Although there are statistically significant trends uncovered by the survey, the results reflect a lack of consensus regarding adenotonsillectomy management. Further randomized controlled trials or large-scale outcomes projects are much needed to evaluate critically the current practices of pediatric adenotonsillectomies. Additional efforts may also be required to use the information from these studies in effecting changes in actual practice patterns, moving us toward a more evidence-based paradigm of treating pediatric adenotonsillar disease.

Laryngospasm resulting in PPE may occur in both children and adults after various otolaryngologic procedures. Among the subgroup of children, our study is the first to report its occurrence in healthy children without sleep apnea undergoing elective surgery.

Objectives: The use of nutritional supplements and herbal medications in the United States is becoming increasingly popular. Otolaryngology patients may not report nutritional supplement or alternative therapy use when asked during the medical history. However, its use may have adverse effects, such as interfering with prescribed medications or causing coagulation abnormalities. The objectives of this study are to make otolaryngologists aware of the potential effects of alternative therapies and nutritional supplements commonly used by patients. Methods: Surveys were completed by otolaryngology patients in the clinic and private offices. This study was conducted at the University Hospital and its affiliates. Additional case examples were included and a literature review was performed. Results: Numerous nutritional, herbal, and alternative therapies were used. The treatments were usually not considered a “medication” by the patient. The products used were both for health maintenance and treatment of disease. Salicylate derivatives were one of the most common ingredients in nutritional supplement mixtures. Conclusion: Nutritional supplements and alternative therapies may not be elicited in the medical history or reported as medication by the patient. The otolaryngologist needs to be more aware of the use of alternative and complementary medicines to prevent adverse effects of treatment.