OBJECTIVE To evaluate the rate of posttonsillectomy hemorrhage and any change that smoking causes in patients who undergo tonsillectomy. DESIGN Retrospective chart review. SETTING Military tertiary referral center. PATIENTS The study included 1036 adult patients who underwent tonsillectomy either alone or in conjunction with another procedure. MAIN OUTCOME MEASURES The rate of postopera...

OBJECTIVE To describe the quality of care for routine tonsillectomy at US children's hospitals. METHODS We conducted a retrospective cohort study of low-risk children undergoing same-day tonsillectomy between 2004 and 2010 at 36 US children's hospitals that submit data to the Pediatric Health Information System Database. We assessed quality of care by measuring evidence-based processes sugges...

OBJECTIVES In this study, we aimed to determine the possible relationship between the indications for tonsillectomy in adult population and to estimate the incidence of postoperative hemorrhage. PATIENTS AND METHODS Medical records of 200 adult patients who underwent tonsillectomy between January 2003 and October 2008 were retrospectively analyzed. RESULTS The indications for adult tonsille...

OBJECTIVE This article presents the Clinical Practice Guidelines for Pediatric Tonsillectomy of the French Society of ENT and Head and Neck Surgery (SFORL), entitled "Amygdalectomie de l'enfant : Recommandation pour la pratique clinique" (SFORL, 2009). METHOD The French Society of ENT (SFORL), in partnership with the French Association for Ambulatory Surgery (AFCA) and French Society for Anae...

INTRODUCTION Tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. The relief of postoperative pain helps increase early food intake and prevent secondary dehydration. One method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in p...

BACKGROUND Various methods have been described for tonsillectomy. Convincing evidence in the literature is still lacking regarding the optimal method of performing this surgical procedure. AIM To investigate the outcome of bipolar scissors tonsillectomy and compare it to bipolar diathermy forceps tonsillectomy. METHODS A prospective study of 91 patients was done at Cairo University Hospital...

I read the article written by Ranieri Junior et al. in your journal and aggree with the authors’ take. The use of a laryngeal mask airway in adenotonsillectomies is possible; however, the tracheal tube is safer compared to the laryngeal mask. In recent publications, the use of LMA is reported superior to endotracheal entubation at adenotonsillectomy operations. I believe that LMA use for pediat...

OBJECTIVE/HYPOTHESIS To reconcile conflicting reports and opinions of the value of preoperative coagulation studies for patients undergoing tonsillectomy. STUDY DESIGN Meta-analysis: Articles were identified by MEDLINE search, references from review articles, textbook chapter, and retrieved reports. Independent observers selected prospective trials of patients undergoing tonsillectomy or aden...

OBJECTIVE To determine whether a single intraoperative dose of intravenous dexamethasone has an effect on pain after tonsillectomy. DESIGN Double-blinded randomized controlled clinical trial. SUBJECTS Thirty-four consecutive nonpediatric patients presenting for tonsillectomy. INTERVENTION Patients scheduled for electrocautery tonsillectomy were randomized to receive either intravenous dex...

Tonsillar enlargement is a more common cause of obstructive sleep apnea (OSA) in the pediatric population than it is in adults. The small number of reported cases suggests that tonsillectomy for adult patients with this association may be as a successful as it is known to be for children. We compared polysomnographic findings and/or symptomatology both before and after tonsillectomy in six pati...