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Patency of nasopharynx and a cephalometric image in the children with orthodontic problemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In cases of malocclusion of skeletal character, coexisting with adenoid hypertrophy, adenoidectomy should be carried out as early as possible. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - November 20, 2009 Category: ENT & OMF Authors: Jarosław Wysocki, Marta Krasny, Piotr H. Skarżyński Tags: Research papers Source Type: journals

Adenoidectomy for otitis media with effusion in 2–3-year-old childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Adenoidectomy with or without tube insertion provided no advantage to young children with chronic OME in regard to time with effusion compared to tube insertion alone. Fewer tympanostomy tubes were placed in children undergoing A-M as their initial procedure, but this should be balanced by the performance of the more invasive surgical procedure and their increased time with effusion. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - November 20, 2009 Category: ENT & OMF Authors: Margaretha L. Casselbrant, Ellen M. Mandel, Howard E. Rockette, Marcia Kurs-Lasky, Patricia A. Fall, Charles D. Bluestone Tags: Research papers Source Type: journals

Effectiveness of transnasal endoscopic powered adenoidectomy in patients with choanal adenoidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objectives: To demonstrate the technique and efficacy of powered assisted adenoidectomy using nasal endoscopy.Patients and methods: Between 2002 and 2003, forty children (age ranged from 3 to 17 years) with symptoms and signs suggestive of snoring and/or obstructive sleep apnea and choanal adenoids were randomly selected and distributed in two groups. Group A underwent transnasal endoscopic powered adenoidectomy (TEPA) and group B underwent curettage adenoidectomy (CA). Both groups underwent pre- and postoperative nasal endoscopy. Direct comparisons between the two groups were made with regards to operative time,...
Source: International Journal of Pediatric Otorhinolaryngology - November 20, 2009 Category: ENT & OMF Authors: Khalid A. Al-Mazrou, Abdulaziz Al-Qahtani, Abdulrhman I. Al-Fayez Tags: Research papers Source Type: journals

Is Surgery The Best Answer For Children With Sleep Apnea?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For children with obstructive sleep apnea, standard care often includes a tonsillectomy and adenoidectomy. But researchers at Saint Louis University say further research is needed to determine if surgery is the best option for these patients. "We know surgery is associated with improvements in children with sleep apnea, but this research will be the first to allow us to investigate whether or not the surgery causes those improvements," says Ron Mitchell, M.D. (Source: Pediatrics News From Medical News Today)
Source: Pediatrics News From Medical News Today - November 5, 2009 Category: Pediatrics Tags: Sleep / Sleep Disorders / Insomnia Source Type: news

Is Surgery The Best Answer For Children With Sleep Apnea?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For children with obstructive sleep apnea, standard care often includes a tonsillectomy and adenoidectomy. But researchers at Saint Louis University say further research is needed to determine if surgery is the best option for these patients. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 5, 2009 Category: Consumer Health News Tags: Sleep / Sleep Disorders / Insomnia Source Type: news

Surgery for otitis media among Indigenous Australians.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Otitis media with effusion and recurrent acute otitis media are ubiquitous among Indigenous children. Otitis media causes conductive hearing loss that may persist throughout early childhood and adversely affect social interactions, language acquisition and learning. Control of otitis media usually restores hearing to adequate levels. Surgery is to be considered when otitis media has not responded to medical treatment. In non-Indigenous populations, tympanostomy tubes ("grommets"), with or without adenoidectomy, can control otitis media; how these findings relate to Indigenous Australians is not known. Tympanic membrane...
Source: Med J Aust - November 2, 2009 Category: Journals (General) Authors: O'Leary SJ, Triolo RD Tags: Med J Aust Source Type: journals

The impact of ear, nose and throat surgery on children's subsequent use of health services: An 8-year cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: High volume health services utilisation is a potential predictor of ENT surgery in this population. These results suggest a need to investigate non-clinical factors that influence service utilisation, which may include higher parental expectations or anxiety regarding their children's health. (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - October 26, 2009 Category: Pediatrics Authors: Marilyn I Rob, Johanna I Westbrook Source Type: journals

