Academic literature on the topic 'Adenoidectomy'
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Journal articles on the topic "Adenoidectomy"
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Ken, Akanksha, and Smruti Milan Tripathy. "Microdebrider: a painless and effective technique for adenoidectomy; comparative study with curette assisted adenoidectomy." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 5 (April 23, 2021): 727. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20211419.
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<p><strong>Background: </strong>Adenoid is a nasopharyngeal tissue which forms Waldeyer's ring as said by Meyer, 1968. Adenoids become demonstrable with signs of CSOM with adenoid hyperplasia, recurrent rhino-sinusitis, characteristic ‘adenoid facies’, nasal obstruction, mouth breathing, snoring, drooling of saliva and speech abnormalities and dental malocclusion. Adenoidectomyis the common surgery done using various techniques like curette, microdebrider and many more. In this study we evaluate and compare the efficacy of adenoidectomy by microdebrider verses curette assisted adenoidectomy. Aim of the study was to evaluate and compare the efficacy and benefits of adenoidectomy by microdebrider with curette assisted adenoidectomy.</p><p><strong>Methods: </strong>This is a prospective randomized single-blind study done for 1 year. Total 150 patients were included which were diagnosed as adenoid hypertrophy based on clinical and radiological examination and were equally divided in 2 group for both the procedures (curette and microdebrider).</p><p><strong>Results: </strong>Patients show good response to the treatment with microdebrider assisted adenoidectomy with less complication and early recovery.</p><p><strong>Conclusions: </strong>We observe that proper examination and early surgical intervention using modern technique i.e., microdebrider reduces the time, residual tissue with less complication and promote early recovery.</p>
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Wong, Birgitta Yee-hang, and Chin Pang Chan. "Adenoidectomy." Operative Techniques in Otolaryngology-Head and Neck Surgery 32, no. 1 (March 2021): 15–19. http://dx.doi.org/10.1016/j.otot.2021.01.003.
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Bidaye, R., N. Vaid, and K. Desarda. "Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy." Journal of Laryngology & Otology 133, no. 4 (March 19, 2019): 294–99. http://dx.doi.org/10.1017/s0022215119000227.
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AbstractObjectiveTo compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.MethodsThis prospective non-randomised study was carried out on 60 patients aged 5–12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group.ResultsMean operation duration was significantly higher for endoscopic assisted coblation adenoidectomy. Mean blood loss was 44.33 ml in conventional cold curettage adenoidectomy and 32.47 ml in endoscopic assisted coblation adenoidectomy. The pain grade was significantly lower in endoscopic assisted coblation adenoidectomy. Forty per cent of patients who underwent conventional cold curettage adenoidectomy had adenoid tissue post-surgery, while it was completely absent in endoscopic assisted coblation adenoidectomy patients.ConclusionCoblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of reduced blood loss, no post-operative residual tissue and lower pain grade on day 1 after surgery.
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R. T., Abdul Salam, Shahul Hameed A., and Meera Rajan. "A Comparative Study of Endoscopic Coblation Adenoidectomy and Regular Curettage Adenoidectomy in a Tertiary Care Hospital in Kerala." Journal of Evidence Based Medicine and Healthcare 8, no. 41 (October 30, 2021): 3559–66. http://dx.doi.org/10.18410/jebmh/2021/645.
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BACKGROUND An ideal surgery to remove hypertrophied adenoid mass should be safe, with less bleeding and operation time along with post-operative improvement in the eustachian tubal ventilation and normal respiration. It should also have low morbidity and mortality. Among the various methods described for its removal, the two commonly used methods are conventional cold curettage method and coblation technique. The purpose of this study was to collate the safety and efficacy of endoscopic coblation adenoidectomy with the conventional curettage adenoidectomy. METHODS A prospective comparative study with fifty patients was studied who underwent adenoidectomy. Twenty five patients underwent endoscopy assisted coblation adenoidectomy and twenty five patients underwent regular adenoidectomy by curettage. RESULTS Patients who underwent coblation adenoidectomy showed better results during follow up in terms of completeness of removal. 80 % of children undergoing regular adenoidectomy by curettage method showed remnant adenoid tissue in the nasopharynx at the end of the procedure. But it was 6 % among the children undergoing endoscopic assisted coblation adenoidectomy. The mean duration of operation was higher for endoscopic assisted coblation adenoidectomy which was significant statistically. The mean blood loss was 30.36 ml in regular curettage adenoidectomy; 10.6 ml with endoscopic coblation adenoidectomy. The grading of pain was significantly lower in endoscopic assisted coblation adenoidectomy. There was no significant difference between two groups in terms of eustachian tube function after surgery. CONCLUSIONS Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of completeness of removal, reduced blood loss, and lower post-operative pain grade. KEYWORDS Coblation, Adenoidectomy, Curettage, Haemorrhage and Complications
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., Shaweta, Ramesh K. Azad, R. S. Minhas, and Shobha Mohindroo. "Comparison of microdebrider assisted adenoidectomy and adenoid curette adenoidectomy." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 3 (April 26, 2018): 819. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181669.
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<p class="abstract"><strong>Background:</strong> Adenoidectomy is the surgical procedure to remove the adenoids. It is conventionally performed using the curettage method. The aim is to compare between adenoid curette adenoidectomy and microdebrider assisted adenoidectomy.</p><p class="abstract"><strong>Methods:</strong> From April 2016 to March 2017, 50 patients (34 males and 16 females), requiring adenoidectomy were randomized into two groups each of twenty five. Group A underwent microdebrider assisted adenoidectomy. Group B underwent conventional adenoidectomy using the curettage method. The parameters studied were intra-operative time, blood loss, residual tissue, associated trauma, and post-operative symptomatic relief and complications. </p><p class="abstract"><strong>Results:</strong> Microdebrider assisted adenoidectomy was significantly better in terms of residual tissue left behind as compared to adenoid curette adenoidectomy (p<0.001), similar operative blood loss and operative time with no difference in complications.</p><p class="abstract"><strong>Conclusions:</strong> Microdebrider-assisted adenoidectomy is a safe and effective alternative to curettage method as it allows complete removal of adenoid tissue under direct vision.</p>
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Kumar, Abhay, Prabhu Narayan, Prem Narain, Jaypal Singh, Prateek Kumar Porwal, and Sanjay Sharma. "A comparative study of endoscopic assisted curettage adenoidectomy with conventional adenoidectomy." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 4 (June 23, 2018): 1053. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182712.
