Tonsillectomy May Worsen Long-term Health Outcomes Tonsillectomy May Worsen Long-term Health Outcomes

Removal of tonsils, adenoids before age 9 years may have long-term health consequences, including increased risk for upper respiratory tract diseases and infections, a population-based study showed.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: News Source Type: news

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ynh N Abstract PURPOSE: To determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms. METHODS: The clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS)....
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
AbstractPurposeTo determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms.MethodsThe clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS).ResultsA total of 4000 chi...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
To the Editor The conclusion by Byars et al that the children who have had adenoidectomy and/or tonsillectomy are at a greater lifetime risk of airway disease may be supported by their data; however, their implication that surgery is causally related to this incidence is unfounded.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
In Reply Four main issues were raised by Kitipornchai and Mackay and L üscher et al. All of them appear invalid as challenges of our main results.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
Rates of pediatric tonsillectomy and adenoidectomy vary widely. One factor that may influence utilization is the availability of freestanding ambulatory surgery centers (ASCs). Previous studies suggest that ASCs drive the overutilization of some elective surgical procedures in adults. We aimed to determine whether access to freestanding, non-hospital owned ASCs is associated with higher utilization of pediatric tonsillectomy and/or adenoidectomy (T/A).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Scientific poster presentations Source Type: research
Dexmedetomidine is a highly selective α2 receptor agonist, this study aimed to investigate the effects of different doses of intranasal dexmedetomidine on the preoperative sedation and postoperative agitation in pediatric with total intravenous anesthesia (TIVA) for adenoidectomy with or without tonsillectomy. This is a double-blind placebo-controlled randomized trial. Pediatric were randomly divided into the D1, D2, and S groups, each group contained 30 patients. Twenty-five to 40 minutes before surgery, the D1 and D2 groups received intranasally dexmedetomidine 1 μg kg−1 or 2 μg kg−1, res...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conditions:   Postoperative Pain;   Postoperative Nausea;   Satisfaction;   Sleep;   Postoperative Complications Intervention:   Dietary Supplement: Carbohydrate drink Sponsor:   Jessica Gray Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
The objective of this study was to determine if pre-operative oral midazolam administration decreased postoperative oral fluid intake after tonsillectomy with or without adenoidectomy.MethodsA retrospective chart review identified 104 patients who were undergoing tonsillectomy with and without adenoidectomy who were not given midazolam preoperatively and 182 who were given midazolam preoperatively. Indications for tonsillectomy with or without adenoidectomy included obstructive sleep apnea, recurrent acute streptococcal pharyngotonsillitis, and, in selected cases, periodic fever with aphthous stomatitis, pharyngitis and adenopathy.
Source: International Journal of Pediatric Otorhinolaryngology - Category: ENT & OMF Authors: Source Type: research
Abstract To investigate the impact of medications on outcomes after tonsillectomy, a retrospective review using the MarketScan database was performed. A total of 306,536 privately insured children and adolescents (1 to 17 years old) who underwent tonsillectomy/adenoidectomy were identified from 2008 to 2012. Pharmaceutical claims identified patients who received outpatient prescriptions for ibuprofen, steroids, or topical anesthetics until discharge and for medications for the treatment of attention deficit hyperactivity disorder (ADHD) or montelukast up to 14 days postoperatively. Logistic regression compared pre...
Source: Ear, Nose and Throat Journal - Category: ENT & OMF Authors: Tags: Ear Nose Throat J Source Type: research
Publication date: Available online 21 May 2018Source: American Journal of OtolaryngologyAuthor(s): Robert T. Swanson, Jane R. Schubart, Michele M. CarrAbstractObjectiveEvaluate post-tonsillectomy outcomes in children discharged with ibuprofen versus those without.MethodsThis was a retrospective review of children who underwent tonsillectomy ± adenoidectomy from 2012 to 2016 at a tertiary care children's hospital. Main outcome measures included bleed rates, ER visits, and nurse phone calls.ResultsSeven hundred and seventy-three patients were included; 504 had ibuprofen at discharge (ID) and 269 did not (NID). The...
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research
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