ORIGINAL ARTICLE: Impact of Tonsillectomy With or Without Adenoidectomy on the Acoustic Parameters of the Voice: A Comparative StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Chronic tonsillitis and tonsillar hypertrophy cause alterations in some acoustic measurements, which make the voice dysharmonic and harsh. Tonsillectomy eliminates nasalance and lowers shimmer. Overall, it does not significantly alter dysphonia owing to disease. (Source: Archives of Otolaryngology)
Source: Archives of Otolaryngology - October 19, 2009 Category: ENT & OMF Authors: Subramaniam, V., Kumar, P. Tags: Otolaryngology/ Head & Neck Surgery, Pediatric Otolaryngology, Voice Disorders, Otolaryngology/ Head & Neck Surgery, Other Original Article Source Type: journals

ORIGINAL ARTICLE: Duration-Related Efficacy of Postoperative Antibiotics Following Pediatric Tonsillectomy: A Prospective, Randomized, Placebo-Controlled TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion A 3-day course of antibiotics following pediatric tonsillectomy is as effective as a 7-day course with regard to postoperative analgesic use and resumption of normal diet and level of activity. Trial Registration clinicaltrials.gov Identifier: NCT00662987 (Source: Archives of Otolaryngology)
Source: Archives of Otolaryngology - October 19, 2009 Category: ENT & OMF Authors: Johnson, P. E., Rickert, S. M., Jones, J. Tags: Otolaryngology/ Head & Neck Surgery, Pediatric Otolaryngology, Otolaryngology/ Head & Neck Surgery, Other, Pediatrics, Pediatrics, Other, Randomized Controlled Trial, Prognosis/ Outcomes, Drug Therapy, Drug Therapy, Other Original Article Source Type: journals

Impact of Tonsillectomy With or Without Adenoidectomy on the Acoustic Parameters of the Voice: A Comparative Study [Original Article]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Chronic tonsillitis and tonsillar hypertrophy cause alterations in some acoustic measurements, which make the voice dysharmonic and harsh. Tonsillectomy eliminates nasalance and lowers shimmer. Overall, it does not significantly alter dysphonia owing to disease. (Source: Archives of Otolaryngology)
Source: Archives of Otolaryngology - October 19, 2009 Category: ENT & OMF Authors: Subramaniam, V., Kumar, P. Tags: Otolaryngology/ Head & Neck Surgery, Pediatric Otolaryngology, Voice Disorders, Otolaryngology/ Head & Neck Surgery, Other Original Article Source Type: journals

Duration-Related Efficacy of Postoperative Antibiotics Following Pediatric Tonsillectomy: A Prospective, Randomized, Placebo-Controlled Trial [Original Article]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion A 3-day course of antibiotics following pediatric tonsillectomy is as effective as a 7-day course with regard to postoperative analgesic use and resumption of normal diet and level of activity. Trial Registration clinicaltrials.gov Identifier: NCT00662987 (Source: Archives of Otolaryngology)
Source: Archives of Otolaryngology - October 19, 2009 Category: ENT & OMF Authors: Johnson, P. E., Rickert, S. M., Jones, J. Tags: Otolaryngology/ Head & Neck Surgery, Pediatric Otolaryngology, Otolaryngology/ Head & Neck Surgery, Other, Pediatrics, Pediatrics, Other, Randomized Controlled Trial, Prognosis/ Outcomes, Drug Therapy, Drug Therapy, Other Original Article Source Type: journals

Role of adenoids and adenoiditis in children with allergy and otitis mediaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Adenoids and/or tonsil inflammation with concomitant obstructive hypertrophy is one of the oldest and most common pediatric problems. Adenoids are a component of Waldeyer’s ring and because of their anatomic position can be relevant in the pathogenesis of otitis media when they are inflamed and/or enlarged. Adenoid pads can create mechanical eustachian tube obstruction. Therefore, in some cases, adenoidectomy may have a role in the clinical management of otitis media with effusion. However, eustachian tube dysfunction related to the adenoids may also have an allergy-related functional component. A...
Source: Current Allergy and Asthma Reports - October 13, 2009 Category: Allergy & Immunology Tags: Current Allergy and Asthma Reports Source Type: journals

