Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Care of the Pediatric Patient for Ambulatory Tonsillectomy With or Without Adenoidectomy: The Society for Ambulatory Anesthesia Position Statement
Anesth Analg. 2024 Mar 22. doi: 10.1213/ANE.0000000000006645. Online ahead of print.ABSTRACTThe landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hosp...
Source: Anesthesia and Analgesia - March 22, 2024 Category: Anesthesiology Authors: Marjorie P Brennan Audra M Webber Chhaya V Patel Wanda A Chin Steven F Butz Niraja Rajan Source Type: research
Association of preoperative neutrophil –lymphocyte ratios with the emergence delirium in pediatric patients after tonsillectomy and adenoidectomy: an observational prospective study
ConclusionsPreoperative NLR level and postoperative pain were independent risk factors for ED in pediatric patients undergoing T&A. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - March 21, 2024 Category: Anesthesiology Source Type: research
Surgical Management of Pediatric Obstructive Sleep Apnea Beyond Adenotonsillectomy
While adenotonsillectomy is the primary treatment of pediatric obstructive sleep apnea (OSA), persistent OSA after surgery is common and may be due to residual obstruction at the nose, nasopharynx, and/or palate. Comprehensive evaluation for persistent pediatric OSA ideally includes clinical examination (with or without awake nasal endosocpy) as well as drug-induced sleep endoscopy in order to accurately identify sources of residual obstruction. Depending on the site of obstruction, some of the surgical management options include submucous inferior turbinate resection, septoplasty, adenoidectomy, and expansion sphincter ph...
Source: Otolaryngologic clinics of North America - March 21, 2024 Category: ENT & OMF Authors: Nicholas R. Lenze, Suhas R. Bharadwaj, Christina M. Baldassari, Erin M. Kirkham Source Type: research
Permanent occlusion of the Eustachian tube: a retrospective study on reopening procedures
This study retrospectively evaluated the efficacy and versatility of reopening procedures for the permanent occlusion of the cartilaginous Eustachian tube (POET) by analyzing four consecutive cases.MethodsThe study included all patients diagnosed with POET who suffered from Eustachian tube occlusion and glue ear. A combined approach of endoscopic transnasal/transoral laser surgery was utilized to reopen the POET. This was subsequently followed by balloon dilation (BET) and stenting for a duration of six weeks. In one distinct case, the Eustachian tube orifice was approached via a transtympanic method, where a balloon cathe...
Source: European Archives of Oto-Rhino-Laryngology - March 15, 2024 Category: ENT & OMF Source Type: research
Metabolomic profiling of pediatric post-tonsillectomy pain: A proof-of-concept study
CONCLUSION: This study identified novel candidate biomarker panels that effectively differentiated varying severity of post-tonsillectomy pain. Further research is needed to validate these data and to explore their clinical implications for personalized pain management in children undergoing painful surgeries.PMID:38466029 | DOI:10.1111/pan.14876 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - March 11, 2024 Category: Anesthesiology Authors: Christian Mpody Ambrish B Patel William E Smoyer Joseph D Tobias Olubukola O Nafiu Source Type: research
Metabolomic profiling of pediatric post-tonsillectomy pain: A proof-of-concept study
CONCLUSION: This study identified novel candidate biomarker panels that effectively differentiated varying severity of post-tonsillectomy pain. Further research is needed to validate these data and to explore their clinical implications for personalized pain management in children undergoing painful surgeries.PMID:38466029 | DOI:10.1111/pan.14876 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - March 11, 2024 Category: Anesthesiology Authors: Christian Mpody Ambrish B Patel William E Smoyer Joseph D Tobias Olubukola O Nafiu Source Type: research
Regarding the risk factors for the emergence delirium in pediatric patients after tonsillectomy and adenoidectomy
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - March 1, 2024 Category: Anesthesiology Source Type: research
Predictors of Success of Adenoidectomy in the Treatment of Pediatric Chronic Rhinosinusitis
Conclusions: Adenoidectomy is a good first-line surgery for children aged 12 years and younger, especially in the 6 to 12 years group which had a high rate of success with 68% experiencing remission of symptoms after surgery.PMID:38400707 | DOI:10.1177/01455613241232879 (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - February 24, 2024 Category: ENT & OMF Authors: Amani Kais Norman Orabi Ruifeng Cui Hassan H Ramadan Source Type: research
Predictors of Success of Adenoidectomy in the Treatment of Pediatric Chronic Rhinosinusitis
Conclusions: Adenoidectomy is a good first-line surgery for children aged 12 years and younger, especially in the 6 to 12 years group which had a high rate of success with 68% experiencing remission of symptoms after surgery.PMID:38400707 | DOI:10.1177/01455613241232879 (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - February 24, 2024 Category: ENT & OMF Authors: Amani Kais Norman Orabi Ruifeng Cui Hassan H Ramadan Source Type: research
Successful Antiviral Treatment for Chronic Adenoiditis Caused by Herpes Virus in a Pediatric Patient: A Case Report
CONCLUSIONS Direct visualization of the postnasal space, with a transoral mirror or 120-degree endoscope, prior to adenoidectomy can aid diagnosis. Adenoiditis may be caused by a wide range of organisms, including herpes virus. Active mucopurulent discharge should raise concern for infection by bacteria, fungi, or virus. Previous research on viral infection of the adenoids have been in asymptomatic patients with presumed latent infection and undergoing elective adenoidectomy. To our knowledge, this is the first paper to report on successful treatment with antiviral medication alone.PMID:38366584 | DOI:10.12659/AJCR.942418 (Source: Herpes)
Source: Herpes - February 17, 2024 Category: Infectious Diseases Authors: Leon Kong Francoise Jean-Louis Duncan L Lamont Source Type: research
Successful Antiviral Treatment for Chronic Adenoiditis Caused by Herpes Virus in a Pediatric Patient: A Case Report
CONCLUSIONS Direct visualization of the postnasal space, with a transoral mirror or 120-degree endoscope, prior to adenoidectomy can aid diagnosis. Adenoiditis may be caused by a wide range of organisms, including herpes virus. Active mucopurulent discharge should raise concern for infection by bacteria, fungi, or virus. Previous research on viral infection of the adenoids have been in asymptomatic patients with presumed latent infection and undergoing elective adenoidectomy. To our knowledge, this is the first paper to report on successful treatment with antiviral medication alone.PMID:38366584 | DOI:10.12659/AJCR.942418 (Source: Herpes)
Source: Herpes - February 17, 2024 Category: Infectious Diseases Authors: Leon Kong Francoise Jean-Louis Duncan L Lamont Source Type: research
Endoscopic Evaluation after Conventional Adenoid Curettage
Conclusion Endoscopic evaluation of the nasopharynx following conventional adenoid curettage provides important data regarding adenoid remnants, injury to the surgical field or nearby structures, and bleeding points, which aids in the provision of optimal care and in the achievement of a better outcome. [...] Thieme Revinter Publicações Ltda. Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, BrazilArticle in Thieme eJournals: Table of contents | Abstract | open access Full text (Source: International Archives of Otorhinolaryngology)
Source: International Archives of Otorhinolaryngology - February 16, 2024 Category: ENT & OMF Authors: Nofal, Ahmed Abdelfattah Bayomy Alnemr, Mohamed Abdelmohsen Sweed, Ahmed Hassan Abdulmageed, Alsayed Tags: Original Research Source Type: research