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<p class="abstract"><strong>Background:</strong> In ENT adenoidectomy is a commonly performed surgery. It is conventionally done using the curettage method. This present study aims to evaluate endoscopic assisted curettage<strong> </strong>adenoidectomy as an alternative.</p><p class="abstract"><strong>Methods:</strong> The present study consisted of forty cases requiring adenoidectomy were divided into two groups of twenty each. In Group A adenoidectomy was done by conventional curettage method and in Group B by endoscopic assisted micro-debrider adenoidectomy. The parameters studied between two groups were intra-operative time, intra-operative bleeding and completeness of resection .The study period was from June 2015 to December 2016. </p><p class="abstract"><strong>Results:</strong> The average time taken in Group A (conventional surgery) was 5.30 minutes and in Group B (powered endoscopic surgery) was 12.30 minute. The average blood loss in Group A was 35 ml (range 10–50) as compared to 30 ml in Group B. Nearly 25 % of the patients who underwent endoscopic assisted adenoidectomy had grade II adenoids. About 30% of the patients who underwent conventional adenoidectomy had Grade III adenoids. A total of 10% of the patients developed primary haemorrhage which was more in conventional adenoidectomy (15%) as compared to endoscopic adenoidectomy (5%).</p><strong>Conclusions:</strong>Endoscopic assisted microdebrider adenoidectomy was found to be a safe and effective tool for adenoidectomy. Endoscopic adenoidectomy better for completeness of resection, accurate resection under vision. On the other hand, in conventional adenoidectomy operative time and intra-operative bleeding was less.<p> </p>
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Dhanasekar, G., A. Liapi, and N. Turner. "Adenoidectomy techniques: UK survey." Journal of Laryngology & Otology 124, no. 2 (November 30, 2009): 199–203. http://dx.doi.org/10.1017/s0022215109991502.
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AbstractObjectives:To determine (1) the preferred adenoidectomy technique among UK ENT consultants, and (2) the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Method:Postal questionnaire.Participants:We included 539 consultant members of the ENT–UK.Main outcome measures:Commonly used adenoidectomy techniques, and whether revision adenoidectomy was considered a problem.Results:The response rate was 66.6 per cent (359 respondents). Twenty-seven respondents did not perform adenoidectomy, while 332 did. A total of 312/332 respondents (94 per cent) believed that adenoidectomy had a role in the treatment of chronic serous otitis media. The majority of respondents (232/332; 69.9 per cent) reported examining the postnasal space digitally at adenoidectomy. The preferred routine adenoidectomy technique was blind curettage for 263 respondents (79.2 per cent), suction diathermy ablation for 27 (8.1 per cent) and curettage under direct vision (using a mirror) for 13 (3.9 per cent). In response to the question ‘Do you recognise the need for revision adenoidectomy as a problem?’, 205 (61.7 per cent) respondents replied ‘never’, 39 (11.7 per cent) ‘rarely’, 54 (16.3 per cent) ‘< 2 per cent’ and 36 (10.8 per cent) ‘>2 per cent’.Conclusions:The most commonly used adenoidectomy technique in the UK is digital palpation followed by blind curettage, according to this postal questionnaire survey. Few respondents reported performing adenoidectomy under direct vision: only 10 per cent used a mirror during the procedure and only 8 per cent used an endoscope.
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Drake, Amelia F., and Newton D. Fischer. "Peritubal Adenoidectomy." Laryngoscope 103, no. 11 (November 1993): 1291???1292. http://dx.doi.org/10.1288/00005537-199311000-00013.
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Gates, George A., Harlan R. Muntz, and Brendan Gaylis. "Adenoidectomy and Otitis Media." Annals of Otology, Rhinology & Laryngology 101, no. 1_suppl (January 1992): 24–32. http://dx.doi.org/10.1177/00034894921010s106.
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Adenoid enlargement has traditionally been considered a factor in otitis media; adenoid size, however, does not appear to be correlated with otitis media occurrence. Presence of pathogenic bacteria in the adenoids of children with otitis media has been shown, and adenoidectomy appears to affect the middle ear primarily by removal of the source of infection in the nasopharynx. Three recent randomized, controlled studies showed the efficacy of adenoidectomy in the treatment of chronic secretory otitis media. In one study comparing no treatment, adenoidectomy, and adenotonsillectomy, a significant benefit was seen with adenoidectomy that was not enhanced by tonsillectomy. Another study that compared adenoidectomy, tympanostomy tubes, and a combination of the two showed a significant reduction in effusion time and less surgical retreatment over 2 years in the two adenoidectomy groups. The third study demonstrated the effect of adenoidectomy in children with recurrent chronic otitis media with effusion after failure of tympanostomy tube insertion. All three studies showed that the effect of adenoidectomy was independent of adenoid size. This review discusses current concepts of adenoid physiology and pathology, the major adenoidectomy studies, and indications for the procedure.
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Saravana Selvan, V., Muthamil Silambu, and D. Vinodh Kumaran. "A comparative study between coblation adenoidectomy and conventional adenoidectomy." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 3 (April 26, 2018): 721. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181859.
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<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the advantages and results between coblation adenoidectomy and conventional adenoidectomy by curettage.</p><p class="abstract"><strong>Methods:</strong> The study was<strong> </strong>conducted in Stanley medical college, Chennai (a tertiary care centre) from June 2013 to June 2016. Fifty patients were studied who underwent adenoidectomy. Twenty five patients underwent conventional adenoidectomy by curettage and rest by nasal endoscopy assisted coblation adenoidectomy. Following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, school absenteeism, endoscopic adenoid grading and intraoperative bleeding. </p><p class="abstract"><strong>Results:</strong> Patients who underwent coblation adenoidectomy showed better results during follow up with lesser complications.</p><p class="abstract"><strong>Conclusions:</strong> Coblation adenoidectomy is a better technique when compared to conventional technique of curettage.</p>
Dissertations / Theses on the topic "Adenoidectomy"
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Banzatto, Melissa Guerato Pires. "Avaliação na função pulmonar (pressão inspiratória, expiratória e volume pulmonar) em crianças com aumento de tonsilas: pré e pós adenotonsilectomia." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-28042009-155641/.