Partial adenoidectomy by suction diathermy in children with cleft palate, to avoid velopharyngeal insufficiencyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Partial adenoidectomy, employing a variety of methods, has been used successfully in children with submucosal cleft palate. This study demonstrates the safe and effective use of suction diathermy to enable partial adenoidectomy in children who have previously undergone surgical correction of overt cleft palate, allowing symptom resolution without producing VPI. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: Daniel J. Tweedie, Christopher J. Skilbeck, Michelle E. Wyatt, Lesley A. Cochrane Tags: Research papers Source Type: journals

The effect of adenoidectomy on right ventricular performance in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study illustrated that in children suffering from AH, relieving upper airway obstruction by adenoidectomy may result in improvement of RV filling and RVO, associated with the reduction in PAP. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: Ehab Saoud Abd El-Moneim, Badawy Shahat Badawy, Mervat Atya Tags: Research papers Source Type: journals

Surgical planning for restoring velopharyngeal function in velocardiofacial syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Tailor-made pharyngeal flaps seem to be the best option for restoring velopharyngeal function in cases of VPI in VCFS patients. The use of VNP and MVF is useful for planning the operations for VPI, and they are also useful for indicating the removal of tonsils in cases with high risk of obstruction. Moreover, VNP is also useful for preventing damage to the internal carotids which are usually displaced in VCFS patients. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: Antonio Ysunza, Ma. C. Pamplona, Fernando Molina, Adriana Hernández Tags: Research papers Source Type: journals

Histopathological screening of tonsillectomy and/or adenoidectomy specimens: A report from southern IranEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: All T&A specimens in the adult population should be sent for microscopic pathological examination. Also specimens of nonroutine T&A in children (with positive findings in the medical history or on physical examination) should be sent for microscopic pathological examination. In children without positive findings in their history or on physical examination, gross pathological evaluation of routine T&A specimens by a pathologist is sufficient. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: A. Faramarzi, M.J. Ashraf, B. Hashemi, S.T. Heydari, I. Saif, N. Azarpira, M. Shishegar, F. Eghtedari, B. Khademi, M. Kaviani, P.V. Kumar Tags: Research papers Source Type: journals

Parental satisfaction with post-adenotonsillectomy in the developing worldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Majority of the parents (96.6%) were satisfied with the expectation of immediate resolution of symptoms; however, obstructive adenotonsillar hypertrophy remains an important problem to be solved to achieve total parental satisfaction in adenotonsillar operations. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: O.A. Afolabi, B.S. Alabi, F.E. Ologe, A.D. Dunmade, S. Segun-Busari Tags: Research papers Source Type: journals

Correlation between adenoid–nasopharynx ratio and endoscopic examination of adenoid hypertrophy: A blind, prospective clinical studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: To determine the reliability of adenoid–nasopharynx (A/N) ratio that is calculated on lateral cephalometric graphies for measuring the adenoid tissue size.Methods: 85 patients that had been examined in our clinic with a prediagnosis of adenoid hypertrophy between June 2007 and March 2008 were included in the study. Local ethics committee approved the study protocol. Patients who had a previous adenoidectomy history and anatomic anomaly or acute infection in nose, palate or nasopharynx were excluded. Endoscopic nasal examination was done in all patients in addition to the routine ear nose throat exami...
Source: International Journal of Pediatric Otorhinolaryngology - October 5, 2009 Category: ENT & OMF Authors: Fatma Caylakli, Evren Hizal, Ismail Yilmaz, Cuneyt Yilmazer Tags: Research papers Source Type: journals

