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https://www.readbyqxmd.com/read/29665628/effect-of-topical-propolis-on-wound-healing-process-after-tonsillectomy-randomized-controlled-study
#1
Jeong Hwan Moon, Min Young Lee, Young-Jun Chung, Chung-Ku Rhee, Sang Joon Lee
Objectives: The post-tonsillectomy pain and post-tonsillectomy hemorrhage are the two main problems after tonsillectomy. The aim of this study was to investigate the beneficial effects of water soluble ethanol extract propolis on post-tonsillectomy patient. Methods: One hundred and thirty patients who underwent tonsillectomy or adenotonsillectomy were randomly divided into the control and propolis groups, each including 65 patients. The propolis group was applied with propolis orally immediately after surgery and by gargle...
December 28, 2017: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/29660744/-need-of-analgetics-in-children-aged-2-12-years-after-tonsil-surgery
#2
Philipp Gude, Claudia Rieckert, Nicolai Bissantz, Thomas Peter Weber, Heike Vogelsang, Stefan Dazert, Jan Peter Thomas
OBJECTIVE: Tonsil surgery is one of the most painful operations in childhood. The Children's and Infants' Postoperative Pain Scale (CHIPPS), the Faces Pain Scale-Revised (FPS-R) and the little-known German version of the parents' postoperative pain measure (PPPM-D) are age-appropriate measures. Children undergoing intracapsular tonsillectomy (TO) or extracapsular tonsillectomy (TE) received the non-opioids ibuprofen (IBU) and paracetamol (PCM) on a "as needed"-basis requested by parents...
April 16, 2018: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29655490/effect-of-changing-postoperative-pain-management-on-bleeding-rates-in-tonsillectomy-patients
#3
Alexandra C G Fonseca, Margaret I Engelhardt, Zhen J Huang, Zi Yang Jiang, Sancak Yuksel, Soham Roy
PURPOSE: To review rates of post-tonsillectomy hemorrhage (PTH) at a quaternary medical center, including the impact of narcotic versus nonsteroidal anti-inflammatory drug (NSAID) postoperative pain management. MATERIALS AND METHODS: A retrospective review was performed of tonsillectomies conducted at a single institution between 1/1/2013 and 1/1/2017. The rates of PTH and subsequent intervention were calculated. These were categorized into patients having surgery pre- and post-July 1, 2015, the former group receiving narcotics and the latter ibuprofen with acetaminophen...
April 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29651614/antibiotics-for-recurrent-acute-pharyngo-tonsillitis-systematic-review
#4
REVIEW
Holger Munck, Anders W Jørgensen, Tejs Ehlers Klug
The purpose was to determine the current evidence for preferable antibiotic treatment in three common clinical situations with insufficient consensus: Q1: Can antibiotic treatment prevent future attacks of acute pharyngo-tonsillitis (APT) in patients with recurrent APT (RAPT)? Q2: Which antibiotic regimen is preferable in the treatment of APT in patients with RAPT? Q3: Which antibiotic regimen is preferable in the treatment of relapsing APT? Five databases were searched systematically for randomized clinical trials on patients with RAPT with or without current APT or with relapse of APT...
April 13, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29628777/a-study-on-the-efficacy-and-safety-of-combining-dental-surgery-with-tonsillectomy-in-pediatrics
#5
Faizaan Syed, Joshua C Uffman, Dmitry Tumin, Catherine M Flaitz, Joseph D Tobias, Vidya T Raman
Purpose: Few data exist on combining pediatric surgical procedures under a single general anesthetic encounter (general anesthesia). We compared perioperative outcomes of combining dental surgical procedures with tonsillectomy during one anesthetic vs separate encounters. Methods: We classified elective tonsillectomy ± adenoidectomy and restorative dentistry as combined (group C) or separate (group S). Outcomes included anesthesia time, recovery duration, the need for overnight hospital stay, and postoperative complications...
2018: Clinical, Cosmetic and Investigational Dentistry
https://www.readbyqxmd.com/read/29625605/what-is-the-influence-of-tonsillectomy-on-the-level-of-periodontal-pathogens-on-the-tongue-dorsum-and-in-periodontal-pockets
#6
V N Diener, A Gay, M B Soyka, T Attin, P R Schmidlin, P Sahrmann
BACKGROUND: For periodontal treatment, the full mouth disinfection approach suggests disinfection of oral soft tissues, such as tongue and tonsils concomitant to scaling and root planning since patients might benefit from treatment of these oral niches either. Periodontopathogenes in tonsillar tissue support this hypothesis. This prospective controlled clinical study investigated the change in the oral flora of patients who underwent tonsillectomy. Pockets were tested for eleven bacterial species before and six weeks after the surgical intervention...