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Crianças com aumento do volume de tonsilas palatinas e faríngeas, freqüentemente apresentam anormalidades respiratórias tais como roncar, respiração oral e apnéia do sono, assim como atraso no crescimento, alterações físicas e emocionais. Sabe-se que a obstrução de vias aéreas superiores e conseqüentemente a respiração oral podem resultar em problemas pulmonares. A obstrução de vias aéreas superiores também pode conduzir a alterações na mecânica respiratória e evoluir para alterações no equilíbrio das forças musculares, causando disfunções faciais, torácicas e dos eixos posturais. As alterações na função pulmonar (Pressão Inspiratória Máxima, Pressão Expiratória Máxima e Volume Pulmonar) foram avaliadas em 32 crianças (6-13 anos, M: F) com aumento do volume de tonsilas que seriam submetidas a cirurgia de Adenoamigdalectomia na Divisão de Otorrinolaringologia da Universidade de São Paulo. Todas as crianças foram avaliadas no pré e pósoperatório (3 e 6 meses) de adenotonsilectomia. A pressão Inspiratória e expiratória máxima foram medidas com o uso de um manovacuômetro. O volume pulmonar foi medido através do uso de um Inspirômetro de Incentivo infantil. Os perímetros torácicos e abdominais foram obtidos através de uma fita métrica comum. No pré-operatório os seguintes valores foram obtidos: pressão inspiratória máxima média de 24,72 cm/H2O, pressão expiratória máxima média de 37,50 cm/H2O, volume pulmonar médio de 682,81ml, perímetro torácico com média de 69,25cm e o perímetro abdominal com média de 67,50 cm. Todos os valores analisados apresentaram-se maiores no pós-operatório, sendo os resultados mais significantes a pressão inspiratória máxima com o valor de 28,62 cm/H2O no pós-operatório de 3 meses e 32,52 cm/H2O em seis meses. O volume pulmonar também apresentou um ganho de 265,47 ml no pós-operatório de seis meses em relação ao valor obtido no pré-operatório. Concluímos que a pressão inspiratória máxima apresentou um aumento significativo em seus valores no pós-operatório de 3 e 6 meses o que denota um ganho na força da musculatura respiratória inspiratória o que propiciou o aumento no volume pulmonar. Verificamos um aumento gradativo em todos os parâmetros estudados nos resultados obtidos no pós-operatório de 3 meses para os 6 meses. Os resultados comparativos entre os tamanhos das tonsilas (grau 3 e 4) não demonstraram diferença significativa.Children with enlarged tonsils and pharynx, often exhibit respiratory abnormalities such as snoring, mouth breathing and sleep apnea, as well as delay in growth, physical and emotional changes. It is known that the upper airway obstruction and consequent mouth breathing may lead to lung problems. The obstruction of upper airway can also lead to changes in respiratory mechanics and evolve to changes in the balance of forces muscle, causing facial disorders, thoracic and axes posture. The changes in lung function (maximal inspiratory pressure, maximal expiratory pressure and lung volume) were evaluated in 32 children (6-13 years old, M: F) with enlarged tonsils who would be subjected to surgery for adenotonsillectomy at Division of Otorhinolaryngology, University of São Paulo. All children were evaluated in the preoperative and postoperative (3 and 6 months) of adenotonsillectomy. The maximal inspiratory and expiratory pressures were measured using a manometer. The lung volume was measured by using a volumetric incentive spirometer. The thoracic and abdominal perimeters were obtained through a common tape. Preoperatively the following values were obtained: mean maximal inspiratory pressure of 24.72 cm/H2O, mean maximal expiratory pressure of 37.50 cm/H2O, mean pulmonar volume of 682.81 ml. Mean girth of 69.25 cm and mean Abdominal Perimeter of 67.50 cm. All figures analyzed were higher in the postoperative period, and the more significant result was maximal inspiratory pressure with a value of 28.62 cm/H2O the postoperative 3-month and 32.52 cm/H2O in six months. The lung volume also showed a gain of 265.47 ml in the postoperative period of six months from the value obtained preoperatively. We conclude that the maximal inspiratory pressure showed a significant increase in their values in the postoperative period of 3 and 6 months which indicates a gain in respiratory muscle strength which allowed the increase in lung volume. Noticed a gradual increase in all parameters studied the results in the postoperative period of 3 months to 6 months. The comparative results between the size of tonsils (grade 3 and 4) showed no significant difference.
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Santos, Cristiane Barbosa dos. "Análise tridimensional do espaço aéreo faríngeo e posição do osso hioide em crianças com e sem indicação para adenotonsilectomia." Universidade Federal de Goiás, 2018. http://repositorio.bc.ufg.br/tede/handle/tede/8670.
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The pharynx is an organ that participates in the respiratory and digestive systems. Its peculiar tubular anatomy may be mechanically obstructed, especially due to adenotonsillar hyperplasia. This hyperplasia, when chronic, results in changes in craniofacial growth and development. The present study aimed to perform the threedimensional evaluation, using cone beam computed tomography (CBCT), of 4- to 9- year-old children, with and without indication for adenotonsillectomy (AT) and with maxillary atresia, comparing the measurements and the location of the minimum area of the pharynx, as well as the total pharyngeal volume and the volume of the subregions of the palatine tonsils and adenoids and, additionally, locating the position of the hyoid bone (H) and correlating it with the total pharynx volume and the volume of the subregions of the palatine tonsils and adenoids. For the selection of the nonprobabilistic consecutive sampling, 487 children were screened at the Otorhinolaryngology Outpatient Clinic of the Hospital das Clínicas, School of Medicine of the Universidade Federal de Goiás, from March to December 2017. Inclusion criteria were: age group between 4 and 9 years, presence of maxillary atresia, and balanced face (evaluated by the S line) using facial analysis. Exclusion criteria were: obesity, extensive caries, previous AT, presence of craniofacial syndromes or congenital anomalies, history of traumas or surgeries in the region of head, neck, or face, previous orthopedic/orthodontic treatment, early tooth loss, and dental Class II or III. The diagnosis of maxillary atresia and the other oral conditions were performed by two orthodontists. After selection, the patients were evaluated by an otorhinolaryngologist, who conducted anamnesis, physical examination and flexible nasal endoscopy to diagnose the obstruction due to adenotonsillar hyperplasia. The sample size calculation, considering the minimum area of the pharynx as the primary variable, defined 30 patients in each of the two study groups, the surgical and the non-surgical groups, who underwent the Prick test. Posteriorly, they underwent CBCT exams to evaluate the airflow and position of H. CBCTs were analyzed using the Invivo Dental software to obtain the three-dimensional and two-dimensional measurements of the pharyngeal airway space and the position of H. The age did not show statistical difference between groups (p = 0.111). The surgical group had a higher frequency of male participants. The measurements of total pharyngeal volume (p = 0.038), volume of the adenoid region (p = 0.001), and minimum area of the pharynx (p = 0.011) showed significant statistical differences between the grupos. In the surgical group, the highest frequency of the minimum area of the pharynx was in the adenoid region (60.0%), while in the non-surgical group the highest frequency was in the palatine tonsil region (73.3%). The correlation coefficient between H-Tweed mandibular plane (MP) and the volume of the palatine tonsil region was moderate in the surgical group (r = 0.408; p = 0.025). In conclusion, in this study: the pharyngeal volumes and the volume in the adenoid region were signifcantly reduced in the patients of the surgical group compared to the non-surgical group; the volume corresponding to the palatine tonsil region was similar in both groups; the narrowest pharynx area was located at a higher frequency in the region near the adenoid hyperplasia in the surgical group, whereas in the non-surgical group it was located at a higher frequency in the palatine tonsil region; no significant statistical difference was found for the position of H between the groups, and the correlation between its position and the sagital and vertical cephalometric patterns was weak.