Topical clindamycin in post-adenotonsillectomy analgesia in children: A double-blind, randomized clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The use of topical clindamycin was beneficial in reducing pain on the first postoperative day, without effect on subsequent days. Future investigations could examine the use of topical clindamycin not only in the first 12 hours but also during five days of follow-up. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 28, 2009 Category: ENT & OMF Authors: Mauricio Schreiner Miura, Catia Saleh, Marina de Andrade, Melina Assmann, Lucélia Hernandes Lima, José Faibes Lubianca Neto Tags: Pediatric Otolaryngology Source Type: journals

Pediatric Pain After Ambulatory Surgery: Where's the Medication?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: We conclude that a large proportion of children receive little analgesic medication after surgery and research efforts should be directed to the discrepancy between high ratings of postoperative pain provided by parents and the low dosing of analgesics they use for their children. (Source: PEDIATRICS)
Source: PEDIATRICS - September 27, 2009 Category: Pediatrics Authors: Fortier, M. A., MacLaren, J. E., Martin, S. R., Perret-Karimi, D., Kain, Z. N. Tags: Office Practice ARTICLES Source Type: journals

Prophylaxis of postoperative vomiting in children undergoing tonsillectomy: a systematic review and meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: This review evaluated interventions to reduce the incidence of post-operative vomiting in children after tonsillectomy, with or without adenoidectomy. It reported good evidence for the effectiveness of dexamethasone and certain serotonergic antagonists; some evidence for metoclopramide, perphenazine and midazolam; but insufficient evidence for dimenhydrinate, droperidol, gastric aspiration or acupuncture. These conclusions appear largely reliable. CRD Commentary: The review question was clearly defined in terms of study designs, participants, interventio...
Source: NeLM - Ear, Nose and Throat (ENT) disorders - September 23, 2009 Category: ENT & OMF Source Type: organizations

Re: Tonsillectomy and adenoidectomy in children with sleep-related breathing disorders: consensus statement of a UK multidisciplinary working partyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Otolaryngology)
Source: Clinical Otolaryngology - September 23, 2009 Category: ENT & OMF Authors: H. Al-reefy, J. Fleming, D. Mitchell Tags: Correspondence: Letters Source Type: journals

Cochrane review: Intranasal corticosteroids for nasal airway obstruction in children with moderate to severe adenoidal hypertrophyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adenoidal hypertrophy is generally considered a common condition of childhood. When obstructive sleep apnoea or cardio-respiratory syndrome occurs, adenoidectomy is generally indicated. In less severe cases, non-surgical interventions may be considered, however few medical alternatives are currently available. Intranasal steroids may be used to reduce nasal airway obstruction.To assess the effectiveness of intranasal corticosteroids for improving nasal airway obstruction in children with moderate to severe adenoidal hypertrophy.Our search included the Cochrane Ear, Nose and Throat Disorders Group Trials Register, the Cochr...
Source: Evidence-Based Child Health: A Cochrane Review Journal - September 15, 2009 Category: Pediatrics Authors: Linjie Zhang, Raúl A Mendoza-Sassi, Juraci A César, Neil K Chadha Tags: adenoidal Hypertrophy Source Type: journals

Cochrane review: Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgical removal of the tonsils, with or without adenoidectomy (adeno-/tonsillectomy), is a common ENT operation but the indications for surgery are controversial.To determine the effects of tonsillectomy, with and without adenoidectomy, in patients with chronic/recurrent acute tonsillitis.The Cochrane Ear, Nose and Throat Disorders Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2008, issue 2), MEDLINE (1966 to 2008), EMBASE (1974 to 2008), bibliographies, and additional sources were searched for published and unpublished trials. The date of the last search wa...
Source: Evidence-Based Child Health: A Cochrane Review Journal - September 15, 2009 Category: Pediatrics Authors: Martin J Burton, Paul P Glasziou Tags: Tonsillitis Source Type: journals

