OBJECTIVES/HYPOTHESIS To identify clinical risk factors for oxygen desaturation in the first 24 hours post-tonsillectomy, thus permitting the identification of those patients who warrant inpatient monitoring. STUDY DESIGN A retrospective analysis of 4092 consecutive patients undergoing tonsillectomy over a two-year period. METHODS Detailed clinical data were recorded for all patients who de...

OBJECTIVE This trial aimed to compare the guillotine technique of tonsillectomy with 'cold steel' dissection, the current 'gold standard'. DESIGN A single centre, randomised, controlled trial. METHODS One hundred children aged 3 to 11 years who were listed for bilateral tonsillectomy were recruited. Patients had one tonsil removed by each technique, and were blinded to the side. The operati...

OBJECTIVE To compare the analgesic efficacy of hydrogen peroxide (H2O2) mouth rinse with control for post-tonsillectomy pain management. DESIGN Double-blinded, prospective, randomized, controlled clinical trial. PATIENTS AND METHODS Thirty-seven patients from 5 to 14 years old undergoing electrocautery tonsillectomy were randomized to either the H2O2 mouth rinse or the water rinse (control)...

OBJECTIVE To compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. METHODS AND SETTING Patients who had tonsillectomy at Aga Khan University Hospital, between January 1994-December 1997. RESULTS Four year retrospective analysis was done of 200 patients who underwent tonsillectomy by either electrocaute...

INTRODUCTION Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post-...

Background: Peritonsillar infiltrations of local anesthetics and/or locally active analgesic drugs have been used in several studies for relief of post-tonsillectomy pain with variable results in quality and duration of analgesia. Aim: This study was designed to compare the effects of peritonsillar infiltration of lidocaine versus tramadol or placebo on postoperative pain after tonsillectomy. M...

BACKGROUND Pediatric sleep disordered breathing is often caused by hypertrophy of the tonsils and is commonly managed by tonsillectomy. There is controversy regarding which postsurgical analgesic agents are safe and efficacious. METHODS This prospective randomized clinical trial recruited children who had sleep disordered breathing who were scheduled for tonsillectomy +/- adenoid removal. Par...

OBJECTIVE To compare the postoperative complications of intracapsular tonsillectomy using a microdebrider with traditional electrodissection tonsillectomy. DESIGN Retrospective chart review. SETTING Tertiary care pediatric referral center. PATIENTS The medical records of 2944 patients undergoing tonsillectomy with or without adenoidectomy at our institution between January 1, 2002, and Ma...

Preanesthetic medication in paediatric patients is well known to be a challenge for anaesthesiologists. Premedication population helps produce relaxed state with reduced anxiety and increased compliance as ease separation from parent allowing the patient tolerate co-operate necessary procedure. Our aim do comparation of dexmedetomidine midazolam given via intranasal route children posted tonsil...

OBJECTIVE Although adenotonsillectomy is the accepted treatment for obstructive sleep apnea (OSA) in the pediatric population, tonsillectomy has not been widely adopted in adults, and its success in this group has not been well reported. Despite the lack of current evidence, there may be an important role for tonsillectomy in selected adult cases, and further study is required. This is a pilot ...