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Tonsillectomy

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2. Tonsillectomy reduces moderately the frequency of tonsillitis, but it must be evaluated case by case

Tonsillectomy reduces moderately the frequency of tonsillitis, but it must be evaluated case by case Tonsillectomy reduces moderately the frequency of tonsillitis, but it must be evaluated case by case - Evidencias en pediatría Searching, please wait Show menu Library Management You did not add any article to your library yet. | Search Evidence-Based decision making Evidence-Based decision making Show menu Library Management You did not add any article to your library yet. × User Password Log (...) in × Reset password If you need to reset your password please enter your email and click the Send button. You will receive an email to complete the process. Email Send × Library Management × December 2017. Volume 13. Number 4 Tonsillectomy reduces moderately the frequency of tonsillitis, but it must be evaluated case by case Rating: 0 (0 Votes) | Newsletter Free Subscription Regularly recieve most recent articles by e-mail Subscribe × Newsletter subscription: Email Confirm email I accept the journal’s

2018 Evidencias en Pediatría

3. Tonsillectomy in Children

Tonsillectomy in Children SAGE Journals: Your gateway to world-class journal research MENU Sign In Institution Society Access Options You can be signed in via any or all of the methods shown below at the same time. My Profile Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions Email (required) Password (required) Remember me I don't have a profile I am signed in as: With my free profile I can: Set up and register for List and Institution If you

2019 Infectious Diseases Society of America

4. Tonsillectomy in Children

Tonsillectomy in Children Clinical Practice Guideline: Tonsillectomy in Children (Update) | American Academy of Otolaryngology-Head and Neck Surgery b Search form Toggle navigation Bundle includes SHL, Tubes, Bell's Palsy, AOE and Tonsillectomy Clinical Practice Guideline: Tonsillectomy in Children (Update) Clinical Practice Guideline: Tonsillectomy in Children (Update) This is more content. This guideline was published as a supplement in the February 2019 issue of Otolaryngology — Head (...) and Neck Surgery. This clinical practice guideline (CPG), which is intended for all clinicians in any setting who interact with children aged 1 to 18 years who may be candidates for tonsillectomy, is an update of, and replacement for, the prior CPG that was published in 2011. The purpose of this multidisciplinary CPG is to identify quality improvement opportunities in managing children under consideration for tonsillectomy and to create explicit and actionable recommendations to implement

2019 American Academy of Otolaryngology - Head and Neck Surgery

5. Paediatric Tonsillectomy ? Secondary Bleeding Rates

Paediatric Tonsillectomy ? Secondary Bleeding Rates Paediatric Tonsillectomy – Secondary Bleeding Rates 1 Paediatric Tonsillectomy – Secondary Bleeding Rates Citation Garrubba M & Melder A. 2017. Paediatric Tonsillectomy- Secondary Bleeding Rates: Rapid Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Background Monash Health enquired about the rate of secondary bleeding, post tonsillectomy, in the paediatric population. A rapid review of the literature (...) was requested from The Centre for Clinical Effectiveness. Objective What are the secondary bleeding percentages/rates post tonsillectomy in the paediatric population (age 0-14 years) in Australia, UK, USA and Europe? Search Strategy A scoping search of Google, The Cochrane Library and BMJ Best Practice using terms “Paediatric and secondary bleeding and tonsillectomy.” Results The scoping search identified a high quality systematic review conducted by Francis et al 1 published in 2017 that assessed post

2017 Monash Health Evidence Reviews

6. Argon plasma coagulation tonsillectomy versus coblation tonsillectomy: a comparison of efficacy and safety. (Abstract)

Argon plasma coagulation tonsillectomy versus coblation tonsillectomy: a comparison of efficacy and safety. Tonsillectomy is one of the most common otolaryngological procedures. Nonetheless, there is still no universally approved 'gold standard' technique.To compare the safety and efficacy of argon plasma coagulation and coblation techniques in tonsillectomy.A multi-institutional, retrospective cohort study was conducted, comprising 283 patients who underwent bilateral tonsillectomies performed (...) is easy, safe and efficacious. Argon plasma coagulation tonsillectomy seems cost-effective compared to coblation tonsillectomy: the single-use disposable electrode tip and wand used in this study cost AUD$76.50 and AUD$380 respectively. Argon plasma coagulation appears to be a favourable alternative to current modalities such as coblation.

