Coblation 2010: Tonsillectomy, Adenoidectomy, Turbinates and Soft Palate
(Source: NLH - ENT and Audiology - Events)...
POSTED 09/01/2010 at 01:10 AM --
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Role of Adenoidectomy in Otitis Media and Respiratory Function
Abstract Adenoidectomy is among the most frequent surgical procedures performed on children. The rationale for adenoidectomy is to
remove a chronically infected or enlarged and obstructing adenoid. Adenoidectomies are performed on children who have recurrent
or chronic otitis media with effusion, on children with chronic rhinosinusitis, and on children with nasopharyngeal obstruction
causing sleep disturbances and continuous mouth breathing. Various underlying factors that lead to adenoidectomy are also
associated with asthma. Asthma is associated with recurrent respiratory tract infections predisposing individuals to recurrent
or chronic otitis media and chronic rhinosinusitis. Children with asthma also have an increased risk of sleep-disordered breathing
that is treated ......
POSTED 08/18/2010 at 12:44 PM --
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Adenoidectomy and nasopharyngeal carriage of Streptococcus pneumoniae in young children
Conclusions
Adenoidectomy increases the risk of nasopharyngeal carriage of pneumococci in children younger than 4 years of age. This may be independent of the development of serum IgG capsular polysaccharide antibodies. (Source: Archives of Disease in Childhood)...
POSTED 08/17/2010 at 11:34 AM --
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Dexamethasone Administration and Postoperative Bleeding Risk in Children Undergoing Tonsillectomy [Original Article]
Conclusion In this observational review of children undergoing tonsillectomy or adenotonsillectomy, perioperative dexamethasone administration is not associated with a dose-dependent elevation of postoperative hemorrhage rates after adjusting for age, sex, primary diagnosis, and surgical technique. (Source: Archives of Otolaryngology)...
POSTED 08/16/2010 at 02:50 PM --
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Polysomnographic Characteristics of a Referred Sample of Children with Sickle Cell Disease
Conclusions: Both OSA and PLMs were common in children with SCD. Children with Hb SS experienced more severe nocturnal oxygen desaturation than did those with Hb SC. Post-adenotonsillectomy, most children had OSA, although they experienced fewer obstructive respiratory events and less severe nocturnal oxygen desaturation than did untreated OSA-positive children.
Keywords: Adenoidectomy, tonsillectomy, child, adolescent, sickle cell disease, obstructive sleep apnea, periodic limb movement disorder, polysomnography (Source: Journal of Clinical Sleep Medicine : JCSM)...
POSTED 08/14/2010 at 04:02 AM --
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A review of malpractice cases after tonsillectomy and adenoidectomy
Conclusions: A significant portion of malpractice claims following tonsillectomy or adenoidectomy are related to complications not commonly discussed in the literature. (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 08/13/2010 at 01:05 AM --
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Dexmedetomidine Infusion for Analgesia and Prevention of Emergence Agitation in Children with Obstructive Sleep Apnea Syndrome Undergoing Tonsillectomy and Adenoidectomy.
Conclusions: An intraoperative infusion of dexmedetomidine combined with inhalation anesthetics provided satisfactory intraoperative conditions for T&A without adverse hemodynamic effects. Postoperative opioid requirements were significantly reduced, and the incidence and duration of severe emergence agitation was lower with fewer patients having desaturation episodes.
PMID: 20705788 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)...
POSTED 08/11/2010 at 06:00 PM --
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A cost-effectiveness analysis of coagulation testing prior to tonsillectomy and adenoidectomy in children
The American Society of Pediatric Otolaryngology recommends pre-operative coagulation testing only when indicated by history or physical exam. Nevertheless, many surgeons test all children scheduled for tonsillectomy and/or adenoidectomy (T&A). Studies of pre-operative screening have had conflicting results. A decision analysis model was constructed to address the costs and health outcome states of pre-operative screening strategies in children.A 14-day Markov model evaluated three strategies: (1) test all children for coagulation disorders; (2) test only those children with a pertinent history; and (3) perform no pre-operative testing. A literature search and a review of national databases estimated probabilities, costs, and utility data. Parameters then were varied widely in sensitivity ......
