Document Detail


Revisiting outpatient tonsillectomy in young children.
MedLine Citation:
PMID:  12646834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Postoperative same-day discharge is safe for most children undergoing tonsillectomy. However, young children with upper airway obstruction have a higher risk of postoperative complications. We review our tonsillectomy experience in children under 36 months to evaluate the safety of outpatient tonsillectomy in this population. STUDY DESIGN AND SETTING: We conducted a retrospective study of all children under 36 months who underwent tonsillectomy during a recent 2-year period at The Children's Hospital of Philadelphia. RESULTS: The indication for tonsillectomy in 96% of 421 children was upper airway obstruction. Eighteen percent required postoperative treatment to prevent respiratory compromise; 56% of these patients had no associated medical comorbidity. Patients younger than 24 months and those with medical comorbidities were more likely to require intervention. CONCLUSION AND SIGNIFICANCE: It is not possible to preoperatively anticipate which children will have postsurgical complications. We recommend planning an overnight admission for children younger than 36 months undergoing tonsillectomy.
Authors:
Adam T Ross; Ken Kazahaya; Lawrence W C Tom
Related Documents :
21178144 - The impact of vision impairment for children (ivi_c): validation of a vision-specific p...
18581154 - Modified epworth sleepiness scale in chinese children with obstructive sleep apnea: a r...
21734584 - End of life care sedation for children.
21892594 - A randomized trial of cognitive behaviour therapy and cognitive therapy for children wi...
9927074 - Prevalence of temporomandibular joint disk displacement in infants and young children.
22844144 - Script fading to promote unscripted bids for joint attention in children with autism.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  128     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-20     Completed Date:  2003-04-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  326-31     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, The University of Pennsylvania School of Medicine and The Children's Hospital of Philadelphia, 19104, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / surgery
Ambulatory Surgical Procedures*
Child, Preschool
Comorbidity
Female
Humans
Infant
Male
Retrospective Studies
Tonsillectomy* / adverse effects,  methods

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


Previous Document:  Harmonic scalpel tonsillectomy in children: a randomized prospective study.
Next Document:  An evidence-based review of the treatment of peritonsillar abscess.