The relationship between chronic otitis media with effusion and surface and deep flora of hypertrophic adenoidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, superficial and deep aerobic and anaerobic bacterial flora of adenoid tissues were compared in children with and without chronic otitis media with effusion (cOME).Patients and methods: Between 2004 and 2007, family members of children (ages 1–14 years) who were scheduled to undergo adenoidectomy were approached for participation in the study. Of the 180 patients who gave consent, 107 (59%) did not have cOME (Group I), whereas 73 (41%) had had a tympanostomy tube previously due to cOME (Group II). Prior to adenoidectomy, swabs were taken from the surface of the adenoids, and samples of deep tissue for cultu...
Source: International Journal of Pediatric Otorhinolaryngology - September 3, 2009 Category: ENT & OMF Authors: Ahmet Almac, Sultan Sevik Elicora, Zeki Yumuk, Volkan Dundar, Ayse Willke Tags: Research papers Source Type: journals

Treatment of persistent post-adenoidectomy velopharyngeal insufficiency by sphincter pharyngoplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Persistent post-adenoidectomy velopharyngeal insufficiency may be due to anatomical abnormalities of the palate such as an occult submucous cleft, short palate or deep nasopharynx; such conditions may be overlooked during the preoperative preparation for adenoid removal. Speech therapy is an effective method in mild hypernasality especially if there is no anatomical abnormality, while surgical correction is usually needed in moderate and severe cases, and sphincter pharyngoplasty is a useful choice for those patients. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - September 3, 2009 Category: ENT & OMF Authors: Mosaad Abdel-Aziz, Hazem Dewidar, Hassan El-Hoshy, Azza A. Aziz Tags: Research papers Source Type: journals

Effectiveness of circumoral muscle exercises in the developing dentofacial morphology in adenotonsillectomized children: An ultrasonographic evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Das U M, Beena J PJournal of Indian Society of Pedodontics and Preventive Dentistry 2009 27(2):94-103Alterations in the functions of the facial muscle can establish changes in facial skeleton and in the development of occlusion. The effect of mouth breathing on the facial morphology is probably greatest during the growth period. Removal of nasal obstruction, adenoids, and tonsils have not given beneficial results in the reversion of the habit unless intercepted with various muscle exercises. Hence, this study was conducted to ultrasonographically evaluate the effectiveness of circumoral muscle exercises in the developing d...
Source: Journal of Indian Society of Pedodontics and Preventive Dentistry - September 1, 2009 Category: Dentistry Authors: Das U M, Beena J P Source Type: journals

Topical sucralfate in post-adenotonsillectomy analgesia in children: A double-blind randomized clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We found beneficial effect of use of sucralfate in reduction of oropharyngeal pain in the postoperative period of adenotonsillectomy. However, topical sucralfate does not have a potent effect to the point of being utilized as a single analgesic treatment. Because it is simple, safe, tolerated, and low-cost, it is an important tool as adjuvant treatment of post-tonsillectomy pain. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - August 28, 2009 Category: ENT & OMF Authors: Mauricio Schreiner Miura, Catia Saleh, Marina de Andrade, Melina Assmann, Marcio Ayres, José Faibes Lubianca Neto Tags: Pediatric Otolaryngology Source Type: journals

Treatment options for obstructive sleep apneaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Opinion statement Sleep apnea is a major public health problem that afflicts 9% of women and 24% of men 30 to 60 years of age. It is highly treatable, but when untreated, it has been associated with (but not necessarily linked to) increased probability of cerebral and coronary vascular disease, congestive heart failure, metabolic dysfunction, cognitive dysfunction, excessive daytime sleepiness, motor vehicle accidents, reduced productivity, and decreased quality of life. The gold standard for treatment in adults is positive airway pressure (PAP) therapy: continuous PAP (CPAP), bilevel PAP, autotitrating CPAP...
Source: Current Treatment Options in Neurology - August 11, 2009 Category: Neurology Tags: Current Treatment Options in Neurology Source Type: journals