April 6, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29622331/postoperative-tonsillectomy-hemorrhage
#7
REVIEW
Jessica J Wall, Khoon-Yen Tay
Post-tonsillectomy hemorrhage represents a potentially life-threatening condition that occurs in up to 5% of pediatric patients. Minor bleeding often precedes severe hemorrhage. Patients with minor or self-resolving bleeding should be observed in the emergency department or admitted for monitoring. Patients with severe bleeding should be immediately assessed for airway and hemodynamic stability. Management of severe bleeding includes immediate surgical consultation or initiation of the transfer process to a center with surgical capabilities, direct pressure to the site of hemorrhage with or without the additional of a hemostatic agent, possible rapid sequence intubation, and management of hemodynamic instability with volume resuscitation...
May 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29619494/a-giant-tonsillolith
#8
Abdulrhman Alfayez, Meshal B Albesher, Mohammed A Alqabasani
Tonsillar stones are the products of calcified accumulates of cellular debris and microorganisms, in the crypts of palatine tonsils. Tonsillar stones are common findings and the known cause of bad breath (halitosis). Development of large tonsillar stones, however, is rare with only a few cases reported in the literature. We present the case of a 45-year-old man with a history of recurrent sore throat and tonsillitis for a long period, and snoring with other unremarkable ears, nose and throat findings. A large-sized tonsillar stone detected in the left tonsil measured 3...
April 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29609841/the-safety-and-risk-factors-of-revision-adenoidectomy-in-children-and-adolescents-a-nationwide-retrospective-population-based-cohort-study
#9
Dai-Lou Lin, Chuan-Song Wu, Chao-Hsiun Tang, Ting-Yu Kuo, Tzong-Yang Tu
OBJECTIVE: To investigate the safety of adenoidectomy and risk factors of re-adenoidectomy, and intend to provide evidence-based information to clinicians for further consideration. METHODS AND MATERIALS: This study was based on data obtained from Taiwan's National Health Insurance Research Database from the period 2002-2011. We utilized that data from the hospitalization group and collected information regarding those individuals who accepted adenoidectomy with or without tonsillectomy and post-adenoidectomy bleeding...
March 30, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29606414/poststreptococcal-reactive-arthritis-in-japan
#10
Maria Nishibukuro, Norito Tsutsumi, Masako Chiyotanda, Tae Hijikata, Shinichiro Morichi, Soupei Go, Gaku Yamanaka, Yasuyo Kashiwagi, Hisashi Kawashima
Reactive arthritis after Group A streptococcal infection (poststreptococcal reactive arthritis: PSRA) that does not meet the Jones criteria for acute rheumatic fever (ARF) has been reported as a new entity for over a decade. In Japan there are few reports of PSRA. We encountered four children with arthritis accompanied with Group A streptococcal infection in our department. We investigated our cases and the recent Japanese literature. Japanese cases of PSRA are frequently accompanied with uveitis and erythema nodosum, and tonsillectomy resolved their symptoms in some cases...
March 29, 2018: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/29605366/population-based-survey-of-inpatient-pediatric-tonsillectomy-and-postoperative-hemorrhage-in-taiwan-1997-2012
#11
Wan-Yi Hsueh, Wei-Chung Hsu, Jenq-Yuh Ko, Te-Huei Yeh, Chia-Hsuan Lee, Kun-Tai Kang
OBJECTIVE: Tonsil surgery in children is a common surgical procedure, and is mostly performed as an inpatient procedure in Taiwan. This study elucidates the epidemiology and postoperative hemorrhage of inpatient tonsillectomies in Taiwanese children. METHODS: This study used the Taiwan National Health Insurance Research Database for analysis. From 1997 to 2012, all in-hospital children (aged <18 years) who underwent tonsillectomies were identified through the International Codes of Diseases (9th Revision)...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29605362/can-the-number-of-eosinophils-in-adenoid-and-tonsil-tissue-determine-the-allergy-in-children
#12
Nur Yucel Ekici, Orhan Görgülü, Gül Yucel, Özgür Külahcı, Osman Kürşat Arıkan, Cemile Durmaz
OBJECTIVE: Previous reports have indicated the association of allergy with Waldeyer's ring. The aim of this prospective study was to evaluate the correlation between the allergy and the number of eosinophils in the adenoid and tonsil tissue. METHODS: 101 children who were underwent adenoidectomy and/or tonsillectomy were prospectively enrolled in this study. 46 children who had positive skin-prick test for at least one of the allergen panel were sensitized and 55 children were nonsensitized as a result of skin-prick test...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29605357/obstructive-sleep-apnea-syndrome-and-growth-failure
#13
E Esteller, J C Villatoro, A Agüero, R Lopez, E Matiñó, J Argemi, M Girabent-Farrés
Obstructive sleep apnea syndrome is a common problem among children and is recognized as a cause of significant medical morbidity. Since the 1980s, it has been suggested that obstructive sleep apnea syndrome is a risk factor for growth failure in children. In many cases, it has been shown that growth failure is reversible once the obstructive sleep apnea syndrome is resolved. The objectives of this study were to analyze and compare growth failure prevalence in a Mediterranean population of children with obstructive sleep apnea syndrome and healthy children matched in age and sex, and to assess the effectiveness of tonsillectomy and adenoidectomy in resolving growth retardation...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29605354/trends-in-the-management-of-secondary-post-tonsillectomy-hemorrhage-in-children
