Document Detail


Pediatric inferior turbinoplasty with or without adenoidectomy: preliminary report on improvement of quality of life, symptom control, and safety.
MedLine Citation:
PMID:  22420398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine quality of life (QOL) improvement, symptom control, and safety after inferior turbinoplasty (IT) with or without adenoidectomy (Ad) in children.
DESIGN: Retrospective uncontrolled cohort study.
SETTING: Tertiary care pediatric hospital.
METHODS: A prospective database was searched. The database contained information regarding age, gender, other diagnoses, and complications. Inclusion criteria were (1) children who presented with chronic rhinitis (CR) refractory to medical treatment and (2) children who underwent IT with or without Ad.
MAIN OUTCOME MEASURES: The Glasgow Children's Benefit Inventory (GCBI) was used to assess QOL improvement. The GCBI calculates a score ranging from -100 (maximum harm) to +100 (maximum benefit), with 0 representing no change after surgery.
RESULTS: Eighty-seven patients were identified. Forty-one were excluded owing to concurrent lingual tonsillectomy or septal or sinus surgery. Forty-six consecutive patients were included. Data were obtained from all 46 patients (100%). The average age was 10 years, with 15 females and 31 males. One complication required admission. The GCBI scores showed that patients derived benefit in all domains (median GCBI 28.1, range -6.3 to 93.8).
CONCLUSION: Preliminary results indicate that IT with or without Ad is a safe, beneficial procedure for CR in children. The impact of IT on QOL is comparable to that of well-established operations in otolaryngology.
Authors:
Morgan Langille; Hamdy El-Hakim
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale     Volume:  40     ISSN:  1916-0216     ISO Abbreviation:  J Otolaryngol Head Neck Surg     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2012-03-16     Completed Date:  2012-09-14     Revised Date:  2013-04-10    
Medline Journal Info:
Nlm Unique ID:  101479544     Medline TA:  J Otolaryngol Head Neck Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  420-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, The Stollery Children’s Hospital and University of Alberta Hospital, Edmonton, AB.
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MeSH Terms
Descriptor/Qualifier:
Adenoidectomy / methods*
Adolescent
Airway Obstruction / surgery
Alberta
Child
Chronic Disease
Cross-Sectional Studies
Female
Hospitals, Pediatric
Humans
Male
Patient Safety
Postoperative Complications / etiology*,  prevention & control*
Quality of Life*
Retrospective Studies
Rhinitis / surgery*
Sleep Apnea, Obstructive / surgery
Treatment Outcome
Turbinates / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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