AAFP Endorses AAO-HNS Tonsillectomy in Children Guideline
The AAFP has endorsed an updated guideline on tonsillectomy in children that was developed by the American Academy of Otolaryngology-Head and Neck Surgery. The guideline was published Feb. 5 inOtolaryngology-Head and Neck Surgery.
Conditions: Obstructive Sleep Apnea; Tonsillar Hypertrophy; Sleep Apnea Syndromes Intervention: Device: Polysomnography Sponsor: Turku University Hospital Not yet recruiting
Ann Otol Rhinol Laryngol. 2021 Sep 16:34894211045645. doi: 10.1177/00034894211045645. Online ahead of print.ABSTRACTOBJECTIVE: Obstructive Sleep Apnea (OSA) in children is treated primarily with adenotonsillectomy (AT). When clinical exam demonstrates small tonsils, the success of AT in resolving OSA is uncertain. The purpose of this study is to determine the utility of Drug induced Sleep Endoscopy (DISE) for children with OSA and small tonsils (Brodsky scale 1+) and to identify what obstructive trends exist in this subset of patients and to determine the utility of DISE-directed surgical intervention in patients with smal...
Conclusions: MPS patients had a high incidence of ENT problems. ENT surgery reduced the severity of hearing loss, degree of symptoms related to upper airway obstruction, and severity of respiratory tract and otological infections of patients with MPS.PMID:34522163 | PMC:PMC8436092 | DOI:10.7150/ijms.61827
British anaesthetist Sir Robert Macintosh (1897 to 1989,right) was born in New Zealand under a lucky star. The son of a mayor and newspaper editor, young Macintosh shone as a student and athlete. In 1937, automotive magnate Lord Nuffield beamed as Oxford University officials installed Macintosh as Britain ’s first (Nuffield) Professor of Anaesthetics. Honorary doctorates and fellowships followed, along with knighthood by Queen Elizabeth II. Fortune indeed favored him, but adversity had forged his mettle. His beloved mother died in his youth. During World War I, German soldiers shot down his fighter plane and took him...
This study will add significant new information to the effects and harms of TE and TT procedures in the treatment of adults with chronic or recurrent tonsillitis.Trial registrationClinicalTrials.gov:NCT04657549
AbstractA potential connection between tonsillectomy and the development of various cancer types has repeatedly been reported in the scientific literature, but many studies have contradicted these observations. Thus, we have no clear evidence, neither to firmly support nor to refute the above-mentioned connection. Here, I suggest that the main reason for the lack of clearer evidence is that the investigations have so far mainly used incorrect sample groups. I propose that individual differences in the tonsils ’ involvement in immune reactions should be taken into account to solve this long-standing puzzle.
Ann Otol Rhinol Laryngol. 2021 Sep 13:34894211045264. doi: 10.1177/00034894211045264. Online ahead of print.ABSTRACTOBJECTIVE: There is controversy regarding the efficacy and safety of tranexamic acid (TXA) in reducing tonsillectomy-related hemorrhage. We conducted a systematic review and meta-analysis to evaluate the prophylactic role of TXA in tonsillectomy.METHODS: We searched 6 databases to identify studies that directly compare the effect of TXA versus controls in tonsillectomy patients. Standardized mean difference was applied to summate the findings across the studies. Dichotomous data were expressed as relative ris...