Tonsilectomy

BACKGROUND: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl...

INTRODUCTION: The constant development of ambulatory surgery (AS) raises the problem of monitoring patients after discharge and the risk of death in the case of delays in the management of a serious complication. PATIENTS AND METHODS: The aim of this retrospective study was to describe the deaths observed within the 30-day period following AS declared to the SHAM insurance (Société hospitalière d'assurance mutuelle) over the last 10 years. RESULTS: During the study period 33,962 claims were surgery-related and 11 were for deaths after AS...

BACKGROUND: Sickle cell diseases (SCDs) are chronic inflammatory processes on capillary level. We tried to understand some possible correlations between stroke and severity of SCDs. METHODS: All patients with SCDs were taken into the study. RESULTS: The study included 343 patients (174 males and 169 females). There were 30 cases (8.7%) with stroke. The mean ages were similar in both groups (32.5 versus 29.1 years in the stroke group and other, respectively, P>0...

BACKGROUND: We tried to understand whether or not there are lowered prevalences of terminal consequences of sickle cell diseases (SCDs) with tonsilectomy. METHODS: All cases with SCDs were taken into the study. RESULTS: The study included 334 patients (164 females). There were 27 cases with tonsilectomy and 307 cases without. The mean ages, female ratios, and prevalences of associated thalassemia minors and smoking were similar in both groups (P>0...

Pediatric sleep-disordered breathing, also known as obstructive sleep apnea and hypopnea syndrome (OSAHS) in children, is caused by obstruction of upper airway, characterized by repetitive pauses in breathing during sleep despite the effort to breathe, and usually leads to reduction in oxygen saturation. Due to the importance of sufficient oxygen in growth and development, many children patients suffer from abnormal secretion of growth hormone at night, and also their activity and resting of cerebral cortex during sleep...

BACKGROUND: Use of electro surgery units (ESU) in surgeries is linked with electromagnetic field emission, which is assessed according to the requirements of occupational health and safety legislation. MATERIAL AND METHODS: Surgeons' exposure characteristics was monitored during 11 surgeries (proctectomy, patency of artery, hepatectomy, cystectomy, tonsilectomy, laparoscopy) by real time of monopolar ESU activity recorder. Investigations of root-mean-square value of electric and magnetic field strength was also performed at various modes of ESU operations during cutting (output power, 55-150 W; frequency, 330-445 kHz) and coagulating (40-240 W, 335-770 kHz)...

The objective of the present work was to summarize the currently available literature data on the prevalence, etiology and treatment of paratonsillitis (PT) and paratonsillar abscess (PA). The analysis of statistical information concerning PT/PA prevalence revealed a tendency toward the increase of the number of emergency interventions for the treatment of PA that may be attributed to the reduction in the number of planned tonsillectomies as well as to the absence or inadequate organization of regular medical check-ups of the patients presenting with chronic tonsillitis...

To evaluate the frequency of clinical indicators for sleep-related respiratory disturbances (SRD) and the polysomnographical manifestations of these disorders in children with skeletal dysplasia caused by FGFR3 mutations. From January 1990 to January 2009, 24 patients (22 achondroplasia, 2 hypochondroplasia; 13 boys, 11 girls; age 8 days to 15 years, median age 3.0 years) were examined, including a semi-structured interview, a clinical examination, and a polysomnographic sleep recording (65 polysomnographic sleep recordings (PSG) in 24 patients)...

These authors advocate tonsilectomy where virulent diphtheria bacilli persist in throats with adenoids or enlarged tonsils. Diphtheria bacilli of well persons are rarely virulent unless these persons have associated with cases of diphtheria. Organisms are almost always virulent in persons sick with the disease and their associates.

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INTRODUCTION: The routine pre-operative evaluation of children undergoing elective tonsillectomy and/or adenoidectomy includes coagulation screening tests. THE PURPOSE OF THE STUDY: detection of coagulation defects in children with planned tonsillectomy and/or adenoidectomy. MATERIAL AND METHODS: In our study we examined 68 children with abnormal coagulation profile, age 1-17 (average 7.5), 43 male and 25 female. All children underwent coagulation tests (APTT, PT, INR, D-dimer, fibrynogen)...

There has been little information about anesthesia for a patient with a history of multiple drug allergies. We gave anesthesia for a 32-year-old woman with polyarteritis nodosa and history of multiple drug allergies. She was scheduled to undergo bilateral tonsilectomy. We could not perform the preoperative screening of the drugs using a dermal test because of a high risk of anaphylactic shock. Anesthesia was induced with sevoflurane and nitrous oxide and maintained with sevoflurane, nitrous oxide, and fentanyl...

We have evalueated the activity of acidous asparagine protease in 48 strains of Candida isolated from homogenates of palatine tonsils from 116 patients after tonsilectomy. Strains most frequently isolated were C. albicans (66.7 +/- 6.8%) and C. tropicalis (14.6 +/- 5.09%). The range of proteolysis zone for Candida strains was 4.6 to 12.5 mm. Over 60% of the studied strains showed high and very high proteolytic activity (>6.6 mm) and the remaining strains showed moderate activity (4.6-6.5). There were no strains with low medium activity (to 4...

No abstract text is available yet for this article.

The objectives of this study are: collect 25 years of experience with ambulatory pediatric surgery in The Pediatric Surgery Service of Hospital de Cruces, present the results of a parents-patient satisfaction survey and show the estimated money savings in the last five years. In the period 1973-1997, 19,934 children (56% of the total surgical cases) were operated with ambulatory surgery, and have been grouped in five quinquenia, showing a constant increase of the percentage of ambulatory surgery. General surgery and ENT are the specialities that more frequently uses this type of surgery (72...

With decreasing number of patients subjected to tonsilectomy, the number of paratonsillitis patients, on the contrary, is on the increase. Among 1718 patients with paratonsillitis observed and treated by the author in 1985-1996, 313 had infiltration and 1405 patients--abscess stage of paratonsillitis. 284 (20.2%) of the latter underwent abscesstonsilectomy. 32, 96 and 4 patients had bilateral, recurrent and extensive paratonsillitis, respectively. Complicating parapharyngitis occurred in 55 (3.2%) patients...

No abstract text is available yet for this article.

Penetration of ciprofloxacin into human tonsils was studied in 20 adult humans undergoing tonsilectomy. Ten patients received a single intravenous infusion of 200 mg ciprofloxacin within 15 min (group A) and 14 patients were treated orally for three days with 500 mg ciprofloxacin b.i.d. prior to a preoperative infusion of 200 mg (group B). Ciprofloxacin concentrations in serum and tonsils were determined microbiologically. Mean ciprofloxacin serum concentrations did not differ significantly between both groups...

Clinical observations and experiences in the treatment of 52 patients with tuberculous cervical lymphadenitis are presented during the period of 15 yrs. In all patients the diagnosis was confirmed by pathohistological analysis of extirpated lymph nodes. In 88% of patients the caseous necrosis form of tuberculosis was histologically verified while in 12% the productive one. In 87% of patients the tuberculous process was localised unilaterally and in 13% bilaterally. Deep lymph nodes were more frequently involved than those on the surface (58%:42%)...

When medical management fails to control the symptoms of chronic sinusitis, surgical intervention is frequently considered. The more commonly recommended procedures include tonsilectomy and adenoidectomy, adenoidectomy alone, maxillary sinus irrigation, and nasal antral windows. These procedures have not undergone meticulous prospective evaluation or documentation of chronic sinusitis. It has only recently become known that plain sinus x-ray films are frequently misleading, and there has been a tendency to completely ignore ethmoid disease...