2019 Journal of Laryngology & Otology

7. Coblation tonsillectomy versus cold steel dissection tonsillectomy: a morphological study. (Abstract)

Coblation tonsillectomy versus cold steel dissection tonsillectomy: a morphological study. To compare the extent of tissue damage produced by conventional cold steel and coblation tonsillectomy.Twenty patients underwent conventional and 18 underwent coblation tonsillectomy. The removed tonsils were histopathologically evaluated.Analgesic use was lower in the coblation group during the early post-operative period. Histological investigation of tonsils removed by the conventional method showed (...) intensive haemorrhage and hyperaemia in the tonsillar capsules, which was not seen in the coblation group. Furthermore, in the coblation group, there was less mast cell degranulation (p = 0.0081) and a smaller amount of skeletal muscle tissue (p = 0.0043) in the tonsillar capsules, indicating less tissue damage.Compared to the cold steel technique, coblation tonsillectomy is superior in terms of less early post-operative pain and less damage to surrounding tissues. Significantly lower mast cell

2019 Journal of Laryngology & Otology

8. Tonsillectomy for obstructive sleep-disordered breathing or recurrent throat infection in children

Tonsillectomy for obstructive sleep-disordered breathing or recurrent throat infection in children Tonsillectomy for obstructive sleep-disordered breathing or recurrent throat infection in children Tonsillectomy for obstructive sleep-disordered breathing or recurrent throat infection in children Francis DO, Chinnadurai S, Sathe NA, Morad A, Jordan AK, Krishnaswami S, Fonnesbeck C, McPheeters ML Record Status This is a bibliographic record of a published health technology assessment (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation Francis DO, Chinnadurai S, Sathe NA, Morad A, Jordan AK, Krishnaswami S, Fonnesbeck C, McPheeters ML. Tonsillectomy for obstructive sleep-disordered breathing or recurrent throat infection in children. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 183. 2017 Authors' objectives To systematically review evidence addressing tonsillectomy in children with obstructive

2017 Health Technology Assessment (HTA) Database.

9. Postoperative characteristics of combined pharyngoplasty and tonsillectomy versus tonsillectomy in children with obstructive sleep apnea syndrome. Full Text available with Trip Pro

Postoperative characteristics of combined pharyngoplasty and tonsillectomy versus tonsillectomy in children with obstructive sleep apnea syndrome. The study aims to identify the postoperative advantages of tonsillectomy in conjunction with pharyngoplasty and tonsillectomy alone in children with obstructive sleep apneas.In a prospective observational study, patients who met the study criteria were randomly divided into two groups: tonsillectomy and pharyngoplasty group, and tonsillectomy alone (...) group. In both groups, adenoidectomy was also performed in patients with adenoid hypertrophy. Differences in their healing processes in the pharyngeal wound and their hemorrhage proportions were compared. Furthermore, postoperative velopharyngeal function was also assessed.Pharyngoplasty together with tonsillectomy was performed in 328 children with obstructive sleep apnea from tonsillar hypertrophy, and tonsillectomy was performed in 275 children. These cohorts did not reveal any significant

2018 Archivos argentinos de pediatria Controlled trial quality: uncertain

10. Bipolar diathermy-assisted coblation really affects post-tonsillectomy haemorrhage rate and white membrane in paediatric tonsillectomy. (Abstract)