A faringe é um órgão que participa dos sistemas respiratório e digestório. Sua peculiar anatomia tubular pode sofrer obstrução mecânica, em especial por hiperplasia adenotonsilar. Quando de caráter crônico, essa hiperplasia resulta em alterações no crescimento e no desenvolvimento craniofacial. O presente estudo teve como objetivo realizar a avaliação tridimensional, por meio de tomografia computadorizada de feixe cônico (TCFC), de crianças de 4 a 9 anos, com e sem indicação de adenotonsilectomia (AT) e com atresia de maxila, comparando as medidas e a localização da área mínima da faringe, assim como o volume total da faringe e das sub-regiões das tonsilas palatinas e adenoides e, adicionalmente, localizando a posição do osso hioide (H) e correlacionando-a com o volume total da faringe e das sub-regiões das tonsilas palatinas e adenoides. Para a seleção da amostra não probabilística consecutiva, foram triadas 487 crianças atendidas no Ambulatório de Otorrinolaringologia do Hospital das Clínicas da Faculdade de Medicina da Universidade Federal de Goiás entre março e dezembro de 2017. Os critérios de inclusão compreenderam faixa etária entre 4 e 9 anos, presença de atresia maxilar e face balanceada (avaliada pela linha S) por análise facial. Os critérios de exclusão foram: obesidade, cáries extensas, AT prévia, presença de síndromes craniofaciais ou anomalias congênitas, histórico de traumas ou cirurgias na região da cabeça, pescoço ou face, tratamento ortopédico/ortodôntico prévio, perda precoce de dentes e Classe II ou III dentária. O diagnóstico de atresia maxilar e das demais condições bucais foi feito por duas ortodontistas. Após a seleção, os pacientes foram avaliados por otorrinolaringologista, que procedeu a anamnese, exame físico e endoscopia nasal flexível para diagnóstico de obstrução por hiperplasia adenotonsilar. Pelo cálculo amostral, considerando como variável de desfecho primário a área mínima da faringe, definiu-se o número de 30 sujeitos em cada um dos dois grupos de estudo, o cirúrgico e o não cirúrgico, os quais foram submetidos ao Prick test. Posteriormente, passaram por exame de TCFC para avaliação da via aerífera e da posição do H. As TCFCs foram analisadas usando o software Invivo Dental para obtenção das medidas tridimensionais e bidimensionais do espaço aéreo faríngeo (EAF) e do posicionamento do H. A idade não apresentou diferença estatística entre os grupos (p = 0,111). O grupo cirúrgico apresentou maior frequência de indivíduos do sexo masculino. As medidas de volume total (p = 0,038), volume da região das adenoides (p = 0,001) e área mínima da faringe (p = 0,011) apresentaram diferenças estatisticamente significativas entre os grupos. No grupo cirúrgico, houve maior frequência de área mínima na região das adenoides (60,0%) enquanto no grupo não cirúrgico houve maior frequência na região das tonsilas palatinas (73,3%). O coeficiente de correlação entre H-plano mandibular de Tweed (MP) e o volume da região das tonsilas palatinas foi moderado no grupo cirúrgico (r = 0,408; p = 0,025). Conclui-se que, neste estudo: os volumes aéreos faríngeos e da região das adenoides foram significativamente reduzidos nos pacientes do grupo cirúrgico em comparação com os do grupo não cirúrgico; o volume correspondente à região das tonsilas palatinas se apresentou semelhante para os dois grupos; a área de maior estreitamento faríngeo se localizou com maior frequência na região próxima à hiperplasia das adenoides no grupo cirúrgico, enquanto no não cirúrgico se localizou com mais frequência na região próxima às tonsilas palatinas; não houve diferença estatisticamente significativa na posição do H entre os grupos, e a correlação entre a sua posição e os padrões cefalométricos sagital e vertical foi fraca.
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Rob, Marilyn Isobel Public Health & Community Medicine Faculty of Medicine UNSW. "Ear, nose and throat surgery among young Australian children." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2005. http://handle.unsw.edu.au/1959.4/20840.
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Tonsillectomy, adenoidectomy and myringotomy are the most common surgical procedures undergone by children. Medical opinion regarding the appropriateness of these procedures remains contentious, and considerable resources have been expended in the formulation and distribution of relevant practice guidelines. The impact of this surgery on the child, community and private and public health resources is considerable, yet there has been little examination of surgery rates and trends, or of the characteristics of children who undergo surgery. This thesis addressed five major questions regarding this surgery in New South Wales, Australia. The first three related to population rates: the level of surgery among NSW children, comparability with international rates, trends over time and the effect of guidelines. Comprehensive hospital data between 1981 and 1999 were analysed. Major findings were a higher myringotomy rate in NSW than reported internationally, the short-term effect of guidelines, and a major shift towards children having surgery at a younger age. The remaining questions asked whether children who had surgery differed from other children in their use of health services prior to surgery, and if so, whether their utilization reverted to the norm following surgery. Matched records of a population cohort of 6239 NSW children, born during January 1990, were extracted from Health Insurance Commission data, and their claims for medical services followed retrospectively from birth to 8 years. Children who had privately funded surgery were found to use more medical services than other children, and, most unexpectedly, this did not change following surgery. The results suggest potential non-clinical factors influencing this excess utilization. This is the first population study to examine health service utilisation by these children and it has identified an important new risk factor for surgery.
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Jonas, N. E. "The adenoid in children : a comparison of two methods of performing adenoidectomy and two methods of preparing the nose prior to endoscopy to assess adenoidal size." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/2903.
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Tunney, Anne Marie. "A study to access the effectiveness of the provision of written material in the form of a storybook in lessening anxiety in children aged 5-11 years undergoing tonsillectomy and adenoidectomy." Thesis, Ulster University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.589522.
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Aims This study aimed to assess the effectiveness of a storybook, entitled, The Tale of Woody's Tonsils, written by the researcher, in reducing the level of anxiety of children, aged 5 - 11 years who were undergoing tonsillectomy and adenoidectomy. The study also aimed to explore a number of variables which may have had an impact on anxiety and which may be influenced by the administration of the storybook. Background There is evidence, in both adult and paediatric studies, that effective psychological preparation for a surgical procedure has an impact on the individuals' coping ability with reduced levels of anxiety leading to better post operative outcome, faster recovery and a reduction in long term sequelae associated with admission to hospital. A storybook, as a method of preparation, has been recommended by a number of researchers but the effectiveness of a specific storybook has not yet been investigated in the UK. Previous studies have mainly used only one research instrument for anxiety measurement and chi Id self report is not a common feature of such research. Design A quasi-experimental study, using convenience sampling was conducted using a repeated measures design at two points in time. XI Method Eighty children on a waiting list for tonsillectomy and adenoidectomy were alternately allocated to either an experimental group, receiving a copy of the storybook or to a comparative group, receiving a colouring book. Pre intervention testing consisted of the subjects completing a self report Hospital Fears Rating Scale and the Child Drawing: Hospital, a projective technique based on child drawing. This was repeated post intervention and scores obtained from both instruments were used to determine anxiety levels. Results Results indicated that the use of the storybook reduced anxiety levels of children aged 5 - 11 years awaiting admission for tonsillectomy and adenoidectomy. No relationship was found between age, gender, experience of previous hospitalisation or experience of sibling hospitalisation on the level of anxiety experienced. There was evidence from the results to suggest that the storybook was particularly effective in reducing anxiety levels of females, children with no experience of previous hospitalisation, children with experience of sibling hospitalisation and children in the seven year old age group. Conclusion This study demonstrates that, as a method of psychological preparation of children aged 5 - 11 years awaiting tonsillectomy and adenoidectomy, a storybook about a fictional human child undergoing the same procedure was effective in alleviating anxiety pertaining to the admission. It also supports the appropriateness and benefits of a combined approach, using quantitative scoring and impressionistic interpretation, to the measurement of anxiety. Relevance to practice This study fills a gap in the knowledge base regarding psychological preparation of children for ENT surgery. It reinforces the need for assessment to be inclusive of exploration of anxiety triggers and their intensity so that preparation and nursing care can be individualised for each child. The study also provides evidence that there is a need for child focused anxiety measurement tools to be chosen carefully for use within the field of paediatrics. The two anxiety measurement tools used within this study could be effectively used in a number of health care settings, both long and short term care and with a variety of age groups. Finally, this study has demonstrated that the use of a storybook is a particularly effective method for preparing children for an ENT surgical procedure and the principles of its development and use could be extended to other specialties.
