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[Tonsillectomies and adenoidectomies with less than six hour admittance].

Surgery practice, as day cases, is as old as surgery itself, but actually because of the assembly of present-day circumstances, specially the shortage of ward beds, make necessary to gain advantage of resources available. The new requests for medical attendance as well the technological novelties have influenced at Hospital de Cruces to establish the Outpatients Surgical Unit. A good organisation allows the Adeno-tonsillectomy surgery with little risk in these Unities. We describe our experience, the advantages and the complications of this behavior.

Adenoidectomy↗

[Repeated adenoidectomy and prevention of the recurrence of adenoid hypertrophy].

Basing on comprehensive clinical experience and the analysis of long- and short-term results of adenotomy, the author evaluates the effectiveness of this procedure, the causes of residual nasal respiration problems. The main reason of postoperative incomplete restoration of nasal respiration is suggested to be nonradical removal of the adenoid tissue which may result from specific features of the adenoids size, location, anatomical structure of the nasopharynx, the surgeon's equipment and experience, etc. The author thinks postadenotomy nasal problems should be managed with repeat operation which is recommended in the literature and has been practiced by the author for 30 years with the overall efficacy of 90%. Clinical symptoms, indications to repeat surgery are provided. Repeat adenotomy in a few days after the initial operation permits the author to reduce the percent of the vegetations recurrences in many patients.

Adenoidectomy↗

Tonsillectomy and adenoidectomy in children: current indications.

The indications for tonsillectomy have undergone considerable refinement in recent years. In patients that fail to respond to conservative medical management for tonsil and adenoid disorders in children, surgical management often yields excellent results.

Adenoidectomy↗

[Adenoidectomy and nasal mucociliary transport].

The paper deals with the research done by the AA. on the nasal mucociliary transport-time in a group of 30 children between 3 and 13-year-old. They employ the charcoal dust test. The powder is laid inside of the nose the day prior to the removal of the adenoids and investigated in the nasopharynx two weeks later. The conclusion drawn out is that among these children the mucociliary nasal transport time is retarded when compared with other children, turning over to the normality two weeks later.

Adenoidectomy↗

Ambulatory tonsillectomy and adenoidectomy: complications and associated factors.

This is a case-control study of over 500 cases of tonsillectomy and adenotonsillectomy performed at the Montreal Children's Hospital over a 10-month period. Demographics of patient population and selection criteria for out-patient procedure are presented. The hot (cautery) and cold (knife) dissection techniques are compared. Complications including intraoperative and postoperative hemorrhage are presented. The recognition of aerodigestive tract complications necessitating re-admission or emergency room management cannot be over emphasized. Recent history of upper airway infection (UAI) was noted to be associated with postoperative aerodigestive tract complications. The triad of UAI, knife dissection technique and increased intraoperative bleeding was found to be associated clinically and statistically with primary postoperative hemorrhage.

Adenoidectomy↗

[Adenoidectomy].

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Adenoidectomy↗