#14
Christine M Clark, Jane R Schubart, Michele M Carr
OBJECTIVE: To define current practices in management of secondary post-tonsillectomy hemorrhage (PTH) in children by pediatric and general otolaryngologists. INTRODUCTION: Bleeding after tonsillectomy is common. Our goal was to describe management methods across the U.S. METHODS: Questions regarding perioperative management and treatment in response to three hypothetical cases featuring secondary post-tonsillectomy bleeding were posed via REDCap survey...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29605338/a-case-control-study-of-drug-induced-sleep-endoscopy-dise-in-pediatric-population-a-proposal-for-indications
#15
Maria Antonietta Collu, Eduard Esteller, Fiorella Lipari, Raul Haspert, Demetrio Mulas, Miguel Angel Diaz, Raghav C Dwivedi
OBJECTIVE: To evaluate whether and when Drug-Induced Sleep Endoscopy (DISE) changes diagnosis and treatment plan in pediatric Obstructive Sleep Apnoea Syndrome (OSAS) with the aim to identify specific subgroups of patients for whom DISE should be especially considered. METHODS: A case-control study of DISE in 150 children with OSAS. Pre-operative OSA were assessed through detailed history, Chervin questionnaire, physical examination and overnight polysomnography...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29602585/trend-in-otolaryngological-surgeries-in-an-era-of-super-aging-descriptive-statistics-using-a-japanese-inpatient-database
#16
Sayaka Suzuki, Hideo Yasunaga, Hiroki Matsui, Kiyohide Fushimi, Tatsuya Yamasoba
OBJECTIVE: To reveal the age distribution and capture the longitudinal trend in otolaryngological surgeries performed in Japan, where society is rapidly aging. METHODS: Using the Diagnosis Procedure Combination database, we extracted data on patients who were hospitalized and underwent any type of otolaryngological surgery in departments of otolaryngology or head and neck surgery from fiscal year 2007 to fiscal year 2013. Type of surgery, patient's age, and fiscal year were compared...
March 27, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29600829/our-experience-of-the-necessity-of-adenoidectomy-or-adenotonsillectomy-at-the-time-of-ventilation-tube-insertion-in-11-941-children-with-middle-ear-effusion
#17
James Johnston, Gabrielle Kinzett-Carran, Murali Mahadevan, Richard G Douglas
Adenoidectomy and tonsillectomy are commonly performed at the time of myringotomy plus ventilation tube insertion (MVTI) in children with otitis media with effusion (OME). However, the evidence supporting this practice is not conclusive. This is because uncertainty remains regarding the pathogenic role of the adenoids in OME. It is unclear if mechanical obstruction is a more or less important factor than the adenoids' role as a bacterial reservoir. Some studies show that children who have large adenoids removed have higher rates of effusion resolution compared to those children with small adenoids...
March 30, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29594693/quality-of-information-on-the-internet-has-a-decade-made-a-difference
#18
Jeyanthi Kulasegarah, Kassandra McGregor, Murali Mahadevan
BACKGROUND: While patients accessing the Internet can be a positive step towards health literacy and self-efficacy, these resources vary in quality. AIMS: In 2007, Kulasegarah et al. assessed the information available to patients on the Internet on three common ENT procedures (tonsillectomy, septoplasty, and myringoplasty), looking at the quality of the information in terms of completeness and accuracy. This is a follow-on study to examine how this information has changed after 10 years...
March 28, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29590327/is-scottish-intercollegiate-guidelines-network-guidance-for-gp-management-of-tonsillitis-suitable-a-qualitative-study
#19
Lorraine A McSweeney, Janet A Wilson, Scott Wilkes, Catherine A Haighton
Background: The Scottish Intercollegiate Guidelines Network (SIGN) developed guidelines for the management of sore throat and indications for tonsillectomy in 1999 to address concerns of unnecessary surgery. Emergency admissions to hospital for tonsillitis have since increased. Adults experience an average of 27 episodes of tonsillitis before undergoing tonsillectomy. We wished to explore the appropriateness of the guidance and/or its implementation in primary care. Aim: To explore the attitudes of GPs to the referral criteria they use when managing adults presenting with acute tonsillitis...
March 24, 2018: Family Practice
https://www.readbyqxmd.com/read/29589140/systematic-review-of-tonsil-surgery-quality-registers-and-introduction-of-the-nordic-tonsil-surgery-register-collaboration
#20
REVIEW
Johanna Ruohoalho, Eirik Østvoll, Mette Bratt, Vegard Bugten, Leif Bäck, Antti Mäkitie, Therese Ovesen, Joacim Stalfors
PURPOSE: Surgical quality registers provide tools to measure and improve the outcome of surgery. International register collaboration creates an opportunity to assess and critically evaluate national practices, and increases the size of available datasets. Even though millions of yearly tonsillectomies and tonsillotomies are performed worldwide, clinical practices are variable and inconsistency of evidence regarding the best clinical practice exists. The need for quality improvement actions is evident...
March 27, 2018: European Archives of Oto-rhino-laryngology
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