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Ancillary medications and outcomes in post-tonsillectomy patients

August 22, 2018  |  Ashley P. O'Connell Ferster, MD; Eric Schaefer, MS; Jane R. Schubart, MBA, PhD; Michele M. Carr, DDS, MD, PhD

Abstract

To investigate the impact of medications on outcomes after tonsillectomy, a retrospective review using the MarketScan database was performed. A total of 306,536 privately insured children and adolescents (1 to 17 years old) who underwent tonsillectomy/adenoidectomy were...

Psoriasis, chronic tonsillitis, and biofilms: Tonsillar pathologic findings supporting a microbial hypothesis

March 14, 2018  |  Herbert B. Allen, MD; Saagar Jadeja, BS; Rina M. Allawh, MD; Kavita Goyal, MD

Abstract

Group A Streptococcus has been identified as a possible etiologic agent in psoriasis in epidemiologic, immunologic, immunopathologic, medical, and surgical studies. Tonsillectomy has been shown to provide considerable relief to 75% of patients with plaque psoriasis. Even...

Complete resolution of guttate psoriasis after tonsillectomy

March 14, 2018  |  Jason E. Cohn, DO; Michael Pfeiffer, DO; Gerard Vernose, MD

It has been shown, especially with guttate psoriasis, that tonsillectomy has a potential benefit in psoriasis disease burden.

Outcomes of adenotonsillectomy in severe pediatric obstructive sleep apnea

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

Abstract

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...

Measles: A missed cause of acute tonsillitis

November 3, 2017  |  Wen-Sen Lai, MD; Yuan-Yung Lin, MD; Chih-Hung Wang, MD, PhD; Hsin-Chien Chen, MD, PhD

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Intracapsular tonsillectomy for keratosis pharyngeous: A pilot study of postoperative recovery and surgical efficacy

September 18, 2017  |  Philip A. Gaudreau, MD; Eric M. Gessler, MD

Abstract

Our objective was to perform a pilot study comparing intracapsular radiofrequency ablation tonsillectomy with subcapsular tonsillectomy in adult patients with keratosis pharyngeous. Patients diagnosed with keratosis pharyngeous between December 2010 and February 2013 were...

Post-tonsillectomy hemorrhage rates in children compared by surgical technique

July 18, 2017  |  Nicole M. Reusser, MD; Robert W. Bender, MD; Nikhil A. Agrawal, MD; James T. Albright, MD; Newton O. Duncan, MD; Joseph L. Edmonds, MD

Abstract

Despite the sheer number of pediatric tonsillectomies performed in the United States annually, there is no clear consensus as to which surgical technique is superior. One way to compare surgical techniques is to study the morbidity associated with each. We report postoperative...

PlasmaBlade vs. cold dissection tonsillectomy: A prospective, randomized, double-blind, controlled study in adults

July 18, 2017  |  Rasim Yilmazer, MD; Zahide Mine Yazici, MD; Meliksah Balta, MD; Ibrahim Erdim, MD; Omer Erdur, MD; Fatma Tulin Kayhan, MD

Abstract

We conducted a prospective, randomized, double-blind, controlled clinical study to compare the efficacy and safety of the PlasmaBlade device and cold dissection for adult tonsillectomy. Our study group was made up of 20 patients-12 men and 8 women, aged 18 to 50 years (mean: 27...

A comparison of tonsillar surface swabbing, fine-needle aspiration core sampling, and dissected tonsillar core biopsy culture in children with recurrent tonsillitis

June 20, 2017  |  Saurav Sarkar, MBBS, MS, FACS; Abheek Sil, MBBS; Soma Sarkar, MBBS, MD; Biswajit Sikder, MBBS, MS

Abstract

In recurrent tonsillitis, the pathogenic bacteria are harbored in the tonsil core, and therefore cultures of superficial swab samples are not particularly accurate in identifying specific types of core bacteria. On the other hand, the results of fine-needle aspiration (FNA)...

Impact of a pediatric anesthesiologist on operating room efficiency during pediatric tonsillectomies and adenotonsillectomies

June 20, 2017  |  Nicholas A. Dewyer, MD; Yoseph A. Kram, MD; Stephen Long, MD; Marika D. Russell, MD, FACS

Abstract

We conducted a retrospective case review to determine if the presence of an Accreditation Council for Graduate Medical Education (ACGME) fellowship-trained pediatric anesthesiologist improves efficiency during pediatric tonsillectomies and adenotonsillectomies in hospitals that...

Role of intraoperative ropivacaine in adult post-tonsillectomy pain control: A randomized controlled trial

April 30, 2017  |  William C. Yao, MD; Christian A. Corbitt, MD; Masayoshi Takashima, MD

Abstract

We sought to evaluate the efficacy of ropivacaine in post-tonsillectomy pain management in adults and evaluate the timing of intraoperative ropivacaine administration for this purpose. A prospective, double-blinded, randomized, controlled trial with a paired design was...

The role of hypertonic saline in monopolar tonsillectomy in adult patients

April 30, 2017  |  Jian Ma, MD; Mei Zheng, MS; Jun-Wei Mu, MD; Peng Cui, MD

Abstract

This study's objective was to look for a simple and inexpensive method to reduce patients' pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical...

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