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Short-Term Outcomes of Tonsillectomy in Large Paediatric Case Series.
Indian J Otolaryngol Head Neck Surg
December 2024
ENT Department, Faculty of Medicine, Cairo University, Cairo University Childrens Hospital, Al Inshaa WA Al Munirah, El Sayeda Zeinab, Cairo Governorate, Cairo, 4262010 Egypt.
Tonsillectomy is a commonly performed procedure in pediatric ENT departments worldwide. To comprehensively evaluate the morbidity associated with tonsillectomy techniques and potential factors that impact outcomes The present study examined the entirety of pediatric patients who underwent tonsillectomy or adenotonsillectomy at CUCH during the years 2021 and 2022. Comprehensive scrutiny was conducted on admissions and readmission data, which encompassed hospital episode statistics, operative notes, patient questionnaires, and electronic records.
View Article and Find Full Text PDFTreatment of OSA beyond adenotonsillectomy.
Pediatr Pulmonol
October 2024
Pediatric Pulmonary & Sleep Unit, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Pediatric obstructive sleep apnea (OSA) is a common syndrome in children. While an adenotonsillectomy is effective for most, it may not be the treatment of choice for all, and possible alternative treatment options are briefly discussed herein. In obese children, in whom OSA is more prevalent, and has high rates of persistence after surgery, weight loss interventions may be recommended.
View Article and Find Full Text PDFEffect of dexmedetomidine on postoperative adenotonsillectomy oral intake and dehydration.
Auris Nasus Larynx
October 2024
Texas Tech University Health Sciences Center, Department of Otolaryngology, 3601 4th Street, STOP 8315, Lubbock, TX 79430-8315, United States. Electronic address:
Objective: To determine if perioperative administration of dexmedetomidine affects postoperative fluid intake in tonsillectomy patients.
Methods: A retrospective chart review was performed at University Medical Center, Texas Tech Health Science Center, Lubbock, Texas. The study identified 534 patients within the last five years who met the criteria.
Early Adverse Respiratory Outcomes in Obese Pediatric Tonsillectomy Patients.
Otolaryngol Head Neck Surg
October 2024
Department of Otolaryngology, University of Rochester, Rochester, New York, USA.
Article Synopsis
- The study investigates whether body mass index (BMI) is a useful predictor of adverse respiratory events (ARE) in obese children undergoing tonsillectomy.
- It included patients aged 3 to 12 with a BMI in the 95th percentile or higher, analyzing their outcomes after surgery while excluding those with specific pre-existing conditions.
- Findings showed that while only 8% of patients experienced AREs, factors like the obstructive apnea-hypopnea index and oxygen saturation levels were significant indicators of risk, suggesting BMI alone is not a reliable measure for postoperative management in these cases.
Adenotonsillectomy for Obstructive Sleep Apnea in Children.
Otolaryngol Clin North Am
June 2024
Discipline of Child and Adolescent Health, Faculty of Medicine, The University of Sydney, Sydney, New South Wales, Australia; Respiratory Support Services, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia. Electronic address:
Obstructed breathing is the most common indication for tonsillectomy in children. Although tonsillectomy is performed frequently worldwide, the surgery is associated with a number of significant complications such as bleeding and respiratory failure. Complication risk depends on a number of complex factors, including indications for surgery, demographics, patient comorbidities, and variations in perioperative techniques.
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