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The incidence of revision adenoidectomy: A comparison of four surgical techniques over a 10-year period

June 28, 2018  |  Nipun Bhandari, MPH; Debra M. Don, MD; Jeffrey A. Koempel, MD, MBA


Approximately 130,000 adenoidectomies are performed each year in the United States. Few studies have examined adenoid regrowth and the incidence of revision surgery or have compared four different surgical instruments commonly used for adenoid surgery within the same...

Outcomes of adenotonsillectomy in severe pediatric obstructive sleep apnea

December 12, 2017  |  Karim El-Kersh, MD; Rodrigo Cavallazzi, MD; Egambaram Senthilvel, MD, FRCSEd


We conducted a retrospective chart review to examine the efficacy of adenotonsillectomy for the treatment of severe obstructive sleep apnea (OSA) in children. Our study population was made up of 85 patients-58 boys and 27 girls, aged 1 to 17 years (mean: 6.9 ± 4.4)-with severe...

Surgicel use in control of primary postadenoidectomy bleeding

September 18, 2017  |  Mohammad Waheed El-Anwar, MD; Ahmad Abdel Fattah Nofal, MD; Ashraf Elmalt, MD


Although postadenoidectomy bleeding is a rare complication, it is serious and potentially fatal. Postnasal packing and cautery of the adenoid bed are the most popular methods of controlling postadenoidectomy bleeding. Many hazards and complications may arise from traditional...

Locoregional control of tongue base adenoid cystic carcinoma with primary resection and radial forearm free flap reconstruction

January 25, 2017  |  Bharat B. Yarlagadda, MD; Josh C. Meier, MD; Derrick T. Lin, MD; Kevin S. Emerick, MD; Daniel G. Deschler, MD


Adenoid cystic carcinoma of the minor salivary glands can be challenging and marked by high rates of local recurrence despite appropriate surgical resection. Management of this pathology in the base of the tongue is particularly difficult given the poor functional outcomes...

Severe neck stiffness in a child with an undiagnosed Chiari malformation

January 25, 2017  |  Cameron E. Kliner, MS; Eric E. Berg, MD; Ron B. Mitchell, MD

Otologic symptoms, rather than headaches, may be the earliest manifestation of type I Chiari malformation.

Salivary gland adenoid cystic carcinoma

July 21, 2015  |  Lester D.R. Thompson, MD

Tumors are poorly circumscribed with an infiltrative border, including extracapsular extension beyond the salivary gland.

A case of transient cortical blindness associated with hypercapnia as a result of extremely enlarged adenoid tissue

January 19, 2015  |  Baris Malbora, MD; Nihan Malbora, MD; Zekai Avci, MD; Asburce Olgac, MD; Alper Nabi Erkan, MD


Adenotonsillar hypertrophy is common among children, but it can lead to serious complications if left untreated. Among the well-known complications are obstructive sleep apnea syndrome, growth failure, cor pulmonale, and hypertension. One complication of adenotonsillar...

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...

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...

Adenoid cystic carcinoma of the nasal cavity: A case report

June 4, 2012  |  Angel J. Perez, MD, LT MC USN; Parul Goyal, MD


Adenoid cystic carcinoma (ACC) is the most common malignant tumor of the minor salivary glands. The sinonasal tract is a common site of ACC occurrence, second only to the oral cavity. Of all cases of sinonasal ACC, a minority (22 to 35%) arise in the nasal...

Adenoid cystic carcinoma of the trachea metastatic to the nasal cavity: A case report

December 1, 2009  |  Azita S. Khorsandi, MD, James E. Silberzweig, MD, Bruce M. Wenig, MD, Mark L. Urken, MD, and Roy A. Holliday, MD


Cases of carcinoma metastatic to the nasal cavity are rare. We report the case of a 63-year-old woman with a metastasis to the nasal cavity from a primary tracheal adenoid cystic carcinoma (ACC). The nasal tumor was treated with surgical resection. No evidence of any local...

Should we treat lung metastases from adenoid cystic carcinoma of the head and neck in asymptomatic patients?

June 1, 2009  |  Irfan M. Syed, BSc, MRCS, DO-HNS and David J. Howard, FRCS, FRCS (Edin)


Adenoid cystic carcinoma is a rare malignant tumor that is well known for its deceptively encouraging 5-year survival rate and its dismal survival rate at longer intervals. Controversy exists as to the benefit of regularly following asymptomatic patients to look for distant...


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