OBJECTIVE To evaluate the rate of posttonsillectomy hemorrhage and any change that smoking causes in patients who undergo tonsillectomy. DESIGN Retrospective chart review. SETTING Military tertiary referral center. PATIENTS The study included 1036 adult patients who underwent tonsillectomy either alone or in conjunction with another procedure. MAIN OUTCOME MEASURES The rate of postopera...

I read the article written by Ranieri Junior et al. in your journal and aggree with the authors’ take. The use of a laryngeal mask airway in adenotonsillectomies is possible; however, the tracheal tube is safer compared to the laryngeal mask. In recent publications, the use of LMA is reported superior to endotracheal entubation at adenotonsillectomy operations. I believe that LMA use for pediat...

OBJECTIVES An assessment of the effects of ginger on pain, nausea, vomiting, bleeding, and wound site healing that occur after tonsillectomy. METHODS This prospective clinical study was participated by 49 patients aged 18-45 years out of 56 patients that underwent tonsillectomy and regularly attended follow-up visits. The patients were randomly divided into two groups. Group 1 consisted of 23...

OBJECTIVE To develop strategies that may assist the surgeon to prevent and manage severe bleeding complications after adenoidectomy and tonsillectomy. STUDY DESIGN Retrospective. SUBJECTS AND METHODS Expert reports for malpractice lawsuits or professional boards were reviewed. The review was restricted to "deaths" and "permanent generalized neurological deficiencies." RESULTS Forty-three ...

INTRODUCTION The authors present a potential complication associated with the surgical management of post-tonsillectomy haemorrhage using absorbable cellulose haemostatic dressings. The article discusses the deficiencies of our current understanding of how best to manage this common and potentially life-threatening ENT emergency. CASE REPORT A 40-year-old man presented to Accident-and-Emergen...

Objective. To compare pediatric and adult age groups in terms of postoperative bleeding and pain following tonsillectomy performed by thermal welding system (TWS). Method. The study consisted of 213 patients, of whom 178 were children and 35 were adults. The mean age of the pediatric patients (81 girls and 97 females) was 6.7 ± 2.4 years (range 3-13 years) and the mean age of the adults (20 mal...

CONTEXT Corticosteroids are commonly given to children undergoing tonsillectomy to reduce postoperative nausea and vomiting; however, they might increase the risk of perioperative and postoperative hemorrhage. OBJECTIVE To determine the effect of dexamethasone on bleeding following tonsillectomy in children. DESIGN, SETTING, AND PATIENTS A multicenter, prospective, randomized, double-blind,...

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...

Objective : To evaluate the effects of a single dose of intravenous dexamethasone on postoperative pain and complications after adult tonsillectomy. Methods : Fifty patients scheduled for elective tonsillectomy were recruited to this randomized, double-blind, placebo-controlled study. Dexamethasone 20 mg intravenously was given after intubation in one group whereas the placebo group, saline sol...