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A prospective study of parents' compliance with their child's prescribed analgesia following tonsillectomy

March 25, 2013  |  Paul Lennon, MB BCh BAO, MRCS; Mohamed Amin, FRCSI; Michael P. Colreavy, FRCS(ORL)


We conducted a prospective study to assess how well parents ensured that their children received their prescribed analgesia following tonsillectomy. Our study was based on 69 cases of tonsillectomy that were carried out at our tertiary pediatric care center. Postoperatively,...

Rapidly developing iatrogenic hyponatremia in a child following tonsillectomy

November 1, 2012  |  Umit Taskin, MD; Omer Binay, MD; Cigdem Binay, MD; Ozgur Yigit, MD


Hyponatremia develops as a result of the inappropriate secretion of antidiuretic hormone. In rare cases, it develops as an iatrogenic complication. For example, acute iatrogenic post-tonsillectomy hyponatremia has been described in children following the infusion of hypo- or...

Paraganglioma of the palatine tonsil

August 10, 2012  |  Joshua I. Warrick, MD; David S. Brink, MD; Ronald B. Mitchell, MD


Paragangliomas of the head and neck are rare. We describe the case of an 11-year-old girl who presented with an enlarged right palatine tonsil (grade 4). After a bilateral tonsillectomy, microscopic examination of the right tonsillar tissue revealed well-...

Utility of preoperative hematologic screening for pediatric adenotonsillectomy

August 10, 2012  |  Yekaterina A. Koshkareva, MD; Michael Cohen, MD; John P. Gaughan, PhD; Vincent Callanan, MD; Wasyl Szeremeta, MD


We conducted a 3-year retrospective study to examine the results of preoperative 
hematologic screening, the incidence of postoperative bleeding, and the possible 
relationship between the two factors in patients who had undergone tonsillectomy 
with or...

Coblation cryptolysis to treat tonsil stones: A retrospective case series

June 4, 2012  |  Christopher Y. Chang, MD; Richard Thrasher, MD


We introduce a novel and potentially effective approach in the treatment of tonsil stones using Coblation technology. A retrospective pilot case series was performed demonstrating the effectiveness of a technique that we call Coblation tonsil...

Is routine analysis of pediatric tonsillectomy specimens worth the money?

May 1, 2012  |  Marc C. Thorne, MD, MPH, Assistant Professor, Associate Program Director

Although gross pathologic analysis may seem like a good alternative to examining every specimen microscopically, from the point of view of cost-effectiveness, it is the worst option and is quite unlikely to identify significant pathology.

Palatoglossal flap: A novel approach to cover herniated fat during tonsillectomy

April 1, 2012  |  Parker A. Velargo, MD and Jerome W. Thompson, MD

Although herniation of parapharyngeal fat into the tonsillar fossa during a tonsillectomy is uncommon, such deftects need to be closed when they occur. One approach is to use a local flap for repair.

Giant retropharyngeal abscess in an adult as a complication of acute tonsillitis: Case report

November 1, 2009  |  Cem Ozbek, MD, Safak Dagli, MD, E. Evrim Unsal Tuna, MD, Onur Ciftci, MD, and Cafer Ozdem, MD


Retropharyngeal abscess is an uncommon entity that can have severe and even fatal complications if it is not identified and treated early. Clinical and radiologic findings must be considered together prior to surgical drainage of a suspected retropharyngeal abscess. Airway...

Intraoperative bupivacaine for reduction of post-tonsillectomy pain: A randomized, placebo-controlled, double-blind study of 26 patients

September 1, 2009  |  Tammara L. Watts, MD, PhD and Stilianos E. Kountakis, MD, PhD


We conducted a randomized, controlled, double-blind, prospective study to evaluate the effect of intraoperative bupivacaine injection on postoperative pain control following Bovie cautery-assisted tonsillectomy in 26 adults. Sixteen patients were injected with 10 ml of 0.5%...

Lymphoma in the Waldeyer ring: A great masquerader

June 1, 2009  |  Ryan F. Osborne, MD, FACS, Jason S. Hamilton, MD, FACS, and Sofia Avitiaz, MD

Avoiding oral burns during electrocautery tonsillectomy

February 1, 2009  |  Thomas R. Lowry, MD, FACS and Jonathon R. Workman, MD, FACS


Electrocautery tonsillectomy is a common method of tonsil removal, and electrocautery devices are widely available. Although these devices are relatively safe, inadvertent patient injury may occur with their use, such as oral cavity burns. We describe a simple surgical...

Intratonsillar abscess: A rare cause for a common clinical presentation

December 1, 2008  |  Eng Cern Gan, MBBS, MRCS, Yuk Hui Ng, MBBS, MRCS, Siew Yoong Hwang, MBBS, FRCS, and Peter Kuo San Lu, MBBS, FRCS


Intratonsillar abscess is a rare clinical condition in patients who present with odynophagia. We report the case of a 33-year-old man who presented with odynophagia, unilateral tonsillar enlargement with palatal fullness, and deviation of the uvula. Failed attempts at drainage...


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