Bipolar diathermy-assisted coblation really affects post-tonsillectomy haemorrhage rate and white membrane in paediatric tonsillectomy. Bipolar diathermy-assisted coblation really affects post-tonsillectomy haemorrhage rate and white membrane in paediatric tonsillectomy.this study aimed to evaluate the effect of bipolar diathermy-assisted coblation on post-tonsillectomy haemorrhage (PTH) rate, operation time, the volume of blood loss during surgery, the time needed to return to a regular diet (...) and the relationship between the thickness of the white membrane of tonsil fossa and the degree of postoperative pain in paediatric tonsillectomy.a total of 1684 patients subjected to tonsillectomy (TE) were enrolled in this study from June 2013 to December 2015. They were randomly divided into a coblation tonsillectomy (control) group and a bipolar diathermy- assisted coblation tonsillectomy (intervention) group. The surgeon reported data concerning the techniques, primary and second PTH, surgery time, the volume

2018 B-ENT Controlled trial quality: uncertain

11. Is tonsillectomy mandatory for asymmetric tonsils in children? A review of our diagnostic tonsillectomy practice and the literature. (Abstract)

Is tonsillectomy mandatory for asymmetric tonsils in children? A review of our diagnostic tonsillectomy practice and the literature. Diagnostic tonsillectomy is performed to exclude malignancy. It is associated with a post-operative hemorrhage rate of 3.5%, (1) which is more dangerous in small children. No previous case series for asymmetrical tonsils have detected tonsil lymphoma.(2-6) We aimed to review our local diagnostic tonsillectomy practice.The authors reviewed the clinical notes (...) and histological results for all diagnostic tonsillectomies carried out from June 2013 to June 2016.We recorded data for 168 patients. There were four post-operative bleeds and one return to theatre. Bilateral tonsillectomies accounted for 152 operations (90.5%). Lymphoid hyperplasia accounted for 95% of histological diagnosis with no malignancies found. Pre-operative tonsil grading demonstrated no statistically significant association with histological tonsil weight difference (ANOVA p = 0.10). Actinomyces

2018 International Journal of Pediatric Otorhinolaryngology

12. Impact of coblation versus electrocautery on acute post-operative outcomes in pediatric tonsillectomy. Full Text available with Trip Pro

Impact of coblation versus electrocautery on acute post-operative outcomes in pediatric tonsillectomy. Based on previous studies in the pediatric population, it remains unclear whether there is a difference in postoperative pain between two widely used tonsillectomy techniques: coblation and bovie electrocautery. This large prospective study investigates whether postoperative pain scores differ between these two surgical techniques for tonsillectomy.Prospective, non-randomized study of children (...) to the tonsillectomy technique.A total of 183 patients were included: 117 coblation cases and 66 electrocautery cases. Pain scores in the surgical recovery unit and pain scores after admission to the floor unit were not significantly different between coblation and electrocautery, either before or after adjustment for patient age, body mass index, intravenous acetaminophen use, and surgeon. There was also no difference in length of stay, readmission rate, or post-tonsillectomy hemorrhage.Coblation

2019 Laryngoscope investigative otolaryngology Controlled trial quality: uncertain

13. Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies: The REACT Randomized Clinical Trial (Abstract)

Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies: The REACT Randomized Clinical Trial Tonsillectomy is a common pediatric procedure for the treatment of sleep-disordered breathing and chronic tonsillitis. Up to half of children having this procedure experience a perioperative respiratory adverse event.To determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk (...) of perioperative respiratory adverse events in children undergoing anesthesia for tonsillectomy.A randomized, triple-blind, placebo-controlled trial (the Reducing Anesthetic Complications in Children Undergoing Tonsillectomies [REACT] trial) was conducted at Perth Children's Hospital (formerly Princess Margaret Hospital for Children), the only tertiary pediatric hospital in Western Australia. Participants included 484 children aged 0 to 8 years who were undergoing anesthesia for tonsillectomy. The study

