Clinical Practice Guideline: Tonsillectomy in Children (Update)—Executive Summary

@article{Mitchell2019ClinicalPG,
  title={Clinical Practice Guideline: Tonsillectomy in Children (Update)—Executive Summary},
  author={Ron B. Mitchell and Sanford M. Archer and Stacey L. Ishman and Richard M. Rosenfeld and Sarah Coles and Sandra A. Finestone and Norman R Friedman and Terri Giordano and Douglas M Hildrew and Tae W. Kim and Robin M. Lloyd and Sanjay R. Parikh and Stanford T. Shulman and David L. Walner and Sandra A. Walsh and Lorraine C. Nnacheta},
  journal={Otolaryngology–Head and Neck Surgery},
  year={2019},
  volume={160},
  pages={187 - 205}
}
Objective This update of a 2011 guideline developed by the American Academy of Otolaryngology–Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the… 

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References

SHOWING 1-10 OF 74 REFERENCES

Clinical Practice Guideline: Tonsillectomy in Children

  • R. BaughS. Archer Milesh Patel
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2011
This guideline provides evidence-based recommendations on the preoperative, intraoperative, and postoperative care and management of children 1 to 18 years old under consideration for tonsillectomy and is intended for all clinicians in any setting who interact with children 1-18 years of age who may be candidates for tonsilelectomy.

Impact of a new practice guideline on antibiotic use with pediatric tonsillectomy.

Although there were no changes in otolaryngology clinic visits, emergency department visits, or admissions, the authors found a small but significant increase in surgery for bleeding following guideline publication, indicating an unexpected association.

Parent satisfaction 1 year after adenotonsillectomy of their children.

Does tonsillectomy reduce medical care visits for pharyngitis/tonsillitis in children and adults? Retrospective cohort study from Sweden

The subgroup analysis showed a greater effect of surgery in children, in patients with a higher number of medical care visits before surgery and in the first year of follow-up, as well as low and of questionable clinical value in this cohort of patients moderately or less affected with chronic/recurrent tonsillitis.

Trends in the indications for pediatric tonsillectomy or adenotonsillectomy.

Predictors of Complications of Tonsillectomy With or Without Adenoidectomy in Hospitalized Children and Adolescents in the United States, 2001-2010

Hospitalized children who underwent tonsillectomy (w/woA) in large or teaching hospitals, or during elective admissions had lower risk of complications, and comorbidity is an important independent predictor of complications in this cohort.

Indications for tonsillectomy: a 10 year retrospective review.

Adenotonsillectomy in children: indications and contraindications.

The efficacy (or lack of it) of adenotonsillectomy for chronic tonsillitis, oral nasal obstruction, peritonsillar abscess, elimination of a bacterial carrier state, biopsy, and prevention of tongue thrusting with resultant anterior open bite is studied.

Updated systematic review of tonsillectomy and adenoidectomy for treatment of pediatric obstructive sleep apnea/hypopnea syndrome

Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients

  • J. WindfuhrY. S. ChenS. Remmert
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2005
...