POSTED 07/28/2010 at 06:00 PM --
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The Effect of Intraoperative Dexmedetomidine on Postoperative Analgesia and Sedation in Pediatric Patients Undergoing Tonsillectomy and Adenoidectomy.
Conclusions: The total postoperative rescue opioid requirements were similar in tonsillectomy patients receiving intraoperative dexmedetomidine or morphine. However, the use of dexmedetomidine 1 mug/kg and morphine 100 mug/kg had the advantages of an increased time to first analgesic and a reduced need for additional rescue analgesia doses, without increasing discharge times.
PMID: 20610555 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)...
POSTED 07/06/2010 at 06:00 PM --
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Non-surgical treatment of adenoidal hypertrophy: The role of treating IgE-mediated inflammation
This article reviews the epidemiology and pathophysiology of AH with a particular focus on evidence of its association with allergy and allergic rhinitis. Current treatment options are briefly considered with discussion on the rationale and evidence for the use of INS. (Source: Pediatric Allergy and Immunology)...
POSTED 06/30/2010 at 06:00 PM --
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Comment on âAdenoidectomy for otitis media with effusion in 2â3-year-old childrenâ by Margaretha L. Casselbrant et al. [Int. J. Pediat. Otorhinolaryngol. 73 (2009) 1718â1724]
The paper by Margaretha L. Casselbrant et al.: Adenoidectomy for otitis media with effusion in 2â3-year-old children, published on the last number (December 2009) of the International Journal of Pediatric Otorhinolaryngology reports the opinion of âthe pediatric group of Pittsburghâ: one of the most appreciated scientific group regarding this field and very much esteemed by us. For this reason and because of the very precise statistical analysis of this report, the manuscript will surely become a very important reference in the field of the management of otitis media with effusion (OME). (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 06/25/2010 at 12:40 AM --
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We appreciate the comments of Drs. Felisati and Pipolo as this gives us the opportunity to clarify any misunderstandings. Their first comment states that our population did not have only OME but also had AOM which therefore invalidates the conclusions of our study regarding the efficacy of adenoidectomy for chronic OME. We made an effort to clearly define our population to make it evident as to the type of child included. All of the subjects in our study had chronic OME with or without episodes of AOM, which is shown in Table 1. In this young age group, most children will have had at least one episode of AOM [Teele et al., Ann. Otol. Rhinol. Laryngol. 89 (Suppl. 68) (1980) 5â6]. As with any study, the conclusions should be applied to the type of population enrolled. (Source: Internation......
POSTED 06/25/2010 at 12:40 AM --
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Analgesic efficacy of topical tramadol in the control of postoperative pain in children after tonsillectomy
Conclusion Topical 5% tramadol with its local anesthetic effect seems to be an easy, safe, and comfortable approach for pain management
in children undergoing tonsillectomy.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-010-0978-2Authors
Buket Kocaman Akbay, Duzce University Department of Anesthesiology and Reanimation, Faculty of Medicine Duzce TurkeySahnur Yildizbas, Duzce University Department of Otorhinolaryngology, Faculty of Medicine Duzce TurkeyEnder Guclu, Duzce University Department of Otorhinolaryngology, Faculty of Medicine Duzce TurkeySuleyman Yilmaz, Duzce University Department of Otorhinolaryngology, Faculty of Medicine Duzce TurkeyAbdulkadir Iskender, Duzce University Department of Anesthesiology and Reanimation, Faculty of Me......