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Pierson, Kasey. "A RCT: Is intraoperative acupuncture at acupuncture‐point P6 plus antiemetics more effective than antiemetic therapy alone in preventing postoperative nausea and vomiting in pediatric patients following tonsillectomy with or without adenoidectomy?" Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/315926.
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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.Purpose: Acupuncture at point P6 has proven efficacious in alleviating postoperative nausea and vomiting (PONV). Evidence supporting its use in pediatric patients is not nearly as conclusive. Furthermore, acupuncture’s effects when combined with antiemetics needs to be further elucidated. We conducted a double-blinded, randomized controlled trial to investigate the effects of P6 acupuncture combined with antiemetics on pediatric patients undergoing tonsillectomy. Methods: A total of 109 patients between the ages of 3 – 9 years old were randomly assigned to one of two treatment groups prior to surgery. Each group received standard antiemetic medications while only one group received acupuncture intraoperatively. PONV was assessed via usual protocol while the patients remained at the post-anesthesia care unit (PACU) and Day Stay Unit. A follow-up phone call 24 hours following surgery was conducted to assess for overnight symptoms. Results: 106 patients completed the study with 58 randomly assigned to the Treatment Group, whom receive acupuncture and antiemetic therapy, and 48 to the Control Group, receiving only antiemetic therapy. When comparing baseline characteristics and possible confounding factors for each group, no statistical differences between the groups could be found. For primary outcomes, the only significant difference between the two groups occurred with the incidence of nausea in the PACU following the surgery (P = 0.02), but nausea in the Day Stay Unit trended toward significance (P = 0.06). Retching and vomiting incidence did not occur frequently enough in the hospital to be analyzed. No differences between the Treatment Group and Control group were seen in the 24 hours after the patients were discharged from the hospital. Discussion: With no adverse events from its use and with statistically significant efficacy, P6 acupuncture embodies a useful prophylactic treatment for postoperative nausea in children.
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Kujala, T. (Tiia). "Acute otitis media in young children:randomized controlled trials of antimicrobial treatment, prevention and quality of life." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526208909.
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Abstract The purpose of this study was to evaluate the effect of antibiotic treatment and surgery on acute otitis media (AOM), and to evaluate quality of life (QoL) among children with AOM and their parents. To evaluate the effectiveness of antibiotics, a total of 82 children with AOM were randomized for antibiotic or placebo treatment for 7 days. The duration of middle ear effusion was measured by daily tympanometry screenings at home over 2 weeks. Duration was also measured at clinical visits, including at entry, after 3 days, after 7 days, and then weekly until both ears were healthy according to pneumatic otoscopy or otomicroscopy, or for a maximum of 2 months. Among the group receiving antibiotics, middle ear effusion disappeared 2.0 weeks earlier than among those receiving placebo (P<0.02). On day 14, 69% of children in the antibiotic group and 38% in the placebo group had normal tympanometry findings (P=0.02). On day 60, 5% of children in the antibiotic group and 24% in the placebo group had persistent middle ear effusion (P=0.01). The effect of surgery was assessed by randomly assigning 300 children with recurrent AOM, aged 10 months to 2 years, into 3 groups: 1. to receive ventilation tubes (VTs), 2. to receive VTs and adenoidectomy and 3. non-surgery. Follow-up of children occurred at clinical visits every 4 months for a 1-year period. If children suffered from upper respiratory symptoms or their parents suspected AOM during this period they were encouraged to receive additional follow-up care. Intervention was considered unsuccessful if a child had 2 AOM episodes in 2 months, 3 episodes in 6 months or persistent effusion lasting for 2 months. Intervention failed in 34% of children in the non-surgery group, 21% in the VT group (P=0.04 compared to non-surgery) and 16% in the group with VT and adenoidectomy (P=0.004 compared to non-surgery). QoL was assessed among 159 children participating in the study on the effect of surgery in children with recurrent AOM. We used disease-specific (Otitis Media-6) and generic instruments (Child Health Questionnaire-50) to measure QoL among children with AOM and their parents, and the effect of surgery on QoL. Children with AOM and their parents had a significantly poorer QoL than healthy children. QoL improved significantly at 1-year follow-up, but it did not reach the level observed in healthy children. Surgery did not have any additional impact on QoLTiivistelmä Työn tavoitteena oli tutkia antibiootin ja kirurgian vaikutusta äkilliseen välikorvatulehdukseen sekä tutkia välikorvatulehduksia sairastavien lasten ja heidän vanhempiensa elämänlaatua. 82 äkillistä välikorvatulehdusta sairastavaa lasta satunnaistettiin saamaan joko antibiootti- tai lumelääkettä. Välikorvaeritteen poistumista seurattiin kotona päivittäisillä tympanometriamittauksilla kahden viikon ajan. Seurantakäynnit olivat yhden, kolmen ja seitsemän päivän kuluttua sekä viikoittain, kunnes korvat oli todettu terveiksi pneumaattisella otoskoopilla tai korvamikroskoopilla tai kahden kuukauden seuranta-aika päättyi. Välikorvaerite poistui kaksi viikkoa aikaisemmin antibiootti- kuin lumelääkkeellä (P<0.02). Tympanometria normalisoitui kahden viikon kuluttua 69 %:lla antibioottiryhmästä ja 38 %:lla lumelääkeryhmästä (P=0.02). 60 päivän kuluttua välikorvaeritettä oli 5 %:lla antibioottiryhmästä ja 24 %:lla lumelääkeryhmästä (P=0.02). Kirurgian vaikuttavuutta toistuviin äkillisiin välikorvatulehduksiin tutkittiin satunnaistamalla 300 10–24 kk:n ikäistä lasta saamaan ilmastointiputket tai sekä ilmastointiputket että kitarisanpoisto tai ei kumpaakaan. Seurantakäynnit olivat neljän kuukauden välein vuoden ajan tai aina kun lapset sairastuivat ylähengitystietulehdukseen tai vanhemmat epäilivät välikorvatulehdusta. Interventio katsottiin epäonnistuneeksi (äkillisiä välikorvatulehduksia 2 / 2 kk, 3 / 6 kk tai jatkuva erite 2 kk) 34 %:lla ilman kirurgiaa hoidetuista lapsista, 21 %:lla ilmastointiputkiryhmän lapsista (P=0.04 verrattuna ilman kirurgiaa hoidettuihin) ja 16 %:lla lapsista, joille tehtiin sekä kitarisan poisto että asetettiin ilmastointiputket (P=0.004 verrattuna ilman kirurgiaa hoidettuihin). Elämänlaadun, äkillisen välikorvatulehduksen sekä siihen liittyvän kirurgian välistä yhteyttä selvitettiin 159 lapsella, jotka osallistuivat kirurgian vaikuttavuutta selvittävään tutkimukseen. Elämänlaatua mitattiin sekä tautikohtaisilla (Otitis Media-6) että yleistä elämänlaatua (Child Health Questionnaire-50) mittaavilla kyselylomakkeilla. Äkillistä välikorvatulehdusta sairastavilla lapsilla ja heidän vanhemmillaan oli merkittävästi huonompi elämänlaatu kuin terveillä. Elämänlaatu parani merkittävästi vuoden seuranta-aikana, mutta ei saavuttanut terveiden tasoa. Kirurgia ei tuonut mitään lisähyötyä elämänlaatuun
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Bojórquez, Rojas José Luis. "Adenoidectomía clásica más radiofrecuencia complementaria comparada con adenoidectomía clásica, reduce la recurrencia de hipertrofia adenoidea, en niños de 2 a 5 años, en el Hospital Luis N. Sáenz – PNP en el periodo 2008-2009." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2012. https://hdl.handle.net/20.500.12672/12075.