PEAK Surgical Introduces PEAK PlasmaBlade(TM) TnAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PEAK Surgical, Inc. announced the launch of the PEAK((R)) PlasmaBlade TnA (Tonsil and Adenoid) tissue dissection device following 510(k) clearance from the U.S. Food and Drug Administration (FDA). This new product is indicated for cutting and coagulation of soft tissue during otolaryngology (ear, nose and throat [ENT]) surgery, including removal of the tonsils and adenoids. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - August 5, 2009 Category: Consumer Health News Tags: Ear, Nose and Throat Source Type: news

Gold laser tonsillectomy—A safe new methodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Tonsillectomy by means of the Gold laser can be safely performed in the pediatric population. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - August 1, 2009 Category: ENT & OMF Authors: Jerald E. Giles, N. Knight Worley, Natacha Telusca Tags: Research papers Source Type: journals

NICE consultation paper on suction diathermy adenoidectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
27/07/09 NICE has now issued a 4 week consultation document about the safety and efficacy of this procedure. If you wish to comment on the consultation document please use the link (Source: NLH Specialist Library for ENT and Audiology Latest News)
Source: NLH Specialist Library for ENT and Audiology Latest News - July 27, 2009 Category: ENT & OMF Source Type: organizations

What Causes Macroglossia?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion Children with Down syndrome have a number of potential medical problems that need to be screened for and current recommendations can be found from the American Academy of Pediatrics (see To Learn More below). These include congenital cardiac anomalies, atlanto-axial instability, hypothyroidism, and leukemia and its variants. Additionally, children with Down syndrome often have chronic otitis media and airway abnormalities because of smaller airways and hypotonia. Dental abnormalities are also common. Learning Point Macroglossia is not a common problem but the differential diagnosis is broad. Often macroglossia i...
Source: PediatricEducation.org - July 27, 2009 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: info

Removal of Tonsils and Adenoids Associated With Ongoing Benefits for Children With Breathing Problems During SleepEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two and a half years after children with sleep-related breathing disorders had surgery to remove their tonsils and adenoids (glands in the back of the throat), they appear to sleep better than they did before the procedure but not as well as they did six months after, according to a new report. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - July 24, 2009 Category: Science Source Type: news

How frequent is adenoid obstruction? Impact on the diagnostic approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Clinical assessment is crucial to evaluate chronic nasal obstruction. The lateral nasopharyngeal roentgenogram provides objective evaluation of the adenoid but its limitations should be considered. Nasal endoscopy may substitute for radiology but should be reserved for unusual cases. (Source: Pediatrics International)
Source: Pediatrics International - July 22, 2009 Category: Pediatrics Authors: Mohamed A. Bitar, Ghina Birjawi, Marwan Youssef, Nabil Fuleihan Tags: ORIGINAL ARTICLES Source Type: journals

Removal Of Tonsils And Adenoids Associated With Ongoing Benefits For Children With Breathing Problems During SleepEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two and a half years after children with sleep-related breathing disorders had surgery to remove their tonsils and adenoids (glands in the back of the throat), they appear to sleep better than they did before the procedure but not as well as they did six months after, according to a report in the July issue of Archives of Otolaryngology-Head & Neck Surgery, one of the JAMA/Archives journals. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - July 21, 2009 Category: Consumer Health News Tags: Ear, Nose and Throat Source Type: news

Tonsillectomy Linked to Weight Gain in KidsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(NaturalNews) Children who have their tonsil surgically removed early in life are significantly more likely to become overweight or obese by age eight, according to a study conducted by researchers from the National Institute for Public Health and the Environment in the Netherlands, and published in the journal Pediatrics.The researchers measured the height and weight of 3,963 eight-year olds who were participating in the Dutch Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort study. Every year up to age eight, the children's parents had filled out detailed questionnaires supplying information about ...
Source: NaturalNews.com - July 12, 2009 Category: Consumer Health Advice Source Type: news

