Do diet and activity restrictions influence recovery after adenoidectomy and partial tonsillectomy?
Abstract: Objective: To determine if restrictions of postoperative diet concerning hard food and hot drinks as well as excessive physical exertion influence recovery during 14 days after T&A surgery.Methods: 800 patients aged 3–13 years (median 6) underwent curette adenoidectomy with or without scissors tonsillotomy. 413 adenoidectomies and 387 adenotonsillotomies were performed. Caregivers of the children completed a questionnaire reporting their child's postoperative activity, diet, pain level, peak and duration, episodes of nausea and fever, medication and caregivers’ satisfaction scores. The children were enrolled to food and effort restricted (FER), food non-restricted (FnR), effort non-restricted (EnR), and food and effort non-restricted (FEnR) groups at the end of follow-up.Resu......
POSTED 03/09/2010 at 08:30 AM --
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Ambulatory pediatric otolaryngologic procedures in the United States: Characteristics and perioperative safety
Determine the prevalence and safety of pediatric ambulatory otolaryngologic procedures in the United States.Historical cohort study.All cases of pediatric otolaryngologic surgery were extracted from the National Survey of Ambulatory Surgery 2006 release. The population was characterized according to age, sex, and individual procedures performed. Rates of immediate perioperative complications were determined for arrest, malignant hyperthermia, hemorrhage, blood transfusion, and postoperative nausea/vomiting. Discharge status and unexpected medical return visits were tabulated. Complication rates for patients younger than 3 years were compared to the remaining cohort.An estimated 1,410,546 ± 246,009 (± standard error) children underwent one or more pediatric otolaryngologic procedures in 2......
POSTED 03/07/2010 at 06:00 PM --
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Can Adenoidal Hypertrophy be Treated with Intranasal Steroids?
Authors: Berlucchi M, Sessa M
Adenoidal hypertrophy is probably the most frequent pathology in the pediatric population. This disorder manifests with several symptoms such as bilateral nasal obstruction, rhinorrhea, cough, snoring, hyponasal speech, hypopnea, and sleep apnea. When tonsillar hypertrophy is also present, obstructive sleep apnea syndrome can manifest. To date, nasal endoscopic examination is the standard technique to diagnose and estimate adenoid mass. Adenoidectomy is considered the surgical treatment of choice to resolve nasopharyngeal obstruction due to adenoidal hypertrophy. At present, several pitfalls of adenotomy (i.e., alteration of the immunological system, postoperative bleeding, and recurrence of adenoids) are object of criticism. For this reason, some research......
POSTED 03/03/2010 at 06:00 PM --
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Beyond pain: predictors of postoperative maladaptive behavior change in children
Conclusions: Individual child factors above and beyond pain predict maladaptive postoperative behavior change; identification of these predictors may be helpful in both preventing and ameliorating difficulties with behavioral recovery following surgery. (Source: Pediatric Anesthesia)...
POSTED 02/23/2010 at 06:00 PM --
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Spectral entropy monitoring allowed lower sevoflurane concentration and faster recovery in children
This study was performed to evaluate the effect of entropy monitoring on end-tidal sevoflurane concentration and recovery characteristics in pediatric patients undergoing sevoflurane anesthesia. Seventy-eight children (aged 3[ndash]12 years) scheduled for a tonsillectomy and/or an adenoidectomy were randomly divided into one of two groups: standard practice (Standard) or entropy-guided (Entropy). In the Standard group, sevoflurane was adjusted to maintain the heart rate and systolic blood pressure (BP) within 20% of the baseline values. In the Entropy group, sevoflurane was adjusted to achieve a state entropy of 40[ndash]50. We compared the entropy values, end-tidal sevoflurane concentration and recovery times between groups. During maintenance of anesthesia, the entropy and BP values were......
POSTED 02/09/2010 at 06:00 PM --
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Perioperative Analgesic Treatment in Latino and non-Latino Pediatric Patients.
Conclusion. This study suggests that perioperative pain treatment in children is correlated with the patient's ethnicity. The cause of this difference is unknown and prospective studies are necessary to elucidate the reasons.
PMID: 20173265 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)...
POSTED 01/31/2010 at 06:00 PM --
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Adenoidectomy for otitis media in children
The main objective of this Cochrane review is to assess the... (Source: PCCAS: Full newsfeed)...
POSTED 01/22/2010 at 10:55 AM --
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Adenoidectomy for recurrent or chronic nasal symptoms in...
The main aim of this Cochrane review is to assess the... (Source: PCCAS: Full newsfeed)...
POSTED 01/22/2010 at 10:55 AM --
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Adenoidectomy for recurrent or chronic nasal symptoms in...
The main aim of this Cochrane review is to assess the... (Source: Children's NSF Newsfeed)...
POSTED 01/22/2010 at 10:38 AM --
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New Cochrane review on adenoidectomy for recurrent or chronic nasal symptoms in children
22/01/10 The Cochrane Library Issue 1, 2010 (Source: NLH Specialist Library for ENT and Audiology Latest News)...
POSTED 01/22/2010 at 03:29 AM --
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New Cochrane review on adenoidectomy for otitis media in children
22/01/10 The Cochrane Library Issue 1, 2010. (Source: NLH Specialist Library for ENT and Audiology Latest News)...