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Publicación a texto completo no autorizada por el autorPretende conocer la recurrencia que se presenta en nuestro medio, además de comparar dos técnicas quirúrgicas: la adenoidectomía clásica versus la adenoidectomía clásica más radiofrecuencia complementaria. Se realizó el estudio con niños en un rango de edad de 2 a 5 años operados de adenoidectomía en el Hospital Nacional Luis N. Sáenz – PNP en el periodo 2008 – 2009, obteniéndose un total de 49 niños operados, de los cuales 27 fueron operados con adenoidectomía clásica y a 22 se les operó con adenoidectomía clásica más radiofrecuencia complementaria. Se obtuvo una recurrencia de 10.20% de los cuales las recurrencias de 1° grado fueron 3 (6.12%), de 2° grado 1 (2.04%) y de 3° grado 1 (2.04%), del grupo de adenoidectomía clásica fueron 4 (8.16%) y 1 (2.04%) los de radiofrecuencia complementaria. Se obtuvo un RR de 3.29 (error estándar RR: 1.08) Chi cuadrado de 1.8 (p= 0.071 > de 0.05), además de un grado de satisfacción de los padres > del 90%. La técnica clásica más radiofrecuencia presenta ventajas porcentuales y disminuyen el riesgo de manera adecuada pero no se ha encontrado diferencia significativa entre usar un técnica o la otra en este trabajo, que nos permita afirmar que su aplicación es muy superior con respecto a la técnica clásica sola, con lo que respecta recurrencia.
Trabajo de investigación
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FERREIRA, JORGE FILIPE. "Surveillance de l'oxymetrie au cours de l'amygdalectomie et de l'adenoidectomie chez l'enfant." Lille 2, 1990. http://www.theses.fr/1990LIL2M049.
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Vladimir, Dolinaj. "Procena efikasnosti laringealne maske u odnosu na endotrahealni tubus u zbrinjavanju disajnog puta u dečjoj otorinolaringološkoj hirurgiji." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2017. https://www.cris.uns.ac.rs/record.jsf?recordId=104700&source=NDLTD&language=en.
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Uvod: Adenoidektomija sa tonzilektomijom je najčešće indikovana hirurška intervencija u dečjem uzrastu. Intervencija se izvodi u opštoj anesteziji. Endotrahealni tubus predstavlja „zlatni standard“ za obezbeđenje disajnog puta u dečjoj otorinolaringološkoj hirurgiji. Upotreba endotrahealnog tubusa nosi rizike od nastanka komplikacija koje se mogu javiti pri uvodu u opštu anesteziju, u toku hirurške intervencije i nakon ekstubacije deteta. Učestalost komplikacija se može smanjiti upotrebom supraglotičnih sredstava. Fleksibilna laringealna maska spada u prvu generaciju supraglotičnih sredstava, koja omogućava zadovoljavajuću oksigenaciju i ventilaciju bolesnika u ORL hirurgiji. Cilj istraživanja: Utvrditi: efikasnost fleksibilne laringealne maske u zaštiti disajnog puta od aspiracije krvi i sekreta gornjih disajnih puteva u odnosu na endotrahealni tubus u toku adenotonzilektomije; da li primena fleksibilne laringealne maske u zbrinjavanju disajnog puta u toku adenotonzilektomije utiče na učestalost postekstubacionih komplikacija u odnosu na zbrinjavanje disajnog puta endotrahealnim tubusom; da li zbrinjavanje disajnog puta fleksibilnom laringealnom maskom u toku adenotonzilektomije ima uticaj na intenzitet postoperativnog bola u odnosu na zbrinjavanje disajnog puta endotrahealnim tubusom; da li zbrinjavanje disajnog puta fleksibilnom laringealnom maskom u toku adenotonzilektomije ima uticaj na pojavu postoperativne mučnine i povraćanja u odnosu na zbrinjavanje disajnog puta endotrahealnim tubusom. Metodologija: Prospektivnom, randomizovanom, studijom bilo je obuhvaćeno 160 dečaka i devojčica uzrasta od 3 do 8 godina planiranih za elektivnu hiruršku intervenciju adenotonzilektomiju u opštoj anesteziji. Bolesnici su bili podeljeni u dve grupe: 80 bolesnika kod kojih je disajni put bio obezbeđen endotrahealnim tubusum (ET grupa) i 80 bolesnika kod kojih je disajni put bio obezbeđen laringealnom maskom (LMA grupa). Na kraju hirurške intervencije, u obe grupe bolesnika, izvršena je provera prisustva krvi na larinksu i u traheji pomoću fiberoptičkog bronhoskopa. Postekstubacione respiratorne komplikacije vezane za upotrebu fleksibilne laringealne maske odnosno endotrahealnog tubusa (kašalj, opstrukcija disajnog puta i laringospazam) bile su praćene neposredno nakon ekstubacije bolesnika. Procena postoperativnog bola bila je vršena pomoću Face, Legs, Activity, Cry, Consolability Scale 2 i 4 sata nakon hirurške intervencije kao i prvog postoperativnog dana u 7 sati ujutro. Postojanje postoperativne mučnine i povraćanja bilo je utvrđivano heteroanamnestički, anketom roditelja, dan nakon hirurške intervencije u 7 sati ujutro. Statistička analiza izvršena je pomoću statističkog paketa Statistical Package for Social Sciences – SPSS 21. Podaci su predstavljeni tabelarno i grafički, a statistička značajnost je određivana na nivou p<0.05. Rezultati: Ni kod jednog deteta iz ET odnosno LMA grupe bolesnika nakon hirurške intervencije fiberoptičkim bronhoskopom nije uočeno prisustvo krvi, sekreta niti regurgitiranog želudačnog sadržaja na larinksu odnosno u traheji. Bolesnici iz ET grupe su imali statistički značajno više komplikacija u odnosu na bolesnike iz LMA grupe (χ2=4.254; p=0.039; p < 0.05). Ne postoji statistički značajna razlika u distribuciji bolesnika sa i bez respiratornih komplikacija izmeĊu ET i LMA grupe (χ2=3.413; p=0.065; p > 0.05). U proceni postoperativnog bola FLACC skalom 2 sata nakon hirurške intervencije postoji statistički značajna razlika u intenzitetu postoperativnog bola kod bolesnika iz ET u odnosu na bolesnike iz LMA grupe (χ2=31.316; p=0.000; p<0.05). Četiri sata nakon hirurške intervencije, statistički je značajno više bolesnika sa umerenim bolom u ET grupi u odnosu na LMA grupu (χ2=40.705; p=0.000; p<0.05). Na dan otpusta, statistički je značajno više bolesnika sa blagim diskomforom u ET grupi bolesnika u odnosu na LMA grupu (χ2=8,012; p=0,005; p < 0.05). U LMA grupi bolesnika jedan ili 1.49% bolesnika