Despite established guidelines for group A Streptococcus pharyngitis diagnosis and treatment, pediatricians are overtreating and mistreating sore throat in children. (1) This results in unnecessary antibiotic use and contributes to antimicrobial resistance, increased health care costs, and risk for adverse drug reactions. In addition, controversy exists among pediatricians regarding the indicat...

Tonsillectomy and Adenoidectomy continues to be one of the most commonly performed surgical procedures in the pediatric population with over 500,000 procedures performed annually. Decreasing pain, maintaining hydration, and minimizing the risk of post operative hemorrhage has brought attention to novel surgical technique and instrumentation. Electro-cautery remains the most common technique use...

INTRODUCTION Otitis media with effusion is the most frequent cause of conductive hearing impairement (HL) at pediatric age. This entity can be asymptomatic for an important period of time (silent OME). There is a surgical and a nonsurgical approach for OME. In case of failure of conservative treatment of OME the ventilation tube insertion (VT) with adenoidectomy alone or combined with tonsillec...

BACKGROUND This trial study aimed to assess the effects of adenoidectomy on the markers of endothelial function and inflammation in normal-weight and overweight prepubescent children with obstructive sleep apnea (OSA). METHODS This trial study was conducted in Isfahan, Iran in 2009. The study population was comprised of 90 prepubescent children (45 normal-weight and 45 overweight children), a...

BACKGROUND Otitis media with effusion (OME) is a leading cause of hearing difficulty in children. OME must be detected early and managed properly to prevent hearing and speech impairment in children. This study was aimed to compare results of medical and surgical treatments in terms of hearing improvement, recurrence of Middle Ear Effusion (MEE), time to offer surgical intervention. METHODS T...

BACKGROUND Mouth breathing may affect facial form and the positions of the teeth. OBJECTIVES To determine whether the increased dentoalveolar and facial heights found in mouth breathing children with enlarged adenoids are maintained following adenoidectomy and changed mode of breathing from mouth to nose. METHODS The subjects were Swedish children, either mouth breathers with nasal obstruct...

The objective of the present study was to investigate the effect of transoral endoscopic adenoidectomy on peripheral blood T lymphocyte subsets in pediatric patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and its treatment strategy. Ninety-eight pediatric patients with adenoidal hypertrophy associated with OSAHS admitted to the Department of Otolaryngology, Xuzhou Children's Hos...

You have a child with a high-deductible insurance plan, or a child who lacks insurance completely, who needs a tonsillectomy and adenoidectomy (T&A). How will you know how much this procedure will cost? Considering that more American children are now covered by high-deductible plans, and that there is maddening variation in pricing across hospitals and services, the availability of accurate cos...