Current practice patterns in tonsillectomy and perioperative care

Krishna, Priya; LaPage, Martin J.; Hughes, Larry F.; Lin, Sandra Y.

doi:10.1016/j.ijporl.2004.01.010

Cited by 58 publications

(60 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(5) There is no uniformly accepted method of performing tonsillectomy. Results obtainable from national audits may vary considerably: while electrosurgical means are popular in the USA [24], the UK [25] or Sweden [26], this may not be the case in other countries [27]. Although Pinder et al [28] stated that there are insufficient data to show that one method of tonsillectomy is superior, this is not supported by various other reports.…”

Section: Discussionmentioning

confidence: 99%

Serious Complications following Tonsillectomy: How Frequent Are They Really?

Windfuhr¹

2013

ORL

View full text Add to dashboard Cite

Introduction: Quality assurance in health care involves the evaluation of outcomes, cost-benefit ratios, and access to the delivery system. This literature review was undertaken to clarify the incidence of serious posttonsillectomy complications to better understand the outcome component of quality assurance. Material and Methods: A Medline review was undertaken using the key word ‘tonsillectomy' AND each of the following: ‘serious', ‘complications' and ‘review'; ‘meta-analysis', ‘Cochrane'; ‘life-threatening', ‘death' and ‘disability'. Results: 454 articles were identified with the following search items in combination with ‘tonsillectomy': ‘serious' (154), ‘complications', ‘review' (24), ‘meta-analysis' (38), ‘Cochrane' (43), ‘life-threatening' (87), ‘death' (91), ‘disability' (17). Sixty-seven articles described a complication rate and were therefore eligible for review: 22 case reports, 9 case series, 2 questionnaires and 33 studies with a more or less precise complication rate were obtainable. Most articles (n = 30) reported the rate of posttonsillectomy hemorrhage with a considerable range. Fifteen articles reported the incidence of death, which ranged from 1:7,132 to 1:170,000 and almost always resulted from excessive hemorrhage. All other complications were mentioned in case reports. Conclusion: The most common postoperative complication of tonsillectomy is bleeding. However, the incidence varies considerably across studies depending on the study design, follow-up and definition of postoperative bleeding. Other serious adverse events, such as neurological disabilities, emphysema (with or without pneumomediastinum), or vascular problems outside the neck are infrequent.

show abstract

Section: Discussionmentioning

confidence: 99%

Serious Complications following Tonsillectomy: How Frequent Are They Really?

Windfuhr¹

2013

ORL

View full text Add to dashboard Cite

show abstract

“…New techniques are defined day by day. Studies comparing various techniques are also increasing at that rate in parallel with these developments (Krishna et al, 2004). Classic cold technique is one of the oldest methods and advantages and disadvantages of a new technique are often compared with this old method.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

et al. 2017

View full text Add to dashboard Cite

26) Prague Medical Report / Vol. 118 (2017) Key words: Tonsillectomy -Thermal welding -Cold technique -Postoperative painAbstract: The aim of this study is to compare objectively advantages and disadvantages of cold technique tonsillectomy and thermal welding tonsillectomy at the same case. A total of 100 patients, 53 patients younger than 12 years of age and 47 patients elder than 12 years of age, were included in this study. Tonsillectomy was performed by using cold technique on the right side of the palatine tonsils and thermal welding on the left side. Right and left sides were compared regarding perioperative bleeding, surgical dissection time, postoperative pain scale at the 1 st and 7 th day and postoperative bleeding parameters. Perioperative bleeding was found to be higher in cold technique side in patients younger than 12 years of age (p<0.001). Postoperative pain score on the day 1 was significantly higher in cold technique side, whereas it was found to be higher in thermal welding side at postoperative day 7 (p<0.001). Perioperative bleeding was found to be significantly higher in cold technique side (p<0.001) and surgical dissection time of thermal welding was found to be longer (p<0.001) in patients elder than 12 years of age. Postoperative pain score at the day 1 and day 7 was found to be higher in thermal welding side (p<0.001). Postoperative pain score at the day 1 and day 7 were statistically significantly higher in patients elder than 12 years of age. As a result, both techniques have its unique superior aspects and both can be applied as a routine tonsillectomy technique.

show abstract

“…Complete resection of the tonsils with adenoidectomy is preferred over partial intra capsular tonsillectomy (tonsillotomy) as it reduces postoperative morbidity (pain), but postoperative objective measures of efficacy (AHI reduction) are lacking [65][66][67] . Tonsillectomy improves quality of life parameters in children with OSA, with improvements in the behaviour scores and sleep disturbances [68][69][70][71] .…”

Section: Tonsillectomymentioning

confidence: 99%

Diagnosis and Management of Obstructive Sleep Apnea

Mehta¹,

Ariga²

2014

J Biol Sci Opin

View full text Add to dashboard Cite

Sleep is defined as a naturally recurring state characterized by altered consciousness, relatively inhibited sensory activity and inhibition of nearly all voluntary muscles. Poor sleep quality results in excessive daytime sleepiness, impaired health status, depressive symptoms and poor quality of life. Upper airway sleep disorders (UASD) are becoming commonly recognized by medical and dental communities. Snoring is a mild form of these disorders. Obstructive Sleep Apnea (OSA) is a severe yet under-diagnosed sleep related breathing disorder. It is characterized by repetitive complete or partial occlusion of the upper airway, resulting in apnea, hypopnea, oxygen desaturation and sleep fragmentation. OSA can lead to a series of systemic, dental and psychological problems if left untreated. Efforts have been made to pin-point the symptoms to effectively evaluate this disorder and to efficiently treat it. This review gives a brief description on the evaluation criteria, associated systemic complications and series of invasive and non invasive treatment options for management and improvement of individuals affected with OSA.

show abstract

Current practice patterns in tonsillectomy and perioperative care

Cited by 58 publications

References 22 publications

Serious Complications following Tonsillectomy: How Frequent Are They Really?

Serious Complications following Tonsillectomy: How Frequent Are They Really?

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

Diagnosis and Management of Obstructive Sleep Apnea

Contact Info

Product

Resources

About