je imao postoperativnu mučninu i povraćanje, dok je u ET grupi troje ili 3.56% bolesnika imalo postoperativnu mučninu i povraćanje. Zaključak: Fleksibilna laringealna maska pruža podjednaku zaštitu distalnih delova disajnog puta od krvi i sekreta tokom adenotonzilektomije kao i endotrahealni tubus. Učestalost postoperativnih komplikacija i intenzitet postoperativnog bola su manji kada se za obezbeđenje disajnog puta u toku adenotonzilektomije koristi fleksibilna laringealna maska. Primenom fleksibilne laringealne maske smanjuje se učestalost postoperativne mučnine i povraćanja u toku adenotonzilektomije.Introduction: Adenoidectomy with tonsillectomy is the most indicated surgery in childhood. The intervention is performed under general anesthesia. Endotracheal tube represents the „gold standard“ for airway management in paediatric ENT surgery. The use of endotracheal tube carries the risk of complications that may occur during the induction of general anesthesia, during the surgery and after extubation of the child. The frequency of complications may be reduced by the use of supraglottic airway devices. Flexible laryngeal mask is first generation of supraglottic airway devices, which allows sufficient oxygenation and ventilation of patients in ENT surgery. Aims: To determine the effectiveness of the flexible laryngeal mask which protectes the airway from aspiration of blood and secretions of the upper airways compared to the airway management with endotracheal tube during adenotonsillectomy; to determine does the usage of the flexible laryngeal mask in airway management during adenotonsillectomy affects the frequency of post extubation complications compared to the airway management with endotracheal tube, as wll as does the usage of the flexible laryngeal mask in airway management during adenotonsillectomy has an impact on the intensity of postoperative pain compared to the airway management with endotracheal tube, and does the usage of the flexible laryngeal mask in airway management during adenotonsillectomy has an impact on the incidence of postoperative nausea and vomiting compared to the airway management with endotracheal tube. Methodology: One hundred and sixty boys and girls aged from 3 to 8 years scheduled for elective surgical intervention adenotnosillectomy in general anaesthesia were included in this prospective, randomized study. Patients were divided into two groups: 80 patients in whom the airway was managed with a cuffed endotracheal tube (ET group) and 80 patients in whom airway was managed with a laryngeal mask (LMA group). At the end of surgical procedure, in both groups of patients, fiberoptic bronchoscopy was performed to verify the presence of blood in the larynx and trachea. Immediate respiratory complications associated with the use of flexible laryngeal mask or endotracheal tube (cough, airway obstruction and laryngospasm) were monitored following extubation of patients. Postoperative pain assessment was performed using Face, Legs, Activity, Cry, Consolability Scale 2 and 4 hours following surgery as well as the first postoperative day at 7 o'clock a.m. The presence of postoperative nausea and vomiting was confirmed heteroanamnestically by polling the parents the day after surgery at 7 o'clock a.m. The statistical analysis was performed using Statistical Package for Social Sciences - SPSS version 21. The data were presented in tables and graphs, statystical significance was set at p value of less than 0.05. Results: Following surgery there were no any patient in ET or LMA group in which the presence of blood, secretion or regurgitated stomach contents on larynx or in the trachea could be observed by using the fiberoptic bronchoscope. Patients in the ET group had statistically more significant complications compared to patients in the LMA group (χ2 = 4.254; p = 0.039; p <0.05). There is no statistically significant difference in the distribution of patients with and without respiratory complications between ET and LMA groups (χ2 = 3.413; p = 0.065; p> 0.05). In the assessment of postoperative pain using FLACC scale 2 hours following surgical intervention, there is a statistically significant difference in the intensity of postoperative pain in ET patients compared to patients in the LMA group (χ2 = 31.316, p = 0.000, p <0.05). Four hours following surgical intervention, a statistically significant number of patients had mild pain in the ET group compared to the LMA group (χ2 = 40.705; p = 0.000; p <0.05). On the day of release, statistically significant numbers of patients with mild discomfort in the ET group were compared to the LMA group (χ2 = 8,012; p = 0,005; p <0.05). In the LMA group, one or 1.49% of the patients had postoperative nausea and vomiting, while in the ET group, three or 3.56% of the patients had postoperative nausea and vomiting. Conclusion: Flexible laryngeal mask provides equal protection of the distal parts of airway from the blood and secretions during adenotonsillectomy as the endotracheal tube. The frequency of postoperative complications and the intensity of postoperative pain are smaller when a flexible laryngeal mask is used for airway management during adenotonsillectomy. The usage of the flexible laryngeal mask reduces the frequency of postoperative nausea and vomiting during adenotonsillectomy.
Books on the topic "Adenoidectomy"
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The " O, my" in tonsillectomy & adenoidectomy: How to prepare your child for surgery, a parent's manual. Ann Arbor, MI: Loving Healing Press, 2009.
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The "O, my" in tonsillectomy & adenoidectomy: How to prepare your child for surgery. 2nd ed. Ann Arbor, Mich: Loving Healing Press, 2011.
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Dayan, William Z. Changes in incisor position and crowding following adenoidectomy: A serial study utilizing the Burlington Growth serial sample. [Toronto: Faculty of Dentistry, University of Toronto], 1991.
