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Health Benefits in a Cohort of Children 6 Months After Tonsil Surgery in Relation to the Perioperative Period: An Observational Prospective Cohort Study.
Health Sci Rep
January 2025
School of Health Sciences, Faculty of Medicine and Health, Örebro University Örebro Sweden.
Background And Aim: Tonsil-surgery is a common treatment for tonsillitis and upper-airway obstruction. Health benefits are a key point of clinical concern. Aim: To evaluate health benefits 6-months after pediatric tonsil-surgery and to examine the influence of the perioperative period on health-related quality of life (HRQoL).
View Article and Find Full Text PDFEnvironmental impact of pediatric ENT surgery: A STROBE analysis.
Eur Ann Otorhinolaryngol Head Neck Dis
December 2024
Service d'ORL et chirurgie cervico-faciale, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, 86021 Poitiers, France; LITEC UR15560, université de Poitiers, 86000 Poitiers, France. Electronic address:
Introduction: Increasing emissions of greenhouse gases contribute to climate change. The healthcare sector, and particularly the operating room, is a significant emitter of greenhouse gases. In head-and-neck surgery, pediatric procedures are very common, but few studies have assessed their ecological impact.
View Article and Find Full Text PDFThe Barriers and Facilitators of Shared Decision Making in Pediatric Otolaryngology: A Qualitative Study.
Otolaryngol Head Neck Surg
January 2025
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Objective: To identify barriers and facilitators to implementing shared decision making (SDM) in pediatric otolaryngology.
Study Design: A qualitative study.
Setting: Semistructured interviews of pediatric otolaryngologists.
The use of tranexamic acid in paediatric adenotonsillectomy - A systematic review and meta-analysis.
Int J Pediatr Otorhinolaryngol
November 2024
Department of Otolaryngology - Head and Neck Surgery, Mayo Clinic, USA.
Article Synopsis
- Tonsillectomy and adenoidectomy (AT) are common ENT procedures for children, performed over 500,000 times a year in the U.S., and while generally safe, they carry risks like bleeding and pain.
- Tranexamic acid (TXA) has been shown to reduce bleeding in various surgical settings, but its effectiveness and safety in pediatric AT haven't been thoroughly reviewed until now.
- A systematic review of existing literature was conducted, analyzing eight studies involving 1,315 pediatric patients to assess the efficacy and safety of using TXA for reducing bleeding during tonsillectomy and adenoidectomy.
[Comparative analysis of the consistency of anesthesia depth between anesthesia index and Narcotrend index in monitoring pediatric tonsillectomy/adenoidectomy surgery].
Zhonghua Yi Xue Za Zhi
July 2024
Department of Anesthesiology, Xijing Hospital Affiliated to the Air Force Medical University, Xi'an 710032, China.
To analyze the consistency of the anesthesia index (AI) and Narcotrend index (NI) in monitoring the depth of anesthesia in pediatric tonsil/adenoidectomy. A total of 129 children who underwent elective tonsil/adenoidectomy at Xijing Hospital Affiliated to Air Force Medical University from July 2022 to October 2023 were prospectively enrolled. Both AI monitoring by ConView monitor and NI monitoring by Narcotrend monitor were conducted for children after they were admitted to the operating room, while Propofol-remifentanil combined with total intravenous anesthesia was used during the operation and the anesthetic dose was adjusted to maintain the NI value at 40-60.
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