OBJECTIVE To investigate the association of the 2011 American Academy of Otolaryngology Head and Neck Surgery guidelines with perioperative care processes and outcomes in children undergoing tonsillectomy. METHODS We conducted a retrospective cohort study of otherwise healthy children undergoing tonsillectomy between January 2009 and January 2013 at 29 US children's hospitals participating in...

This study aimed to compare the effectiveness and safety of coblation annuloplasty and radiofrequency thermocoagulation for lumbar discogenic pain.Patients who suffered from lumbar discogenic pain and underwent coblation annuloplasty and radiofrequency thermocoagulation surgery were included. A questionnaire, including the visual analo scale (VAS), MacNab criteria, pain relief rate, and any com...

STUDY DESIGN Intradiscal pressure was measured after percutaneous disc decompression by nucleoplasty in human cadavers with different degrees of disc degeneration. OBJECTIVES To assess intradiscal pressure change after disc decompression, and to analyze the influence of degeneration on the intradiscal pressure change. SUMMARY OF BACKGROUND DATA Partial removal of the nucleus has been shown ...

BACKGROUND Adenoidectomy is one of the most common surgical procedures performed in children in the United States. Indications for adenoidectomy include chronic or recurrent otitis media, as well as subjective upper airway obstructive symptoms such as nasal obstruction with chronic mouth breathing, snoring, chronic rhinitis, and chronic or recurrent sinusitis. When the indication includes obstr...

Management of anterior laryngeal web is a challenge with risk adhesions without usage keel. In the absence standard keels, we present technique using silastic sheets and feeding tube placing keel endoscopically in close after coblation web.

Introduction: The present study aimed to compare the effect of cold diet and diet at room temperature on post-tonsillectomy pain in children.   Materials and Methods: In the present study a total of 120 children within the age range of 4-12 years who underwent tonsillectomy were randomly assigned to two groups, namely group C with a cold-served diet and group room temperaturewith a room-tempera...

Introduction: Tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. The relief of postoperative pain helps increase early food intake and prevent secondary dehydration. One method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in ...

OBJECTIVES/HYPOTHESIS The study aims to reconcile conflicting published reports regarding the clinical efficacy of a single intraoperative dose of dexamethasone in reducing post-tonsillectomy morbidity. STUDY DESIGN Systematic overview (meta-analysis). METHODS To critically evaluate the existing evidence, we performed a formal meta-analysis of eight double-blinded, randomized, placebo-contr...

BACKGROUND The goal of the study was to evaluate the incidence and possible predictive factors of post-tonsillectomy hemorrhage (PTH) in patients with peritonsillar abscess, treated by acute abscess tonsillectomy. METHODS A retrospective cohort study was performed on 205 patients who underwent bilateral abscess tonsillectomy under general anesthesia. Age, sex, smoking habits, history of recur...

OBJECTIVES Traditionally secondary post-tonsillectomy haemorrhage has been thought to be due to post-operative infection and as such is treated with broad-spectrum antibiotics. The aim of this study was to identify clinical evidence of infection in patients with secondary post-tonsillectomy haemorrhage that might justify the use of antibiotics in these patients. DESIGN Prospective data collec...