOI Listing
November 2018
15 Reads