Adenoids and tonsils are active lymphoid organs and play an important role against invading antigens of upper aerodigestive tract in children. The present study analyzes the changes in cellular and humoral immunity of children six months after adenotonsillectomy. The study population consisted of 30 children whit chronic adenotonsillar hypertrophy and 30 age-matched healthy children. In all chi...

UNLABELLED Palatine and pharyngeal tonsils are immune reactive lymphoid organs that manifest specific antibodies and B/T-cell activity to respond to a variety of antigens. They perform humoral and cellular immune functions. The possible effects of adenotonsillectomy upon the immune system remain controversial. OBJECTIVE To study the short and long-term impacts of tonsillectomy upon the cellul...

UNLABELLED Several studies have demonstrated the impact of obstructive sleep disorders on the quality of life of children. However, few studies address school and intellectual performances of children who have undergone tonsillectomy or adenotonsillectomy, indicating the benefits of these surgeries. OBJECTIVE To evaluate and compare the learning and intellectual performances of children submi...

BACKGROUND To describe the process involved in developing a decision aid prototype for parents considering adenotonsillectomy for their children with sleep disordered breathing. METHODS A paper-based decision aid prototype was developed using the framework proposed by the International Patient Decision Aids Standards Collaborative. The decision aid focused on two main treatment options: watch...

BACKGROUND Snoring children may present symptoms suggestive of obstructive sleep apnea syndrome (OSAS). Different and controversial methods to establish the diagnosis and to choose the treatment modalities have been proposed. OBJECTIVES To study children with symptoms raising the suspicion of OSAS with overnight polysomnography (PSG). To evaluate the efficacy of adenotonsillectomy as treatmen...

OBJECTIVES This revised clinical practice guideline, intended for use by primary care clinicians, provides recommendations for the diagnosis and management of the obstructive sleep apnea syndrome (OSAS) in children and adolescents. This practice guideline focuses on uncomplicated childhood OSAS, that is, OSAS associated with adenotonsillar hypertrophy and/or obesity in an otherwise healthy chil...

Abstract Introduction Prolonged wait times to ENT surgery, combined with the risk for post-operative respiratory events in children severe OSA led a clinical pathway of implementing CPAP therapy whilst on waiting lists adenotonsillectomy. This study evaluated impact this care these patients. Methods A retrospective review medical records patients under 18yrs age diagnosed and initiated awaiting...

Sir,—I would like to offer my congratulations to Dr. Andrew Doughty for his excellent paper entitled " Anaesthesia for Adenotonsillectomy" (Brit. J. Anaesth. (1957), 29, 407). As Dr. Doughty so rightly points out, the child should be entitled to receive the maximum benefits from the improvements in anaesthetic techniques which have taken place during recent years. I cannot, however, agree with ...