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Choi, Ellen Y. Tonsillectomy and Adenoidectomy in the Pediatric Patient with Down Syndrome. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0019.
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Down syndrome or Trisomy 21 is the most common chromosomal abnormality, affecting some 250,000 individuals, with life expectancy reaching into the fifth decade of life for some. It has characteristic physical features, with associated congenital conditions affecting almost every organ system. While all abnormalities must be taken into account during the preoperative evaluation, conditions of particular significance to the anesthesia provider include obstructive sleep apnea, congenital heart disease, and atlantoaxial instability. This chapter presents for discussion a case of a pediatric patient with Down syndrome undergoing adenotonsillectomy. Additional topics covered include attenuation of the risk of airway fire and management of post-tonsillectomy hemorrhage.
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Publications, ICON Health. Adenoidectomy - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References. ICON Health Publications, 2004.
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SYNDER, George D. Adenoidectomy Nutrition: A Beginner's Step by Step Recovery Guide after Adenoid Surgery, with Curated Recipes. Independently Published, 2021.
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SYNDER, George D. Adenoidectomy Nutrition: A Beginner's Step by Step Recovery Guide after Adenoid Surgery, with Curated Recipes. Independently Published, 2021.
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Rovner, Michelle Sher. Post-Tonsillectomy Bleeding. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0080.
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Post-tonsillectomy bleeding is a well-described complication that can rapidly evolve into one of the most challenging clinical situations in anesthesia. Tonsillectomy and adenoidectomy is one of the most common pediatric surgical procedures. A frequent indication for this procedure is adenotonsillar hyperplasia associated with obstructive sleep apnea. These children may be very challenging to care for and may have significant respiratory and fluid management issues postoperatively. This situation requires immediate attention and action with regard to resuscitation in a hypovolemic patient in combination with the challenges of a potentially difficult airway. This chapter discusses obstructive sleep apnea and its associated increased risk of postoperative complications with regard to tonsillectomy and adenoidectomy. It also reviews risk factors for postoperative tonsillar bleeding and the considerations in treating these children.
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Zelinger, Laurie, and Perry Zelinger. Please Explain Tonsillectomy & Adenoidectomy To Me: A Complete Guide to Preparing Your Child for Surgery, 3rd Edition. Loving Healing Press, 2018.
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Zelinger, Laurie, and Perry Zelinger. Please Explain Tonsillectomy & Adenoidectomy to Me: A Complete Guide to Preparing Your Child for Surgery, 3rd Edition. Loving Healing Press, 2019.
Find full textBook chapters on the topic "Adenoidectomy"
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Siegel, Bianca, and Sanjay R. Parikh. "Adenoidectomy." In Encyclopedia of Otolaryngology, Head and Neck Surgery, 54–58. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-23499-6_803.
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Stavrakas, Marios, and Hisham S. Khalil. "Post Adenoidectomy Haemorrhage." In Rhinology and Anterior Skull Base Surgery, 385–86. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-66865-5_79.
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Zalzal, Habib G., Chadi A. Makary, and Hassan H. Ramadan. "Adenoidectomy and Sinus Lavage." In Pediatric Rhinosinusitis, 203–10. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-22891-0_16.
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Cayer, Makara E. "Pediatric Tonsillectomy and Adenoidectomy." In Anesthesiology, 297–304. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-50141-3_38.
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Robb, Peter J. "The Adenoid and Adenoidectomy." In Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 285–91. Eighth edition. | Boca Raton : CRC Press, [2018] | Preceded by Scott-Brown’s otorhinolaryngology, head and neck surgery.: CRC Press, 2018. http://dx.doi.org/10.1201/9780203731017-26.
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Brock-Utne, John G. "Case 50: A Routine Tonsillectomy and Adenoidectomy." In Near Misses in Pediatric Anesthesia, 153–54. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7040-3_50.
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Sood, Salil, Mary-Louise Montague, and Ravi Sharma. "Paediatric post-tonsillectomy and post-adenoidectomy haemorrhage." In ENT Head & Neck Emergencies, 235–40. Boca Raton : CRC Press, [2019]: CRC Press, 2018. http://dx.doi.org/10.1201/9781315228624-26.
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Park, Keehyun. "Otitis Media and Tonsils – Role of Adenoidectomy in the Treatment of Chronic Otitis Media with Effusion." In Recent Advances in Tonsils and Mucosal Barriers of the Upper Airways, 160–63. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000324781.
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Golla, Suman. "Adenoidectomy." In Operative Otolaryngology: Head and Neck Surgery, 33–37. Elsevier, 2008. http://dx.doi.org/10.1016/b978-1-4160-2445-3.50009-1.
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"Adenoidectomy." In ENT: An Introduction and Practical Guide, 72–74. CRC Press, 2011. http://dx.doi.org/10.1201/9781444149098-16.
Full textConference papers on the topic "Adenoidectomy"
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Pizzi, Nicolino J., Sandhya Kapoor, and Jon M. Gerrard. "Hematology Expert System (HES) For Tonsillectomy/Adenoidectomy Patients." In SPIE 1989 Technical Symposium on Aerospace Sensing, edited by Mohan M. Trivedi. SPIE, 1989. http://dx.doi.org/10.1117/12.969339.
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Andrianopoulou, S., M. Schmitt, and V. Grüßinger. "Burkitt lymphoma after adenoidectomy – Importance of histologic examination." In Abstract- und Posterband – 89. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Forschung heute – Zukunft morgen. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1640713.
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Chládková, Jirina, Tomáš Rybnikár, Marian Šenkerík, and Jaroslav Chládek. "Nasal nitric oxide in children with adenoidal hypertrophy and the effect of adenoidectomy." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa2082.
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Sivan, Yakov, Keren Armoni Domany, Guy Gut, Elad Dana, Riva Tauman, and Bat El Yakir. "Comparison between adenotonsillectomy and adenoidectomy in the treatment of obstructive sleep apnea in children." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.oa1477.
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Yu, Chi, Gang Wang, and Jing Zhang. "Numerical simulation of the adenoidectomy preoperative and postoperative upper airway in children with OSAHS." In the 3rd International Conference. New York, New York, USA: ACM Press, 2016. http://dx.doi.org/10.1145/3022702.3022708.
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Stupp, F., AS Grossi, TK Hoffmann, F. Sommer, and J. Lindemann. "Quality of life in children and parental satisfaction after adenoidectomy ± tonsillotomy in long-time follow-up." In Abstract- und Posterband – 90. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Digitalisierung in der HNO-Heilkunde. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1686586.
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Wang, Ying, Yingxi Liu, Xiuzhen Sun, Zhaoyue Chen, and Fei Gao. "Evaluation of the Upper Airway in Children with Obstructive Sleep Apnea Undergoing Adenoidectomy Using Computational Fluid Dynamics." In 2009 2nd International Conference on Biomedical Engineering and Informatics. IEEE, 2009. http://dx.doi.org/10.1109/bmei.2009.5305292.
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