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Tonsillectomy

Tonsillectomies


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]
Turkish
  • […] malignancy found.(2-6) Case-control studies report tonsillar asymmetry as the most common presenting symptom (73%) in tonsillar lymphoma.(7) This enlargement usually occurs rapidly within 6 weeks with new obstructive or systemic B-type symptoms.(3) A Turkish[ncbi.nlm.nih.gov]
Tonsillar Ulcer
  • Myeloid sarcoma in a patient with myelodysplastic syndrome (MDS) manifesting as a non-healing tonsillar ulcer is an extremely rare occurrence.[ncbi.nlm.nih.gov]
Burning Eyes
  • Injury to nearby structures has been reported, including lip burn, eye injury, and fracture of the mandibular condyle.[doi.org]
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]
Subcutaneous Emphysema of the Neck
  • However spontaneous subcutaneous emphysema of the neck following tonsillectomy has rarely been described. We report a case of this complication in a young female patient.[ncbi.nlm.nih.gov]

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

  • This means that treatment failure can have major implications for their working career. Despite repeated treatments according to guidelines, the eradication of MRSA fails in a minority of cases.[ncbi.nlm.nih.gov]

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]
  • Abstract Background and Aim: 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.[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]
  • Citing Literature Number of times cited according to CrossRef: 2 Peter Bager, Sanne Gørtz, Bjarke Feenstra, Nynne Nyboe Andersen, Tine Jess, Morten Frisch and Mads Melbye, Increased Risk of Inflammatory Bowel Disease in Families with Tonsillectomy, Epidemiology[doi.org]
Sex distribution
Age distribution

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]
  • […] 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]
  • Pathophysiology The tonsils are 3 masses of tissue: the lingual tonsil, the pharyngeal (adenoid) tonsil, and the palatine or fascial tonsil.[reference.medscape.com]

Prevention

  • The dangerous situations leading to fire hazards and the prevention measures are discussed.[ncbi.nlm.nih.gov]
  • 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]

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