Parental satisfaction with post-adenotonsillectomy in the developing world

Afolabi, OA; Alabi, BS; Ologe, Foluwasayo E.; Dunmade, AD; Segun-Busari, S

doi:10.1016/j.ijporl.2009.06.018

Cited by 20 publications

(19 citation statements)

References 29 publications

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“…[8] If surgery does not immediately eliminate these top symptoms, there may be issues with low satisfaction on the parts of parents/caregivers. [1]…”

Section: Discussionmentioning

confidence: 99%

“…[1] The operative methods of this procedure are generally grouped into cold steel/dissection methods and more modern methods such as coblation, use of a harmonic scalpel, suction diathermy, radiofrequency ablation, electrocautery, microdebrider, and laser. Proponents and opponents of these modern methods have hinged their arguments on issues bothering on pain, bleeding, and duration of admission.…”

Section: Introductionmentioning

confidence: 99%

“…[2] In our setting, cold steel adenotonsillectomy is generally the common practice. [13] This method usually involves curetting for the adenoid and intracapsular dissection with tonsillar dissector under general anesthesia. Hemostasis, the main concern of this approach, is ensured by dissection at the right plane.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric adenotonsillectomy in a low resource setting: Lessons and implications

Ameye¹,

Owojuyigbe²,

Adeyemo³

et al. 2016

Niger J Surg

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Objectives:To examine the practices related paediatric adenotonsillectomy in our setting especially in relation to blood request and transfusion, routine investigations, post-operative analgesic practice and complications.Methods:We reviewed the record of paediatric patients who had adenotonsillectomy in our facility over a 5-year period to obtain relevant information to our study.Results:There were 33 males and 19 females with mean age of 3.27 ± 2.76 years. Sinus tachycardia was found in 11(21.2 %) of the subjects and T wave anomaly in 1(1.9%) of the subject. Thirty-five (67.3%) patient had adenotonsillectomy, 13(25.0 %) adenoidectomy only and 4(7.7%) tonsillectomy only. Majority of the patients (24, 46.2%) were classified as ASA physical status I. Pre-operative blood request rate was high (49, 94.3%) though the transfusion rate was 1.9 % (1 patient). Acetaminophen combined with other analgesics was used for post-operative analgesia for most of the patients. There was significant weight gain post-operatively among patientConclusions:Cold steel adenotonsillectomy is safe and effective in our environment. We believe that there is no justification for routine pre-operative blood request as a preconditions for surgery. We also like to suggest that post-operative pain management be streamlined taking into consideration the available analgesics in our setting.

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“…[8] If surgery does not immediately eliminate these top symptoms, there may be issues with low satisfaction on the parts of parents/caregivers. [1]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric adenotonsillectomy in a low resource setting: Lessons and implications

Ameye¹,

Owojuyigbe²,

Adeyemo³

et al. 2016

Niger J Surg

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“…[10,11] There is a strong parental satisfaction after adenotonsillectomy owing to the resolution of symptoms of their children/wards. [19] This further gives credence to the fact that adenotonsillectomy is the treatment of choice for adenotonsillar enlargement.…”

Section: Discussionmentioning

confidence: 84%

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Mbam

Adeosun

Akinyemi

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To compare the nocturnal oxygen saturation profiles of children with adenotonsillar enlargement with that of normal children. A 1 year comparative study. The study was carried out at the Otorhinolaryngology Ward of the University College Hospital Ibadan. These comprise of 60 children (1-9 years) with clinically confirmed adenotonsillar enlargement admitted for adenotonsillectomy and 60 normal children matched for age and sex. The biodata and common clinical presentations of the study group were acquired with a structured proforma. The severity of nasopharyngeal obstruction was determined by the adenoidal-nasopharyngeal ratio while the degree of tonsillar enlargement was graded by the Brodsky's classification. The nocturnal oxygen saturation of all the participants were recorded with a wrist worn pulse oximeter. Recording was for at least for 4 h. Oxygen saturation \92 % was regarded as desaturation. The oximetric values of the study and control group were compared. The mean nocturnal SPO 2 (peripheral saturation of oxygen) profiles of children with adenotonsillar enlargement were as follows: basal = 96.86 %, minimum = 84.99 %; maximum = 99 % and average SPO 2 \92 % = 87.74 % while the saturation profiles of the control group were as follows; basal = 97.88 %, minimum = 89.71 %; maximum = 99 %, average SPO 2 \92 % = 90.82 %. Normal children have better nocturnal saturation profiles than children with adenotonsillar enlargement.

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“…This finding contrasts to reports of Lock et al who also registered a better outcome in children between 4 and 15 years of age after TE [401], [414]. One of the trials cited by Barraclough and Anari was not randomized and controlled and quantified postoperative satisfaction of the parents and quality of life, psychological changes and impact on the body growth in operated children [415], [416], [417], [418], [419], [420], [421], [422], [423], [424], [425], [426], [427], [428], [429], [430]. Only 6/16 studies focussed on sore throat, 3 of them did not discuss the issue [419], [429], [431].…”

Section: Resultsmentioning

confidence: 99%

Indications for tonsillectomy stratified by the level of evidence

Windfuhr

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc09

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Parental satisfaction with post-adenotonsillectomy in the developing world

Cited by 20 publications

References 29 publications

Pediatric adenotonsillectomy in a low resource setting: Lessons and implications

Pediatric adenotonsillectomy in a low resource setting: Lessons and implications

Comparing Oxygen Saturation of Normal Children with that of Children with Adenotonsillar Hypertrophy

Indications for tonsillectomy stratified by the level of evidence

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