POSTED 01/22/2010 at 03:25 AM --
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Maxillary removal and reinsertion: A favorable approach for extensive anterior cranial base tumors
Conclusion: MRRI is a favorable surgical technique for the treatment of anterior cranial base (ACB) tumors in adults and even in children. It improves operative morbidity by preserving both function and form of the maxillary region and gives excellent exposure to ACB. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 01/21/2010 at 06:00 PM --
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Parenchyma-sparing bronchial sleeve resections in trauma, benign and malign diseases.
CONCLUSIONS: In properly selected patients, traumatic bronchial ruptures, localized malign or benign disease can be safely resected without parenchymal loss. Excellent morbidity and mortality rates and a good long-term outcome can be achieved.
PMID: 20072974 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)...
POSTED 01/16/2010 at 05:16 PM --
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Lingual tonsillectomy for the management of persistent obstructive sleep apnea after adenotonsillectomy in children
Tonsillectomy and adenoidectomy (T&A) is the first-line surgical treatment for the management of pediatric obstructive sleep apnea/hypopnea syndrome (OSAHS). However, contrary to the initial reports, recent studies demonstrated higher rates of persistence of OSAHS after T&A. It was emphasized that T&A for pediatric OSAHS patients with smaller tonsils, narrower epipharyngeal airspace, and more poorly developed maxillary and mandibular protrusion had poorer response. Therefore, different and advanced surgical approaches, such as uvulopalatopharyngoplasty and orthognatic surgeries (maxillomandibular expansion, distraction osteogenesis, etc.), were offered. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 01/16/2010 at 08:12 AM --
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Parenchyma-Sparing Bronchial Sleeve Resections in Trauma, Benign and Malign Diseases
Thorac cardiovasc Surg 2010; 58: 32-37DOI: 10.1055/s-0029-1186241Abstract We evaluated our experience with parenchyma-sparing bronchial sleeve resections in trauma, benign and malign disease to determine the operative morbidity, mortality and long-term outcome. We retrospectively reviewed our prospective database of all patients who underwent bronchial sleeve resection without parenchymal loss. Clinical data, morbidity, mortality and survival were analyzed. From January 1999 through December 2008, 19 patients (11 male) underwent bronchial sleeve resection without removal of pulmonary parenchyma. Median age was 42.2 ± 12.2 years (range 18 to 70 years). Indications were carcinoid tumors (n = 14), adenoid cystic carcinoma (n = 1), non-small cell lung cance......
POSTED 01/14/2010 at 10:42 AM --
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Factors associated with developing cholesteatoma: A study of 45,980 children with middle ear disease
To identify factors associated with the rate of developing cholesteatoma following ventilation tube insertion (VTI).A population-based retrospective cohort study.Administrative health data from all private and public hospitals in Western Australia for children who had at least one VTI from 1980 to 2004 was used to identify subsequent hospital admissions for cholesteatoma. Main outcome measures were time to cholesteatoma (survival) outcomes, including hazard ratios, log-rank tests, and Kaplan-Meier failure functions.There were 45,980 children who underwent at least one VTI from 1980 to 2004 with 460 subsequently developing cholesteatoma. The cumulative percentage of children who developed cholesteatoma within 15 years after one VTI procedure was 0.9% (95% confidence interval [CI], 0.8-1.0),......
POSTED 01/06/2010 at 06:00 PM --
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Postoperative Childhood Pain Undertreated at Home
Parents give less pain relief than prescribed after tonsillectomy and adenoidectomy.
(C) 2010 Lippincott Williams & Wilkins, Inc. (Source: AJN)...
POSTED 12/31/2009 at 06:00 PM --
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Assessment of the consensus about tonsillectomy and/or adenoidectomy among pediatricians and otolaryngologists
Conclusions: This study can serve as an initial warning in developing a national community-based working group to prepare a transparent local guideline regarding T&A indications. More attention should focused the role of pediatricians, primary care physicians, and family physicians for more follow up and determining which patients will eventually need T&A. (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 12/29/2009 at 08:14 AM --
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Enzymatic study of tonsil tissue alkaline and acid phosphatase in children with recurrent tonsillitis and tonsil hypertrophy
Conclusion: Similar acid phosphatase activity in all three groups implies that all three groups have preserved antigen presenting cell activity. In patients with hypertrophied tonsils similar tissue nonspecific alkaline phosphatase activity suggests preserved B cell tonsil immune activity, regardless of the pathology. Patients with atrophied tonsils had significantly lower alkaline phosphatase activity, indicating relative tonsil B cell immune deficiency. Thus, different immunological status in patients presenting with hypertrophied vs. atrophied tonsils could point to a different underlying pathophysiologic mechanism of the disease. (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 12/26/2009 at 08:09 AM --
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HHV-6 infection of tonsils and adenoids in children with hypertrophy and upper airway recurrent infections
This study investigates the possible etiological role of HHV-6 in children affected by tonsil and adenoid hypertrophy.Methods: 55 tonsils, 80 adenoids fresh tissues and 74 blood samples were collected from 80 children (mean age 4.8 years, 43.5% female) undergoing elective tonsillectomy and/or adenoidectomy for tissue hypertrophy. Moreover, patients with (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 12/26/2009 at 08:09 AM --
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