Morbilidad “habitual” de la amigdalectomía pediátrica: Estudio de 126 casos

Castellano, Pilar Giraldo; Gámiz, M.J.; Bracero, Fidel de Jesús Moras; Santiago, F.; Soldado, L; Solanellas, J; Ruiz-Mondéjar, A.; Esteban, Francisco

doi:10.1016/s0001-6519(01)78225-8

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…33,34 The most relevant post-operative complications are hemorrhage (5 to 11%), 35,36 intense odynophagia (5%), dehydration (4%), vomiting (3%) and fever (1%), extending the hospitalization time, costs, risks and rehabilitation period. [37][38][39][40] According to the Brazilian Health Ministry data of 2017, the tonsillectomy annual demand in public For results based on all patients n = 20 (100%). Degree of pain based on pain scale 0-10; days with pain (mean, median); days for solid diet restoration (mean, median).…”

Section: Discussionmentioning

confidence: 99%

Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis

et al. 2022

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Introduction: Chronic tonsillitis has a global prevalence, ranging from 5% to 12%. Its clinical manifestations, like recurrent acute tonsillitis, tonsils hypertrophy, caseum and halitosis, can lead adult patients to be submitted to palatine tonsillectomy, surgery that has morbidity and the potential risk of complications, including severe bleeding. This article proposes a new therapy for chronic tonsillitis in adult patients using a fractional carbon dioxide (CO2) laser, which is a fast, minimally invasive procedure capable of removing the need for the traditional tonsillectomy in many patients. The present research aimed to verify the efficacy of tonsillotomy by fractional ablation using the CO2 laser by comparing the number of bacterial infections, tonsils hypertrophy, halitosis and caseum; it is also aimed at analyzing the benefits, risks and complications of the technique. Methods: In this clinical prospective study, 20 patients were subjected to one session of tonsillotomy by fractional ablation and were followed up for a year. The control group was formed by the same patients in the pre-procedure period (one year) without treatment. Statistical analysis: The Wilcoxon paired test, Friedman tests, and multiple non-parametric comparisons were utilized to analyze the data (significance level of 5%). Results: No complications occurred, and the procedure was fast (30 seconds), safe and tolerated well without general anesthesia. After 1 year, there was a total remission of recurrent acute tonsillitis in 95% of the patients, and after 6 months there was a statistically significant improvement in halitosis and caseum, and tonsils size reduction (P<0.05). The level of satisfaction average was 10 after 3 months and 8 after one year. Conclusion: tonsillotomy by fractional ablation using the CO2 laser is a safe, efficient procedure for chronic tonsillitis in adults, and it can be incorporated into daily clinical practice.

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Section: Discussionmentioning

confidence: 99%

Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis

et al. 2022

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“…Many studies have documented increased pain scores between 3 and 7 days postoperatively, [25][26][27] and otalgia is also a well-documented risk and seen in up to 69 per cent of children post-tonsillectomy. 28,29 Increasing awareness of these common side effects of tonsillectomy could help assuage patient and parent worries in the postoperative period and help reduce the incidence of post-operative general practitioner and hospital attendances.…”

Section: General Post-operative Risksmentioning

confidence: 99%

Post-tonsillectomy advice: the UK patient experience

2022

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Objective Tonsillectomy is a common surgical procedure in the UK. This study critically examined the current advice provided by UK hospitals to patients about post-operative care. Method Post-tonsillectomy patient advice sheets were obtained from 110 UK National Health Service trusts and equivalent organisations. Their contents were analysed and compared with published literature to determine whether the advice being given to patients was evidence-based. Results Post-tonsillectomy dietary and fluid intake advice varied between hospitals; although many recommended eating and drinking a normal diet (88 per cent), some recommended eating ‘hard’ (26 per cent) or ‘soft’ (8 per cent) foods. Non-evidence based advice given included avoiding fizzy drinks (21 per cent), fruit juices (9 per cent) and using chewing gum (51 per cent). Reported post-operative risks and safety-netting also varied. Conclusion Much of the advice in the available printed information appeared to be anecdotal and not based on, or was contrary to, published evidence. After review of the literature, an evidence-based post-tonsillectomy patient advice sheet was generated for dissemination.

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Comparison of celecoxib and acetaminophen for pain relief in pediatric day case tonsillectomy: A randomized double‐blind study

Faramarzi

Roosta

Eghbal

et al. 2021

Laryngoscope Investig Oto

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Objective Post‐tonsillectomy pain is a common morbidity in children. The aim of this study was to compare the efficacy of celecoxib with acetaminophen on pain relief in pediatric day‐case tonsillectomy. Methods We compared the analgesic effect of celecoxib (99 patients) with acetaminophen (100 patients) for the management of post‐tonsillectomy pain. Post‐tonsillectomy pain score was evaluated three times a day for 7 days. In addition, the incidence of post‐tonsillectomy bleeding and the rate of patients who returned to regular diet were evaluated. Results In the first day, we observed lower mean pain score in the celecoxib group, than the acetaminophen group (P = 0.013). The overall pain score in other days was not significantly different between the two groups. In the celecoxib group, more patients resumed regular amount of oral intake within the first 3 days. Also, the rate of post‐tonsillectomy bleeding in the two groups was not statistically different. Conclusion We recommend celecoxib as a more suitable choice than acetaminophen for post‐tonsillectomy pain management in the first day and resuming regular diet within 3 days. Level of Evidence: 1b.

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Morbilidad “habitual” de la amigdalectomía pediátrica: Estudio de 126 casos

Cited by 6 publications

References 23 publications

Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis

Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis

Post-tonsillectomy advice: the UK patient experience

Comparison of celecoxib and acetaminophen for pain relief in pediatric day case tonsillectomy: A randomized double‐blind study

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