Objective. This guideline provides otolaryngologists with evidence-based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep-disordered breathing and are candidates for tonsillectomy, with or without adenoidectomy. Polysomnography is the electrographic recording of simultaneous physiologic variables during sleep and is currently considered the gold st...

OBJECTIVES/HYPOTHESIS Tonsillectomy is one of the most frequently performed pediatric surgical procedures worldwide. The complications of this procedure include postoperative nausea and vomiting (PONV) and pain; therefore, both the treatment and prevention of PONV are important. Classical antiemetics include drug therapies such as ondansetron, which are undesirable because they often carry a hi...

OBJECTIVES/HYPOTHESIS To examine differences between total tonsillectomy and partial intracapsular tonsillectomy techniques that may lead to differences in overall cost and resource utilization between these procedures. Preoperative, perioperative, and postoperative management and outcome factors were examined. STUDY DESIGN Retrospective review at two university-based tertiary care hospitals ...

Coblation is a new soft tissue surgical technique that is being used for tonsillectomy. Published results show a significant decrease in the amount of post-operative pain experienced by patients undergoing coblation tonsillectomy. There has been no published work to date on the incidence of post-operative haemorrhage. From August 2001 to November 2002 one surgeon performed 36 coblation tonsille...

Five cases of recurrent immunoglobulin A nephropathy (IgAN) after kidney transplantation were successfully treated by tonsillectomy and steroid pulse therapy (SPT). The clinical background and pathology in the five cases were different, but good results were obtained in all of them. In cases 1 and 2, mild recurrent IgAN developed and failed to remit after tonsillectomy alone, but a remission wa...

Tonsillar lipomas are rare benign tumors, with only a limited number of cases reported in the literature. Excision of the lipoma along with tonsillectomy has been proposed as the usual treatment option. We report a case of tonsillar lipoma which was managed by excision of the lesion without the need for a tonsillectomy. No recurrence was reported at a 2-year followup. A worldwide literature rev...

Introduction Although the number of tonsillectomy and adenoidectomy procedures has declined over the past 50 to 60 years, these operations continue to be among the procedures performed most commonly in the United States, second only to myringotomy with tube insertion. According to the most recent compilation of national health statistics (1996), more than 287,000 children younger than age 15 ye...

Pediatricians play an important role in the perioperative care of hospitalized children after tonsillectomy and are often called upon to manage posttonsillectomy problems in the outpatient setting. The tonsillectomy operation has changed in recent years. More children are operated upon for sleep disordered breathing and fewer for recurrent pharyngitis. New instruments now permit less invasive s...

BACKGROUND Tonsillectomy is a commonly performed and relatively safe surgical procedure. However, it can potentially be associated with several complications. We report a case of facial subcutaneous emphysema that occurred after elective tonsillectomy. CASE Tonsillectomy was performed on a patient with a history of frequent tonsillitis. After surgery, the patient developed facial subcutaneous...

OBJECTIVES/HYPOTHESIS To evaluate the risk of post-tonsillectomy hemorrhage associated with perioperative ketorolac use. STUDY DESIGN Systematic review and meta-analysis of primary articles reporting individual-level post-tonsillectomy hemorrhage rates in subjects receiving perioperative ketorolac and matched controls. Retrospective and prospective studies were both included. METHODS PubMed...