Tonsil surgery in children under two years of age

2021 ◽  
pp. 1-13
Author(s):  
O Madej ◽  
H Kubba
Keyword(s):  
Tonsil Surgery

scholarly journals The effect of telephone counseling and internet-based support on pain and recovery after tonsil surgery in children – a systematic review

2021 ◽  
Vol 3 ◽  
pp. 100027
Author(s):  
Gunnhildur Gudnadottir ◽  
Rebecca Gagnemo Persson ◽  
Eva Drevenhorn ◽  
Eva Olofsson ◽  
Helena Rosén
Keyword(s):  
Systematic Review ◽  
Telephone Counseling ◽  
Tonsil Surgery

scholarly journals Increasing Readmission Rates for Hemorrhage after Tonsil Surgery: A Longitudinal (26 Years) National Study

2017 ◽  
Vol 158 (1) ◽  
pp. 167-176 ◽  
Author(s):  
Eirik Østvoll ◽  
Ola Sunnergren ◽  
Joacim Stalfors
Keyword(s):  
Postoperative Bleeding ◽  
Reoperation Rate ◽  
Population Based ◽  
Postoperative Hemorrhage ◽  
National Study ◽  
Readmission Rates ◽  
National Patient Register ◽  
National Patient ◽  
Tonsil Surgery

Objective To investigate the readmission rates due to postoperative hemorrhage in relation to tonsil surgery clinical practice in a national population. Study Design Retrospective longitudinal population-based cohort study. Setting Based on register data from the Swedish National Patient Register (NPR). Subjects and Methods All benign tonsil operations (256 053) performed in Sweden from 1987 to 2013 were identified through a search in the NPR. For all identified cases, data on gender, age, date of surgery, indication, type of surgery, level of care, length of stay (LOS) for inpatient surgery, readmission and reoperation because of postoperative bleeding (within 31 days) were collected. Results Overall frequency of readmission for hemorrhage was 2.61%, and the reoperation rate for hemostasis was 0.84%. The longitudinal analysis showed an increase from 1% (1987) to 5% (2013) in readmissions caused by hemorrhage. Tonsillectomies, surgery performed for infectious disease, and surgery on adult patients (age >18 years) showed readmission rates approaching 10% (2013). Male gender, increasing age, tonsillectomy, infectious indication, and recent year of surgery were identified as risk factors for readmission and reoperation due to hemorrhage. An increasing share of patients readmitted for hemorrhage underwent reoperation for hemostasis: 18% (1987) versus 43% (2013). Conclusion Readmissions for hemorrhage have increased by a factor of 5 in Sweden from 1987 to 2013. The design of the study and the data in NPR do not allow determination of the true reasons behind the alarming results.

Psychometric evaluation of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery and postoperative behavior and recovery in children undergoing tonsil surgery

2018 ◽  
Vol 29 (4) ◽  
pp. 94-101
Author(s):  
Ulrica Nilsson ◽  
Elisabeth Ericsson ◽  
Mats Eriksson ◽  
Ewa Idvall ◽  
Ann-Cathrine Bramhagen
Keyword(s):  
Age Differences ◽  
General Health ◽  
Ambulatory Surgery ◽  
Psychometric Evaluation ◽  
Physical Symptoms ◽  
Postoperative Recovery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tonsil Surgery

The study comprised a prospective, comparative cross-sectional survey in 143 (of 390) children undergoing tonsil surgery. Parents answered the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS), and children answered the questionnaire Postoperative Recovery in Children (PRiC). The PHBQ-AS had positive correlation with the PRiC and with general health. On day 10 after surgery, up to one-third of the children still reported physical symptoms (PRiC). No gender or age differences concerning the items of behavior (PHBQ-AS) were found. The quality of postoperative recovery (PRiC) in girls was lower, with higher levels of nausea, dizziness, coldness, and headache compared to the boys. Children <6 years of age reported higher levels of dizziness and lower sleep quality and lower general health.

