Reducing rates of operative intervention for pediatric post-tonsillectomy hemorrhage.

Objectives/hypothesis: The aims of this study were to determine the frequency of rebleeding in patients admitted for observation after presentation for nonactive hemorrhage in the post-tonsillectomy period, compare rebleeding rates between patients managed with observation versus initial operative control, and describe the complication profile associated with observation as a management strategy for post-tonsillectomy bleeding.

Study Design: Case series with retrospective review of patients.

Methods: Patients presenting from September 1, 2013 to August 31, 2015 for post-tonsillectomy hemorrhage to a tertiary pediatric care center were evaluated for inclusion in the study.

Preferred parental method of post-operative tonsillectomy and adenoidectomy follow-up (phone call vs. clinic visit).

Introduction: Tonsillectomy is the second most common procedure performed in the United States. Over 530,000 tonsillectomies are performed on children under 15 years of age in the United States, accounting for 16% of surgeries in this age group, resulting in missed school for patients of school-age and also resulting in missed work for caregivers. This study compared parent preferences for in-clinic follow-up (CFU) to telephone interview follow-up (TFU) after tonsillectomy.

Patients with pediatric obstructive sleep apnea show altered T-cell populations with a dominant TH17 profile.

Objective: To characterize the immunologic changes of the tonsil as they correlate with increasing apnea-hypopnea index (AHI) in children.

Study Design: Prospective immunologic analysis.

Setting: Tertiary care pediatric otolaryngology practice.

Enlarged vestibular aqueduct syndrome mimicking otosclerosis in adults.

Introduction: An enlarged vestibular aqueduct (EVA) results in hearing loss which is often progressive and heterogenous, the long-term natural history of which is not well understood. Patients born before the era of newborn hearing screening can present as adults with previously undiagnosed EVA.

Methods: A retrospective chart review of patients seen at a tertiary adult academic otologic clinic from 2004 to 2012 were reviewed and cases of EVA were identified.