2019 EvidenceUpdates

14. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Full Text available with Trip Pro

Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Obstructive sleep-disordered breathing (oSDB) is a condition that encompasses breathing problems when asleep, due to an obstruction of the upper airways, ranging in severity from simple snoring to obstructive sleep apnoea syndrome (OSAS). It affects both children and adults. In children, hypertrophy of the tonsils and adenoid tissue is thought to be the commonest cause (...) of oSDB. As such, tonsillectomy - with or without adenoidectomy - is considered an appropriate first-line treatment for most cases of paediatric oSDB.To assess the benefits and harms of tonsillectomy with or without adenoidectomy compared with non-surgical management of children with oSDB.We searched the Cochrane Register of Studies Online, PubMed, EMBASE, CINAHL, Web of Science, Clinicaltrials.gov, ICTRP and additional sources for published and unpublished trials. The date of the search was 5 March

2015 Cochrane

15. Is weight a predictive risk factor of postoperative tonsillectomy bleed? Full Text available with Trip Pro

Is weight a predictive risk factor of postoperative tonsillectomy bleed? To determine if a correlation exists between weight-for-age percentile and post-tonsillectomy hemorrhage in the pediatric population.Retrospective study.1418 patients under the age of 15 who underwent tonsillectomy with or without adenoidectomy at a tertiary children's hospital between June 2012 and March 2015 were included in this retrospective study. Patient demographic information, operative and postoperative variables (...) , as well as category and day of postoperative tonsillectomy bleed, if one occurred, were recorded. Fisher's exact and ordinal logistic regression analyses were performed on the full cohort.The overall post-tonsillectomy hemorrhage prevalence was found to be 2.2%, with primary and secondary rates of 0.78% and 1.34%, respectively. Weight-for-age percentile, sex, indication for or method of tonsillectomy, or postoperative use of NSAIDs, antibiotics or narcotics were not significantly associated with post

2018 Laryngoscope investigative otolaryngology

16. Post-tonsillectomy taste dysfunction: Myth or reality? Full Text available with Trip Pro

Post-tonsillectomy taste dysfunction: Myth or reality? Lingual branches of the glossopharyngeal nerve (CN Ⅸ) are at risk of injury during tonsillectomy due to their proximity to the muscle layer of the palatine tonsillar bed. However, it is unclear how often this common surgery leads to taste disturbances. We conducted a literature search using PubMed, Embase, Cochrane Library, Google Scholar, PsychInfo, and Ovid Medline to evaluate the available literature on post-tonsillectomy taste disorders (...) that compared pre- and post-tonsillectomy test scores, one found no difference and the other found a significant difference only for the left rear of the tongue 14 days post-op. In the two studies that employed electrogustometry, elevated post-operative thresholds were noted, although only one compared pre- and post-operative thresholds. This study found no significant differences. No study employed a normal control group to assess the influences of repeated testing on the sensory measures. Overall

2018 World journal of otorhinolaryngology - head and neck surgery

17. A Comparison between Cold Dissection Tonsillectomy and Harmonic Scalpel Tonsillectomy Full Text available with Trip Pro

A Comparison between Cold Dissection Tonsillectomy and Harmonic Scalpel Tonsillectomy 29383311 2018 11 13 2251-7251 29 95 2017 Nov Iranian journal of otorhinolaryngology Iran J Otorhinolaryngol A Comparison between Cold Dissection Tonsillectomy and Harmonic Scalpel Tonsillectomy. 313-317 Karimi Ebrahim E Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Safaee Alireza A Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran (...) Otorhinolaryngol 101577699 2251-7251 Harmonic scalpel Postoperative Hemorrhage Tonsillectomy Tonsillectomy surgical methods 2018 2 1 6 0 2018 2 1 6 0 2018 2 1 6 1 ppublish 29383311 PMC5785110 Eur Arch Otorhinolaryngol. 2012 May;269(5):1533-6 22159967 Ear Nose Throat J. 2004 Oct;83(10):707-10 15586874 Otolaryngol Head Neck Surg. 2009 Dec;141(6):710-5.e1 19932842 Anaesthesia. 2001 Nov;56(11):1045-50 11703236 Otolaryngol Head Neck Surg. 2009 Jan;140(1):19-22 19130955 Arch Otolaryngol Head Neck Surg. 2011 Jun;137