Rhinolithiasis: a retrospective study and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a retrospective analysis of 18 cases of rhinolithiasis treated in our clinic between 1990 and 2004. Age, sex, locations, diagnostic methods, and surgical technique were analyzed. Diagnosis was made by clinical examination and radiologic methods. Anterior rhinoscopy was performed in all patients and endoscopic evaluation in 14 patients. Plain-film x-rays of the paranasal sinus were taken in all patients, and computed tomography was performed in 5 patients. All rhinoliths were in the inferior meatus-11 right and 7 left. Patients' complaints were unilateral, foul-smelling rhinorrhea and nasal obstruction. Fiv...
Source: Ear, Nose and Throat Journal - June 30, 2009 Category: ENT & OMF Authors: Yaşar H, Ozkul H, Verim A Tags: Ear Nose Throat J Source Type: journals

Tonsillectomy and adenoidectomy in children with sleep-related breathing disorders: consensus statement of a UK multidisciplinary working party.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During 2008, ENT-UK received a number of professional enquiries from colleagues about the management of children with upper airway obstruction and uncomplicated obstructive sleep apnoea (OSA). These children with sleep-related breathing disorders (SRBDs) are usually referred to paediatricians and ENT surgeons. In some district general hospitals, (DGHs) where paediatric intensive care (PICU) facilities to ventilate children were not available, paediatrician and anaesthetist colleagues were expressing concern about children with a clinical diagnosis of OSA having routine tonsillectomy, with or without adenoidectomy. As B...
Source: Annals of the Royal College of Surgeons of England - June 30, 2009 Category: Surgery Authors: Robb PJ, Bew S, Kubba H, Murphy N, Primhak R, Rollin AM, Tremlett M Tags: Ann R Coll Surg Engl Source Type: journals

Fiberscopic Imaging of the Pediatric NasopharynxEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study describes the endoscopic findings about the size of the adenoid tissue and the condition of the nasopharyngeal orifice of the eustachian tube. Results confirmed that only fiberscopic examination allows a thorough inspection of the nasopharyngeal anatomy to make a correct diagnosis and design therapeutic planning. When the presence of adenoid hypertrophy resulting in nasal obstruction, snoring, and/or otitis media was confirmed endoscopically, adenoidectomy proved to be highly efficacious in relieving these symptoms. (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - June 30, 2009 Category: Surgery Source Type: journals

Implementation of neonatal screening for hearing impairment: Influence on pediatric otitis media surgery in The NetherlandsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: There seems to be an association between the implementation of neonatal screening for hearing impairment and the treatment of otitis media. During the whole studied period there was a slight but statistical significant increase in the odds for tube placement in all children aged 0–23 months. After implementation of the neonatal screen there was a distinct increase in the number of children aged 6–11 months treated with tubes. In the same period a statistical significant decline in the odds of undergoing adenoidectomy was observed. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - June 29, 2009 Category: ENT & OMF Authors: W. Lok, M.N. Chenault, L.J.C. Anteunis Tags: Research papers Source Type: journals

Comparative study of the removal of tonsils and adenoid with and without electrodiathermyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary Tonsillectomy and adenoidectomy has been performed on 56 patients by electrodiathermy and 54 patients by ordinary dissection technique. Satisfactory general anaesthesia was achieved with endotracheal intubation and inhalation mixture of trichlorethylene, nitrous oxide and oxygen. The comparison of the two techniques reveals that the time of operation, loss of blood, incidence of reactionary and secondary haemorrhage and tonsillar tags are less in electrodiathermy than the ordinary method. It is advocated that electrodiathermy may be used much more commonly especially in children in whom the blood los...
Source: Indian Journal of Otolaryngology and Head & Neck Surgery - June 26, 2009 Category: ENT & OMF Tags: Indian Journal of Otolaryngology and Head & Neck Surgery Source Type: journals

Persistent pediatric obstructive sleep apnea and lingual tonsillectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Endoscopic-assisted coblation lingual tonsillectomy is an effective technique for the treatment of lingual tonsillar hypertrophy causing persistent obstructive sleep apnea in some children. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - June 25, 2009 Category: ENT & OMF Authors: Aaron C. Lin, Peter J. Koltai Tags: Pediatric Otolaryngology Source Type: journals

