Publicaties

Objective/Background: Most children treated for obstructive sleep disordered breathing (oSDB) are not systematically assessed by polysomnography (PSG) nor by structuredsymptom quantification before surgical treatment. The main objective of this study wasto investigate the effect of adeno-tonsillotomy (ATO) on symptom burden and PSGparameters. Methods: Children aged 2-10 years with oSDB were selected for ATO based uponclinical findings according ...

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Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal cost. Introduction and aim: Tonsillectomy is one of the most commonly performed surgical procedures in children; its main indications are recurrent episodes of acute tonsillitis and adenotonsillar hypertrophy. The effectiveness of tonsillectomy for severe recurrent tonsillitis is generally accepted; however its socio-economic cost is less well investigated. ...

The efficacy of dexamethasone (DEX) to reduce morbidity after paediatric tonsillectomy remains controversial. We evaluated the effect of 0.15 and 0.5 mg kg(1) DEX on the incidence of postoperative nausea and vomiting (PONV) and on pain intensity after paediatric tonsillectomy. A total of 147 children aged 28 yr undergoing elective tonsillectomy were included in this prospective randomized double-blind study. At the induction of anaesthesia, ...

BACKGROUND: Adenotonsillectomy is a frequently performed procedure in paediatric day-case surgery. Postoperative pain can be significant and standard analgesia protocols are often insufficient. OBJECTIVE: Our primary objective was to investigate if infiltration of the peritonsillar space with bupivacaine would reduce the need for postoperative opioids compared with pre-emptive intravenous tramadol. DESIGN: A double-blind, randomised controlled ...

Die Laser-Tonsillotomie erscheint vielen Eltern ideal für ihr Kind: fortschrittlich durch Laser, konservativ durch Gewebeschonung und alles in allem risikoarm. Doch wie bei jedem Eingriff können sich Komplikationen ergeben, die um so schwerwiegender erscheinen, wenn Absprachen nicht eingehalten werden und das Kind leidet – dann folgt wie im folgenden Fall der Rechtsweg

Objectives: Tonsillectomy is a common surgical intervention in otorhinolaryngology. Reported post-tonsillectomy hemorrhage (PTH) rate varies considerably, from 0.5 to 16%. This study was undertaken to analyze the frequency, characteristics, and risk factors of PTH in adults and children undergoing tonsillectomy. Methods: A retrospective analysis was performed of all patients undergoing tonsillectomy for benign indications between January 2008 ...

OBJECTIVE: Recurrent tonsillitis and upper respiratory tract obstruction due to adenotonsillar hypertrophy are the most common indications for (adeno)tonsillectomy ((A)TE). Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and thus treated with respiratory medication - this is non-antimicrobial medication used for lower respiratory diseases like bronchitis, bronchiolitis, asthma ...