2017 Iranian journal of otorhinolaryngology

18. Evaluation of a newly introduced tonsillectomy operation record for the analysis of regional post-tonsillectomy bleed data: a quality improvement project at the London North West Healthcare NHS Trust Full Text available with Trip Pro

Evaluation of a newly introduced tonsillectomy operation record for the analysis of regional post-tonsillectomy bleed data: a quality improvement project at the London North West Healthcare NHS Trust The primary objective of this audit and quality improvement project was to retrospectively analyse regional post-tonsillectomy haemorrhage data as per national recommendations. However, this process highlighted the need for high-quality routinely collected data; something that was not always (...) available via retrospective audit and thus does not enable formal aetiological factor analyses. We therefore created further secondary objectives to facilitate our primary audit objective. These secondary objectives were (1) to introduce a standardised tonsillectomy operation proforma to improve completeness and quality of routinely collected data and (2) to evaluate and validate proforma use and usefulness in improving using routine data collection to help with a repeated audit of post-tonsillectomy

2017 BMJ Open Quality

19. Tonsillectomy increases the risk of retropharyngeal and parapharyngeal abscesses in adults, but not in children: A national cohort study. Full Text available with Trip Pro

Tonsillectomy increases the risk of retropharyngeal and parapharyngeal abscesses in adults, but not in children: A national cohort study. The purpose of this study is to evaluate the risk of retropharyngeal and parapharyngeal abscesses (deep neck infection) after tonsillectomy in Koreans using national cohort data.Using the national cohort study from the Korean Health Insurance Review and Assessment Service, participants who had undergone a tonsillectomy (5,299) and control participants (21,196 (...) infection after tonsillectomy was 1.43 (95% confidence interval, CI = 1.18-1.72, P < 0.001). In subgroup analysis, this ratio was 1.12 (95% CI = 0.86-1.47, P = 0.390) in children and 1.87 (95% CI = 1.43-2.45, P < 0.001) in adolescents and adults. The crude hazard ratios were almost the same as the adjusted ratios.The risk of deep neck infection was higher in the tonsillectomy group. The subgroup analysis showed a similar finding in the adolescent and adult group but not in the child group.

2018 PLoS ONE

20. Surgical management of the tonsillectomy and adenoidectomy patient Full Text available with Trip Pro

Surgical management of the tonsillectomy and adenoidectomy patient 29516064 2018 11 14 2589-1081 3 3 2017 Sep World journal of otorhinolaryngology - head and neck surgery World J Otorhinolaryngol Head Neck Surg Surgical management of the tonsillectomy and adenoidectomy patient. 176-182 10.1016/j.wjorl.2017.01.001 Wetmore Ralph F RF E. Mortimer Newlin Professor of Pediatric Otolaryngology, The Children's Hospital of Philadelphia, Dept. of Otorhinolaryngology, Civic Center Boulevard, Philadelphia (...) , PA 19104, USA. Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. eng Journal Article Review 2017 03 03 China World J Otorhinolaryngol Head Neck Surg 101690857 2095-8811 Adenoidectomy Surgical management Tonsillectomy 2016 07 19 2017 01 03 2017 01 17 2018 3 9 6 0 2018 3 9 6 0 2018 3 9 6 1 epublish 29516064 10.1016/j.wjorl.2017.01.001 S2095-8811(16)30049-X PMC5829294 N Engl J Med. 2013 Jun 20;368(25):2366

2017 World journal of otorhinolaryngology - head and neck surgery

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