POSTED 06/20/2010 at 06:12 PM --
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Tonsillectomy and Adenoidectomy For Obstructive Sleep Apnea in Sickle Cell Anemia
Conclusions T&A appears to be a safe, effective option to treat selected patients with OSA due to UAO in SCD children.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s12098-010-0093-2Authors
Raj Warrier, Ochsner Hospital Department of Hematology and Oncology New Orleans USAA. Chauhan, Manipal University Kasturba Medical College Manipal Manipal IndiaU. Athale, Mc Master University Department of Hematology and Oncology, Childrenâs Hospital Ontario Canada
Journal Indian Journal of PediatricsOnline ISSN 0973-7693Print ISSN 0019-5456 (Source: Indian Journal of Pediatrics)...
POSTED 06/08/2010 at 01:57 AM --
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Helicobacter pylori colonization of the adenotonsillar tissue: Fact or fiction?
Conclusions: The adenotonsillar tissue does not constitute an extra gastric reservoir for H. pylori infection, at least a permanent one, in this population of children. Moreover, techniques currently used for detecting gastric H. pylori colonization are not adequate to evaluate infection of the adenotonsillar tissues. (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 06/04/2010 at 08:12 AM --
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Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3â7-year-old children with otitis media with effusion
Abstract: The specific aim of this study was to compare, by means of a randomized clinical trial, the efficacy between the two surgical combinations â adenoidectomy with myringotomy and tympanostomy (A+T) and adenoidectomy with myringotomy (A+M) â in reducing middle ear disease in children with otitis media with effusion (OME). Seventy-eight 3â7-year-old patients (156 ears) with a history of bilateral middle ear effusion for at least 3 months were randomly assigned to either A+T or A+M. Hearing threshold levels, recurrence rate of the effusion and episodes of acute otitis media (AOM) and otorrhea were evaluated for a follow-up period of 1 year. Audiometry testing showed that there was no statistically significant difference in the hearing loss levels of both groups during the whole f......
POSTED 06/04/2010 at 08:12 AM --
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Hot saline irrigation for control of intraoperative bleeding in adenoidectomy: A randomized controlled trial
Conclusion: The present study demonstrated that the 50°C saline irrigation was more effectual for postadenoidectomy hemostasis in comparison to room-temperature (25°C) saline irrigation by providing a lesser hemostasis time and requiring lesser need of recurettage and electrocauterization. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 05/20/2010 at 08:12 AM --
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Analyzing factors associated with major complications after adenotonsillectomy in 4776 patients: Comparing three tonsillectomy techniques
Conclusion: In this âreal lifeâ teaching hospital surgical setting in which three different techniques of tonsillectomy are routinely performed by a variety of resident and attending surgeons, microdebrider intracapsular tonsillectomy is associated with lower rates of post-tonsillectomy hemorrhage and dehydration when compared to coblation and electrocautery complete tonsillectomy technique. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 05/20/2010 at 08:12 AM --
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Chosen factors of T and B cell apoptosis in hypertrophic adenoid in children with otitis media with effusion
Abstract: Evaluation of lymphocyte homeostasis within the chronically inflamed adenoid, closely related to the functioning of the immune system, may have a role in qualifying children for adenoidectomy. Apoptosis is a major process maintaining balance between tonsillar lymphocytes. The Fas receptor and Bcl-2 protein family which show pro-apoptotic and anti-apoptotic actions are of particular significance in apoptosis induction. Adenoid excised due to hypertrophy with or without chronic otitis media with effusion was used as study material. Flow cytometry was used to assess the percentages of apoptotic lymphocytes and CD4+, CD8+, CD19+ cells with CD95+ antigen and Bcl-2 protein in the group of children who underwent adenoidectomy due to adenoid hypertrophy and accompanying otitis media with......
POSTED 05/13/2010 at 08:20 AM --
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Comparison of adenoidectomy methods: Examining with digital palpation vs. visualizing the placement of the curette
Conclusion: Digital palpation is not a dependable technique and visualization of the nasopharynx is crucial for a complete adenoidectomy. (Source: International Journal of Pediatric Otorhinolaryngology)...
POSTED 05/13/2010 at 08:20 AM --
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