Before determining the need for tonsillectomy, it is highly beneficial to refer children with sleep-disordered breathing for polysomnography (PSG)
Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?
Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis
No Benefit from Post-Operative Corticosteroids in Pediatric Tonsillectomy Patients
Does the administration of systemic steroids during the post-operative course affect the morbidity associated with tonsillectomy surgery? Background: Tonsillectomy is one of the most common surgical procedures performed in North […]
Post-Operative Pain in Children Undergoing Tonsillectomy
Various Factors Impact Bleeding Following Tonsil Surgery
What are the risk factors for the frequency and severity of bleeding episodes following tonsillectomy (TE), tonsillotomy (TO) or adenoidectomy (AE)? Background: TE, TO and AE are the most frequent surgeries […]
Large Study IDs Risk Factors for Hemorrhage After Tonsillectomy
What are the main risk factors associated with postoperative hemorrhage following tonsillectomy? Background: The most serious risk associated with tonsillectomy is postoperative hemorrhage, with previous reports linking it to operative technique. […]
A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate
Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.
Room for Improvement: Pediatric ambulatory centers could benefit from guidelines, panelists say
Pediatric ambulatory surgery centers are fast-paced, high-volume places with many of the ingredients that can contribute to safety concerns, a patient safety expert from Children’s National Medical Center (CNMC) said at the 2010 Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), held here Sept. 26-29.
The Great Unknowns: Panel discusses research on pediatric tonsillitis, ottitis, sinusitis
The title of this session at the Triological Society’s Combined Sections Meeting held here Feb. 4-7 asked a tough question: Why are otolaryngologists still talking about pediatric tonsillitis, otitis and sinusitis?
Considering Tonsillectomy? Factor in Evidence, Clinical Judgment, Patient Preference
SAN DIEGO-Weighing whether or not to perform tonsillectomy boils down to a balance between benefit and harm, declared Richard Rosenfeld, MD, MPH, at the lively and well-attended miniseminar on evidence-based tonsillectomy at the American Academy of Otolaryngology-Head and Neck Surgery annual meeting here.