Ear, nose and throat manifestation of viral systemic infections in pediatric patients

Mansi, Nicola; Maio, Vincenza; Volpe, Annibale; Ripa, G; Malafronte, Luigi; Filippis, Cosimo de

doi:10.1016/s0165-5876(09)70006-0

Cited by 4 publications

(3 citation statements)

References 61 publications

(62 reference statements)

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“…Reduced haemorrhagic events are legitimated because the intracapsular resection may cause damage to the blood vessels of lesser gravity compared to the muscle fascia [27,28]. Generally speaking, postoperative haemorrhage cases in intracapsular tonsillotomy are observed in less than 1% of cases, compared to 1-6% of cases for classic total tonsillectomy [29]. The data are upheld by the medical literature and agree with our study results.…”

Section: Discussionsupporting

confidence: 88%

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Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS

Mesolella

Allosso

Coronella

et al. 2023

JPM

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Objective: The objective of our study was to compare our experience of intracapsular tonsillotomy performed with the help of a microdebrider usually used for adenoidectomy with results obtained from extracapsular surgery through dissection and from adenoidectomy in cases of people affected with OSAS, linked to adeno-tonsil hypertrophy, observed and treated in the last 5 years. Methods: 3127 children with adenotonsillar hyperplasia and OSAS-related clinical symptoms (aged between 3 and 12 years) underwent tonsillectomy and/or adenoidectomy. A total of 1069 patients (Group A) underwent intracapsular tonsillotomy, while 2058 patients (Group B) underwent extracapsular tonsillectomy, from January 2014 to June 2018. The parameters considered in order to evaluate the effectiveness of the two different surgery techniques taken into consideration were as follows: the presence of possible postoperative complications, represented mainly by pain and perioperative bleeding; the level of postoperative respiratory obstruction compared with the original obstruction through night pulse oximetry, performed 6 months before and after the surgery; tonsillar hypertrophy relapse in Group A and/or the presence of residues in Group B with clinical evaluation performed 1 month, 6 months, and 1 year after the surgery; and postoperative life quality, evaluated through submitting to parents the same survey proposed before the surgery 1 month, 6 months, and 1 year after the surgery. Results: Regardless of the technique used (extracapsular tonsillectomy or intracapsular tonsillotomy), there was a clear improvement in both the obstructive respiratory symptomatology and quality of life in both patient groups, as highlighted by the pulse oximetry and the OSA-18 survey submitted later. Conclusions: Intracapsular tonsillotomy surgery has improved in terms of a reduction in postoperative bleeding cases and pain reduction, with an earlier return to patients’ usual lifestyle. Lastly, using a microdebrider with the intracapsular technique seems to be particularly effective in removing most of the tonsillar lymphatic tissue, leaving only a thin border of pericapsular lymphoid tissue and preventing lymphoid tissue regrowth during one year of follow-up.

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Section: Discussionsupporting

confidence: 88%

“…In extracapsular dissection, muscle fibres of the palatoglossus or palatopharyngeus can sometimes be accidentally injured during cutting or simply by pulling the tonsil in the dissection. This does not occur in intracapsular dissection [26,[28][29][30].…”

Section: Discussionmentioning

confidence: 96%

Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS

Mesolella

Allosso

Coronella

et al. 2023

JPM

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“…During the first trimester, rubella infection, especially in the first 8-10 weeks, may lead to severe cardiac and ocular problems. Rubella may cause isolated hearing loss if women have rubella infection towards the end of the first half of the pregnancy [6,7]. Due to congenital rubella infection, generally sensorineural and bilateral hearing loss occurs.…”

Section: Measles Mumps Rubella and Varicella Infectionsmentioning

confidence: 99%

Immunization for Prevention of Ear, Nose, and Throat Infections in Children

Gürlevik

Kara

Arısoy

2021

Pediatric ENT Infections

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A critical analysis and appraisal of the management of croup in the UK out-of-hospital environment

Francis

2015

Journal of Paramedic Practice

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This article aims to explore the epidemiology, aetiology and pathophysiology of laryngotracheobronchitis (croup), a commonly presenting illness faced by paramedics attending young children in the community. In this article, current evidence surrounding pharmacotherapies for croup shall be discussed with relevance to paramedic practice. Furthermore, current dosages, routes of administration, cost-effectiveness and weight-based drug calculations will be outlined and debated alongside the current evidence base.

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Ear, nose and throat manifestation of viral systemic infections in pediatric patients

Cited by 4 publications

References 61 publications

Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS

Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS

Immunization for Prevention of Ear, Nose, and Throat Infections in Children

A critical analysis and appraisal of the management of croup in the UK out-of-hospital environment

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