Introduction. Controversy exists over whether tonsillectomy will affect speech in patients with known velopharyngeal insufficiency (VPI), particularly in those with cleft palate. Methods. All patients seen at the OHSU Doernbecher Children's Hospital VPI clinic between 1997 and 2010 with VPI who underwent tonsillectomy were reviewed. Speech parameters were assessed before and after tonsillectomy...

A lthough the number of patients undergoing tonsillectomy has gradually declined since the 1970s, it remains one of the most common surgical procedures performed worldwide. The procedure, of course, is fairly routine—but not without risk. Mortality rates for the operation range from 1 in 10,000 to 1 in 35,000, with morbidity rates ranging from 1.5% to 14%; mortality and morbidity after tonsille...

The focus on the first 24 hours of care for respiratory events following tonsillectomy may be misplaced and a broader focus is warranted. Nocturnal hypoxemia, an elevated apnea-hypopnea index, or obstructive sleep apnea contributes to an increased sensitivity to narcotics and postoperative complications. Narcotic pain management depresses respiration through an increase in the frequency of cent...

Tonsillectomy is the most common major surgical procedure performed on children in some countries. In a prospective study over 7 years we compared the incidence of complications in 313 inpatient and 113 outpatient tonsillectomy cases, in children from 3 to 15 years. The mean surgery time in outpatients was 23 min and discharge was 115–223 min after surgery. Complications occurred in 1.65% of in...

Tonsillectomy is one of the surgical procedures that are frequently performed by ear, nose, and throat surgeons. The procedure is associated with many intraoperative and postoperative complications, and the nature of the operation site hampers surgical interventions. Cervicofacial subcutaneous emphysema is characterized by the presence of air within the fascial planes of the head-neck region be...

The objective of this study was to compare the intraoperative time, intraoperative blood loss and post operative pain between coblation tonsillectomy and cold tonsillectomy in the same patient. A prospective single blind control trial was carried out on 34 patients whom underwent tonsillectomy. The patients with known bleeding disorder, history of unilateral peritonsillar abscess and unilateral...

families after a surgical procedure. Finally, the diagnosis of obstructive sleep-disordered breathing on the basis of history findings, with similar assessments of improvement after surgery, does not have the quantitative accuracy of preoperative and postoperative polysomnographic evaluations. Despite these limitations, this study succeeded in showing that intracapsular tonsillar reduction (par...

Tonsillectomy is one of the most common operative procedures in childhood. According to the Croatian national guidelines for the treatment of sore throat (ISKRA guidelines), apsolute indications for tonsillectomy are recurrent tonsillitis (>4 per year) and sleep disordered breathing (including snoring and obstructive sleep apnea). Most children in Croatia undergo conventional cold steel tonsill...

There are a multitude of techniques to undertake tonsillectomy, with hot techniques such as diathermy and coblation being associated with a higher risk of secondary haemorrhage. The UK National Prospective Tonsillectomy Audit (2004) advocated cold steel dissection and ties to be the gold standard. This prospective observational study investigates the trends in tonsillectomy techniques across Wa...

Introduction and objective: To study the pain in children is a challenge. Tonsillectomy very common painful surgical procedure which there are still barriers to warrant an adequate management. The purpose of this characterize after surgery between 3 8 years-old who underwent tonsillectomy.
 Method: We performed descriptive, observational prospective aged tonsillectomy. data collection was ...