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At least 343 records · Page 19Linked to original sources
PubMed1993

[Hemorrhagic complications after tonsillectomy and adenoidectomy. Experiences with 7,743 operations in 14 years].

During 14 years the department of otolaryngology at Leoben performed 7743 tonsillectomies and/or adenoidectomies in children in cooperation with the department of pediatrics. 97 patients were treated for postoperative bleeding = 1.25%; one child died as a consequence of severe bleeding. The analysis of age, timing and severity of the bleeding includes 15 additional children whose surgery had been performed elsewhere. Only 7 of the 112 bleeding episodes occurred during the first 24 hours after surgery. Most cases (18) occurred on the fifth postoperative day. The latest episode occurred on the 20th day after tonsillectomy. Because of severe blood loss, 18 patients received a blood transfusion. Despite pre- and postoperative coagulation tests no patient suffering from a coagulation disorder was identified. Neither the coagulation screening nor a 48 to 72 hour postoperative in hospital observation could prevent the risk of postoperative bleeding.

Adenoidectomy↗
PubMed1993

Organization of day-case adenoidectomy in the management of chronic otitis media with effusion--preliminary results.

We report our initial findings of adenoidectomy performed in Leicester as a day case on 149 children between the ages of 3 and 9 years, who have been assessed for suitability for day-case surgery according to specific medical and social criteria. The selection a paediatric community nurse. All of the surgical procedures have been performed by experienced medical staff and the various anaesthetic techniques used by consultants or senior registrars have been documented. Six children were admitted postoperatively for overnight observation, three of whom had suffered a primary haemorrhage. No patients have been returned to theatre because of haemorrhage and there have been no re-admissions after discharge. A strict entry protocol has been observed to ensure the safety of this type of surgery and to date the acceptability of such a scheme and its organization has been widespread amongst those children and their parents who have participated.

Adenoidectomy↗
PubMedDate not supplied

Tonsillectomy and adenoidectomy in-hospital charges, 1991.

Trends in tonsillectomy and adenoidectomy (T&A) procedure rates show a steady national decline since 1970. MetLife hospital T&A claims experience is analyzed for group policyholders and dependents during 1991. The total claims charges increased over the years while the number of in-hospital procedures decreased. The average cost to MetLife for a T&A in 1991 was $3,440, $2,910 in 1990 and $2,580 in 1989 among 625, 1,193 and 1,683 patients, respectively. The 1991 charges were the highest in the Pacific area and the lowest in the East North Central geographic area. Among states with ten or more T&As, Illinois led with charges 37 percent above the average. The lowest claims charges were reported in Maryland, 30 percent below the U.S. total. Average U.S. physician fees were $1,230 and comprised 36 percent of the total charges. This proportion varied from half of the total T&A charges in New York to one-quarter in South Carolina. Ancillary fees accounted for 77 percent of the hospital charges and ranged from just over half in California to 90 percent in South Carolina. Length of stay increased from 1.1 days in both 1989 and 1990 to 1.2 days in 1991. As increasing numbers of surgeons and patients are aware of and comfortable with the concept of outpatient surgeries and as more insurance plans include incentives for ambulatory surgeries, it seems clear that fewer uncomplicated T&As will be performed on an inpatient basis.

Adenoidectomy↗
PubMed1977

The tonsillectomy-adenoidectomy dilemma.

Tonsillectomy and adenoidectomy (T&A) is the most commonly performed surgical procedure in the U.S. Considerable controversy surrounds this operation because all previous studies have demonstrated experimental flaws that compromise the value of the findings. While an apparent immunologic deficit following T&A has been demonstrated, the clinical significance of this finding is unknown. Normal humoral antibody responses are found after surgery and no increase in clinically apparent viral infection has been shown. T&A consistently normalizes pharyngeal microflora.

Adenoidectomy↗
PubMedDate not supplied

[Subcutaneous emphysema and pneumomediastinum after tonsillectomy and adenoidectomy].

In children, subcutaneous emphysema and pneumomediastinum are produced by bronchopulmonary infections, increased transalveolar pressure, bronchotracheal foreign bodies, and anesthetic or dental procedures. The case of a child with subcutaneous emphysema and pneumomediastinum after tonsillectomy and adenoidectomy is reported. The etiopathogenesis is discussed and the literature is reviewed.

Adenoidectomy↗
PubMed1997

Day case adenoidectomy: is it acceptable to parents?

In this prospective, randomized and controlled study, 64 children were randomly allocated to in-patient or day case adenoidectomy. The pre- and post-operative concerns of the parents of both groups were measured and compared. No differences in the degree of concern was detected between the two groups. All of the parents from the day case group approved of day care, and 57% of the in-patient group would have preferred day case care.

Adenoidectomy↗
PubMedDate not supplied

[Laryngeal mask anesthesia technique in adenoidectomy procedures with or without tonsillectomy].

Our experience with laryngeal airway mask in 241 children is reported: 168 adenoidectomies, 47 adenotonsillectomies and 26 tonsillectomies. In every case the device was easy to insert and blood did not enter the upper airway. The technical facility was similar to that of orotracheal intubation surgery. The laryngeal mask was effective for safe airway control, constituting a laryngotracheal barrier against blood, secretions and other fluids and avoiding the irritation of the intraluminal cuff in orotracheal intubation. It requires less deep anesthesia and insertion can be carried out without neuromuscular blockade. Induction and perioperative time are reduced, patient recovery is expedited, and recovery is more comfortable than with other anesthetic techniques. Anesthesiological resultant parameters were within the range of safety. Otherwise, the presence of the laryngeal mask, with its hypopharyngeal cuff, presented no relevant complications for visual and instrumental access to the surgical field. This allows the surgeon to completely eliminate adenotonsillary tissue and to perform effective hemostasis.

Adenoidectomy↗