Background and Objectives To introduce cold-knife dissection with adjunctive suction cauterization (CDASC) technique for pediatric adenotonsillectomy to evaluate the advantages of this through short long-term follow-up results.Subjects Method Enrolled in study were 492 subjects a mean age 6.5 years, who underwent via CDASC technique. Surgical outcomes evaluated postoperative bleeding rate, days...

A prospective study was conducted of the effects of adenoidectomy and adenotonsillectomy on established otitis media with effusion unresponsive to medical treatment. The operations were performed at random with a controlled no surgery group on a cohort of 103 children with the condition and the results assessed six weeks, three months, six months, nine months, and one year later. After adenoide...

This prospective study was done at the Southern Railway Headquarters Hospital, Ayanavaram, Chennai to measure the intraoperative blood loss during adenotonsillectomy and to assess the factors affecting it. Since blood volume in children is low, even a small loss will result in dreaded complications, so blood loss measurement in paediatric surgery is important. Adenotonsillectomy is the most com...

Effective pain relief following adenotonsillectomy in children remains a challenge. This study evaluated the effects of intramuscular 0.5 mg/kg ketamine, 1 mg/kg tramadol or 1 mg/kg meperidine on post-operative pain and recovery in 45 children aged 1-7 years undergoing adenotonsillectomy. Anaesthesia was induced with thiopental or sevoflurane (with succinylcholine for intubation) and was mainta...

OBJECTIVE To study long-term changes in quality of life in children after adenotonsillectomy for obstructive sleep apnea (OSA) documented by polysomnography. DESIGN AND SETTING Prospective study of children with OSA at the University of New Mexico Children's Hospital, Albuquerque. METHODS Children who met inclusion criteria underwent adenotonsillectomy. Caregivers were asked to complete the...

BACKGROUND Emergence delirium (ED) is a frequent postoperative complication in young children undergoing ENT procedures and it may be exacerbated by sevoflurane anesthesia whereas propofol maintenance has been suggested to decrease the incidence of ED. The aim of this randomized, prospective, double-blind study was to evaluate the effect of sevoflurane vs propofol anesthesia on the quality of r...

OBJECTIVE To describe the long-term outcome of a cohort of children with symptomatic adenotonsillar hypertrophy treated with aqueous nasal beclomethasone. METHODS The children enrolled completed a 4-week single-blind, saline solution controlled crossover study of aqueous beclomethasone (total: 400 micro g/d). In a 24-week open-label follow-on study, beclomethasone 200 micro g/d was offered to...

BACKGROUND The most common cause of pediatric obstructive sleep apnea (OSA) is adenotonsillar hypertrophy. As such, palatine tonsillectomy with or without adenoidectomy is the first-line treatment for OSA, which can significantly improve the sleep and behavioral disturbances associated with OSA in the majority of patients. However, even after adenotonsillectomy, a reported 20% to 40% of patient...

Abstract Background In a majority of OSA children with adenotonsillar hypertrophy, very mild symptoms or no at all are related to the cardiopulmonary system, but symptomless chronic changes may slowly occur in these children. Therefore, it is wise monitor patients by an easy, noninvasive cost-effective method; this can easily be done monitoring mean pulmonary artery pressure (mPAP) Doppler echo...