scholarly journals Lasers in Tonsillectomy: Revisited With Systematic Review

2020 ◽  
Vol 100 (1_suppl) ◽  
pp. 14S-18S
Author(s):  
Jake Ahmed ◽  
Arvind Arya
Keyword(s):  
Systematic Review ◽  
Clinical Excellence ◽  
Postoperative Hemorrhage ◽  
Healing Time ◽  
Potassium Titanyl Phosphate ◽  
Medium Term ◽  
Intraoperative Bleeding ◽  
Tonsil Surgery ◽  
Laser Techniques ◽  
Meta Analyses

Introduction: In 2005, the National Prospective Tonsillectomy Audit was conducted by the Royal College of Surgeons England, reporting hot tonsillectomy techniques being associated with more postoperative pain and hemorrhage when compared with dissection. In 2006, the National Institute of Clinical Excellence declared its position on laser tonsillectomy reporting that bleeding may be less intraoperatively but is more postoperatively, that initial pain may be less but medium term is more and that healing is delayed. Aim: To revisit the literature surrounding laser tonsil surgery and assess the aforementioned factors for any trend changes. Methodology: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-style systematic review conducted in July 2019 searched Embase, Medline, and Cochrane databases for randomized controlled trials comparing laser tonsil surgery with other techniques with the terms laser, tonsillectomy, and tonsillotomy for nonmalignant indications. A total of 14 articles were evaluated. Results: A total of 1133 patients received surgery accounting for a total of 2266 tonsil removals. A variety of laser techniques were used including CO2 (66%) potassium-titanyl-phosphate (19%) and contact diode (15%). Nonlaser techniques included dissection (62%), diathermy (20%), and coblation (18%). The summated conclusions suggest that laser techniques are superior regarding intraoperative bleeding and procedure duration. Laser techniques also provide equivocal or superior outcomes regarding postoperative hemorrhage, pain, and total healing time. Conclusion: Outcomes following laser surgery in recent years suggest an overall improvement. This could be due to enhanced familiarity with techniques and established centers performing laser procedures more routinely.

Update review of pain control methods of tonsil surgery

2020 ◽  
Vol 47 (1) ◽  
pp. 42-47
Author(s):  
Dong-Hyun Kim ◽  
Kyungil Jang ◽  
Seulah Lee ◽  
Hyun Jin Lee
Keyword(s):  
Pain Control ◽  
Control Methods ◽  
Tonsil Surgery

scholarly journals A Rare Complication of Radiofrequency Tonsil Ablation: Horner Syndrome

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Cuneyt Kucur ◽  
Isa Ozbay ◽  
Fatih Oghan ◽  
Nadir Yildirim ◽  
Zuhal Zeybek Sivas ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Present Report ◽  
Rare Complication ◽  
Surgical Techniques ◽  
Early Postoperative Period ◽  
Common Disease ◽  
Limited Data ◽  
Horner Syndrome ◽  
Tonsil Surgery ◽  
The Right

Chronic tonsillitis is a common disease, and several different surgical techniques are used to treat this condition. In recent years, techniques such as radiofrequency ablation and coblation have been commonly used for tonsil surgery. In this report, we present the cases of two pediatric patients who developed ptosis, miosis, and enophthalmos (Horner syndrome) after radiofrequency ablation for tonsil reduction and discuss the technique of radiofrequency ablation of the tonsils. In the early postoperative period, miosis and ptosis were observed on the right side in one patient and on the left side in the other patient. Both patients were treated with 1 mg/kg/day methylprednisolone, which were tapered by halving the dose every 3 days. Miosis and ptosis improved after treatment in both patients. Along with the case presentation, we discuss the effectiveness and complications of radiofrequency ablation of the tonsils. These unusual complications of tonsil ablation may help ENT physicians who do not yet have a preferred surgical technique for tonsillectomy to make an informed decision. Limited data are available about the possible complications of radiofrequency ablation of the tonsils. The present report contributes to the literature on this topic.

Sign in / Sign up

Export Citation Format

Share Document