What's New with Tubes, Tonsils, and Adenoids?

@article{Marchica2019WhatsNW,
  title={What's New with Tubes, Tonsils, and Adenoids?},
  author={Cinzia L. Marchica and John P. Dahl and Nikhila Raol},
  journal={Otolaryngologic clinics of North America},
  year={2019}
}

Effects of Adenoidectomy and Adenotonsillectomy on Tympanostomy Tube Reinsertion Based on Korean Population-Based National Sample Cohort Data.

The effects of adenoidectomy and AT on reduction of the rate of repeated TT insertion was confirmed by analysis of population-based data and the rates of TT re insertion were significantly lower in groups 2 and 3 than in group 1.

Regional and hospital variation in commonly performed paediatric otolaryngology procedures in the Netherlands: a population-based study of healthcare utilisation between 2016 and 2019

Low variation in tonsillectomies and ventilation tube insertion and high variation in adenoidectomies is observed and significant variation between hospitals was observed in costs for all resources.

The Effect of Chitohem Bleeding Inhibitor Powder on Pain and Bleeding After Tonsillectomy by Suturing Method

The results of this study showed that the use of Chitohem powder in total tonsillectomy could reduce bleeding, analgesics usage, and the time of feeding onset.

Characteristics of the bacterial microbiota in the upper respiratory tract of children

The data indicate that promising pathogenic bacteria originate from all sites in the upper airway, including adenoids and tonsils, and the upper tract lymphoid tissues, normally considered as immune organs, may also serve as reservoirs for pathogenicacteria.

References

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CE: Posttonsillectomy Pain in Children

The authors review the causes of posttonsillectomy pain, current findings on the efficacy of various pharmacologic and nonpharmacologic interventions in pain management, recommendations for patient and family teaching regardingPain management, and best practices for improving medication adherence.

Revisiting age‐related admission following tonsillectomy in the pediatric population

Examination of patient outcomes using a 36‐month age cutoff as a strict admission criterion following tonsillectomy and the safety and plausibility of same‐day discharge of children under 3 years old following tonsilslectomy are examined.

Antibiotics for Otitis Media with Effusion in Children

  • A. SchilderD. DarrowR. Rosenfeld
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2013
Although children treated with antibiotics had higher rates of effusion resolution, there was no impact on hearing levels or the need for tympanostomy tubes.

Perioperative respiratory complications following awake and deep extubation in children undergoing adenotonsillectomy

Perioperative respiratory complications after adenotonsillectomy (T&A) are common and have been described to occur more frequently in children below 3 years of age, those with cranio‐facial

Clinical Practice Guideline

  • R. RosenfeldS. Schwartz K. Schellhase
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2013
The rationale, purpose, and key action statements of the 12 recommendations developed address patient selection, surgical indications for and management of tympanostomy tubes in children, and opportunities for quality improvement are summarized.

Tonsillotomy: facts and fiction

There is a strong evidence that pain is less after SIPT, TT and tonsil ablation resulting in an earlier return to normal diet and activity and insufficient data to show that a single surgical instrument is superior.

Trends in the indications for pediatric tonsillectomy or adenotonsillectomy.

Perioperative ketorolac increases post‐tonsillectomy hemorrhage in adults but not children

To evaluate the risk of post‐tonsillectomy hemorrhage associated with perioperative ketorolac use, a large number of patients with history of central giant cell granuloma were referred for surgery.

Postoperative Complications in Pediatric Tonsillectomy and Adenoidectomy in Ambulatory vs Inpatient Settings.

Large numbers of pediatric patients undergo T&A in ambulatory settings despite higher rates of complications in younger patients and patients with more comorbidities, and further research is needed to elucidate the subgroups that warrant postoperative hospitalization.

Antibiotics to reduce post-tonsillectomy morbidity.

A systematic review of randomised controlled trials examining the impact of perioperative administration of systemic antibiotics on post-tonsillectomy morbidity in children or adults suggests that although individual studies vary in their findings, there is no evidence to support a consistent, clinically important impact of antibiotics.
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