Presentation
There are a handful of common complications, with bleeding being the most feared; however, rarer complications can present to a wide range of medical professionals. A 12-year-old girl presented with cervicofacial emphysema following tonsillectomy. [ncbi.nlm.nih.gov]
Musculoskeletal
- Neck Pain
Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. [ncbi.nlm.nih.gov]
Some children also complain of jaw pain and neck pain. This is from positioning in the operation room. Many children have trouble eating, drinking and sleeping because of pain. [choc.org]
Your child may also have neck pain with decreased neck movement for five to seven days if they also had adenoids removed during surgery. [childrenscolorado.org]
Ibuprofen for tonsillectomy pain in children: efficacy and complications. Otolaryngol Head Neck Surg. 1998 ;119: 492 - 496. Google Scholar | SAGE Journals | ISI 201. Marret, E, Flahault, A, Samama, CM. [oto.sagepub.com]
Workup
In 5 years lymphoma workups were performed in19 children and 42 adults. The cost of each workup was $4063.00 and Medicare reimburses $1180. [bloodjournal.org]
Otherwise, the workup for each patient was negative for infectious processes, rheumatologic disorders, and genetic syndromes when performed as directed by the primary care physician or our rheumatology colleagues. [doi.org]
Treatment
If the patient was a cooperative teenager, 38% attempted bedside treatment while 52% would still go to the operating room. [ncbi.nlm.nih.gov]
Adherence to these guidelines will not ensure successful treatment in every situation. [web.archive.org]
Prognosis
She was diagnosed with IgA nephropathy with a poor prognosis, based on the formation of many crescents in the glomerulus and monocyte infiltration in the interstitium in a renal biopsy specimen in February 2003. [ncbi.nlm.nih.gov]
Video: After your child's tonsil or adenoid surgery Outlook (Prognosis) After surgery, the number of throat infections is most often lower, but your child may still get some. Images References Goldstein NA. [ufhealth.org]
Outlook (Prognosis) After surgery, the number of throat infections is most often lower, but your child may still get some. References Goldstein NA. Evaluation and management of pediatric obstructive sleep apnea. [mountsinai.org]
Prognosis for spontaneous resolution of obstructive sleep apnea in children. Chest. 2015 ;148: 1204 - 1213. Google Scholar | Medline | ISI 15. Konstantinopoulou, S, Gallagher, P, Elden, L. [doi.org]
Etiology
Tonsillectomy remains a controversial environmental factor in the etiology of inflammatory bowel disease (IBD). This meta-analysis aims to elucidate a more defined role of tonsillectomy in the development of IBD. [ncbi.nlm.nih.gov]
There was no significant change adenoidectomy rates for chronic infectious etiologies (0.25 versus 0.21 per 1000, P = 0.326). [doi.org]
He concludes that there is an etiologic relationship between the operation and the development of acute poliomyelitis and that when the latter develops, the symptoms occur predominantly in the upper portion of the nervous system. [jamanetwork.com]
Epidemiology
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. [ncbi.nlm.nih.gov]
PubMed PubMed Central Google Scholar Lauer K, Firnhaber W: Descriptive and analytical epidemiological data on multiple sclerosis from a long-term study in southern Hesse, Germany. Multiple Sclerosis in Europe: An Epidemiological Update. edn. [doi.org]
Pathophysiology
To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning. [ncbi.nlm.nih.gov]
Pathophysiology The tonsils are 3 masses of tissue: the lingual tonsil, the pharyngeal (adenoid) tonsil, and the palatine or fascial tonsil. [reference.medscape.com]
[…] from 0.7% to 10% with a peak between 2 and 8 years. 3 This syndrome is associated with several adverse outcomes, including cognitive impairment, metabolic and cardiovascular consequences, behavioural deficits 4–6 and lower quality of life (QoL). 7 The pathophysiological [doi.org]
Investigate microbiologic and immunologic changes associated with tonsillectomy to provide a reasonable pathophysiologic explanation for perceived improvement with surgical intervention through a change in oropharyngeal and/or nasopharyngeal biofilms [oto.sagepub.com]
Prevention
The dangerous situations leading to fire hazards and the prevention measures are discussed. [ncbi.nlm.nih.gov]
Get the latest from TODAY Jan. 17, 2017, 11:57 AM UTC / Source: TODAY A few decades ago removing a child's tonsils to prevent throat infections was almost a rite of passage. [today.com]
It is sometimes said that tonsillectomy is only performed in patients with tonsillitis, to prevent tonsillitis. But clinical situations are rarely this simple. [doi.org]