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 otitis media in children
The main objective 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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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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Correspondence Between Subjective and Linear Measurements of the Palatal Airway on Lateral Cephalometric Radiographs [Original Article]
Conclusions Both methods are reliable for assessment of airway obstruction by the adenoid. Because SAD and CAD are highly correlated, we recommend the use of SAD as a more readily identifiable distance on cephalometric radiographs. Removal of adenoids when SAD is less than 2 mm may be indicated because this condition reflects a severe airway obstruction associated with potential changes in dentofacial structure. (Source: Archives of Otolaryngology)...
POSTED 01/18/2010 at 02:51 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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Intracranial extension of salivary gland tumors.
Conclusions: The intracranial extension of salivary gland tumors is a very rare event. An aggressive surgical resection followed by radiotherapy is justified in cases with significant intracranial mass lesions and scarce bone and dural involvement.
PMID: 20040327 [PubMed - in process] (Source: Clinical Neuropathology)...
POSTED 12/31/2009 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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The psychological impact of an adenoidectomy and adenotonsillectomy on young children
Abstract: Objective: Children react differently to surgeries. The purpose of this study is to examine the stress response in young children after an adenoidectomy and adenotonsillectomy, and whether child characteristics of behavioural and neurophysiological nature can predict this stress response.Methods: In this prospective cohort study 43 children, aged 2–7 years, scheduled for adenoidectomy or adenoitonsillectomy (response rate 43%) were recruited from the Ear, Nose and Throat Department of the Academic Medical Centre in Amsterdam, the Netherlands. Parents completed questionnaires about temperament 4 weeks before surgery, about behaviour and sleeping problems 4 weeks before and 6 weeks after surgery, and about posttraumatic stress symptoms 6 weeks after surgery. Neurophysiological me......
POSTED 12/26/2009 at 08:09 AM --
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Postoperative childhood pain undertreated at home.
Authors: Potera C
Parents give less pain relief than prescribed after tonsillectomy and adenoidectomy.
PMID: 20032652 [PubMed - in process] (Source: The American Journal of Nursing)...
POSTED 12/26/2009 at 05:23 AM --
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NICE guidance on suction diathermy adenoidectomy
17/12/09 Interventional procedure guidance on suction diathermy adenoidectomy (Source: NLH Specialist Library for ENT and Audiology Latest News)...
POSTED 12/17/2009 at 03:22 AM --
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Adenotonsillectomy in patients with desmopressin responsive mild bleeding disorders: a review of the literature
Summary. Many patients with mild inherited bleeding disorders such as von Willebrand disease (VWD), mild haemophilia A (HA) and platelet function defects (PFD) undergo adenoidectomy and/or tonsillectomy (AT) procedures each year. Management of bleeding in these patients can be challenging, as little published data exist to guide haemostatic management during these relatively common procedures. Therefore, the literature was reviewed to identify AT procedures in patients with 1-deamino-8-D-argine vasopressin responsive mild bleeding disorders. The review revealed no randomized prospective trials of haemostatic management in this patient population. Case reports and small case series identified 144 patients who had AT procedures. Frequency of desmopressin and antifibrinolytic dosing varied wi......
POSTED 12/15/2009 at 06:00 PM --
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A new association of multiple congenital anomalies/mental retardation syndrome with bradycardia-tachycardia syndrome: a case report
Conclusion:
Based on our clinical experience in detailed pre-operative evaluation and planning, we would emphasize peri-operative anticipation and monitoring for dysrhythmias in patients with MCA/MR and bradycardia-tachycardia syndrome undergoing any surgical procedure. (Source: BioMed Central)...
POSTED 11/30/2009 at 06:00 PM --
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I Need A Refresher about Straddle Injuries
Discussion
Presurgical evaluations are very important for any patient particularly if a patient does not have a medical home or consistent health care providers. They also are particularly important for patients with chronic or complicated medical conditions and therefore pediatric health care providers are often asked to assist their dental and surgical colleagues in pre-operative evaluations.
An overview of the elements of a preanesthesia evaluation can be found here, including the American Society of Anesthesiologists (ASA) airway classification. A careful history for any problems with anesthesia should always be asked and documented, especially for any difficulties with waking up from anesthesia, fever or muscle problems. These could indicate possible malignant hyperthermia and an ove......
POSTED 11/29/2009 at 06:27 PM --
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Forthcoming NICE guidance on suction diathermy adenoidectomy
26/11/09 NICE aims to produce its final interventional procedure document on suction diathermy adenoidectomy in December (Source: NLH Specialist Library for ENT and Audiology Latest News)...
POSTED 11/26/2009 at 04:19 AM --
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Alterations in the nasopharyngeal bacterial flora after adenoidectomy in children: A systematic review
Conclusion: Adenoidectomy seems to have a beneficial effect on the nasopharyngeal bacterial flora. Because the overall quality of the available evidence is low, it is important that controlled studies are initiated into the short- and long-term effect of adenoidectomy on the nasopharyngeal bacterial flora and its relationship with the recurrence of URTIs in children. (Source: Otolaryngology - Head and Neck Surgery)...
POSTED 11/24/2009 at 06:00 PM --
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