Adenoid, Tonsil Removal May Affect Later Respiratory Risks
FRIDAY, June 8, 2018 -- Adenoidectomy and tonsillectomy in children are associated with increased long-term risks of respiratory, infectious, and allergic diseases, according to a study published online June 7 in JAMA Otolaryngology-Head&Neck...
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.
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...
Aim: Adenotonsillar surgery is a common paediatric ENT procedure with clear guidelines. Many children undergoing tonsillectomy will have had an adenoidectomy and therefore will be subjected to two general anaesthetics. We aim to identify how many children undergo adenoidectomy and have a tonsillectomy at a later date and to investigate whether we should offer concurrent tonsillectomy in adenoidectomy patients.
CONCLUSION: Clinicians should be aware that younger, less sociable children of Spanish-speaking Latino parents are at higher risk of developing preoperative anxiety and manage these children based on this increased risk. PMID: 29962037 [PubMed - as supplied by publisher]
A 12-year-old female presented with a unilocular, non-expansile radiolucency between the roots of teeth #25 and #26 (Figure 1). The lesion was causing divergence of these tooth roots and overlapping of the clinical crowns (Figure 2). The patient was asymptomatic. Past surgical history included tonsillectomy and adenoidectomy; however, the patient was otherwise healthy and taking no medications.
Authors: Mendel R, Yitshak-Sade M, Nash M, Joshua BZ Abstract BACKGROUND: The most common complication after tonsillectomy is bleeding. We investigated whether performing the procedure during the summer or the winter affects the bleeding rate. OBJECTIVES: To investigate whether there is an association between meteorological conditions and the occurrence of post-tonsillectomy hemorrhage (PTH) in the southern Israel Negev region. METHODS: All patients who underwent tonsillectomy from 2001-2013 at the Soroka Medical Center were included. We collected patient demographic data and indications for surgery. Meteor...
Researchers of a new study looked at the long-term health risks associated with removing tonsils and adenoids in children, and found that these procedures were associated with increased long-term risk of respiratory, infectious, and allergic disease (JAMA Otolaryngol Head Neck Surg. Published online June 7, 2018. doi:10.1001/jamaoto.2018.0614). The investigators analyzed data on nearly 1.2 million […]
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
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For the study, the researchers examined Danish health records, following more than 60,000 children who had tonsils removed, adenoids removed or both ("adenotonsillectomy") before age 10. The investigators compared the medical records with data on 1.2 million peers born between 1979 and 1999.