Immunological investigation in the adenoid tissues from children with chronic rhinosinusitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Adenoid tissues in pediatric CRS patients had higher levels of tissue-remodeling–associated cytokines, which may explain the relationship between pediatric CRS and adenoid inflammation. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - June 25, 2009 Category: ENT & OMF Authors: Seung-Youp Shin, Gil-Soon Choi, Hae-Sim Park, Kun-Hee Lee, Sung-Wan Kim, Joong-Saeng Cho Tags: Pediatric Otolaryngology Source Type: journals

Orthodontic treatment after adenoidectomy patients: effect on jaw relations in saggital planeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present here a study of 20 patients who were given early orthodontic treatment in postadenoidectomy period as compared to those patients who were not treated by orthodontist. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s12070-009-0057-xAuthors Nitin Gupta, Himalayan Institute of Medical Sciences Department of ENT Swami Ram Nagar, Dehradun 248 140 Uttarakhand IndiaSeema Diwan Gupta, Himalayan Institute of Medical Sciences Department of Dentistry Swami Ram Nagar, Dehradun 248 140 Uttarakhand IndiaSaurabh Varshney, Himalayan Institute of Medical Sciences Department of ENT Swami Ram Nagar, Dehradun 248...
Source: Indian Journal of Otolaryngology and Head & Neck Surgery - June 15, 2009 Category: ENT & OMF Tags: Indian Journal of Otolaryngology and Head & Neck Surgery Source Type: journals

Adenoidectomy Does Not Increase Risk of Asthma or AllergyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adenoidectomy in childhood does not increase the risk of developing asthma or allergy, but chronic respiratory infections in early childhood does appear to promote bronchial hyper-reactivity, according to a report by investigators in Finland. Reuters Health Information (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - June 3, 2009 Category: Allergy & Immunology Tags: Pediatrics Source Type: info

Age specific differences in pediatric obstructive sleep apneaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Background: Some have suggested that younger children have a more severe form of obstructive sleep apnea than older children and therefore are at a higher risk for respiratory compromise after tonsillectomy and adenoidectomy. However, at present there are few studies that have identified any significant correlation between age and severity of obstructive sleep apnea.Objective: To determine if age specific differences in obstructive sleep apnea are present in children.Design: Retrospective chart review.Setting: Tertiary care children's hospital.Patients: The records of children (1–18 years of age) with obstructi...
Source: International Journal of Pediatric Otorhinolaryngology - June 3, 2009 Category: ENT & OMF Authors: Debra M. Don, Kenneth A. Geller, Jeffrey A. Koempel, Sally Davidson Ward Tags: Case reports Source Type: journals

Updated systematic review of tonsillectomy and adenoidectomy for treatment of pediatric obstructive sleep apnea/hypopnea syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: Perform an updated systematic review and meta-analysis to determine the cure rate of tonsillectomy and adenoidectomy (T&A) for pediatric obstructive sleep apnea/hypopnea syndrome (OSAHS).Methods: A systematic review was performed to identify English-language studies that evaluate the treatment of pediatric (age < 20 years) OSAHS patients with T&A using polysomnography as a metric of cure. Twenty-three studies fit the inclusion criteria and a meta-analysis was performed to determine the overall success. Meta-analysis was also performed to determine the success in obese and comorbid populations vs cohort...
Source: Otolaryngology - Head and Neck Surgery - June 1, 2009 Category: ENT & OMF Authors: Michael Friedman, Meghan Wilson, Hsin-Ching Lin, Hsueh-Wen Chang Tags: Literature Review Source Type: journals

Balloon dilation of an acquired nasopharyngeal stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Acquired nasopharyngeal stenosis (NPS) is an uncommon clinical entity that may occur after adenoidectomy, uvulopalatopharyngoplasty, or radiation therapy. Patients may report nasal obstruction or hyponasal speech. Treatment options previously described include rotational flaps, radiofrequency ablation, or laser excision with or without long-term stenting. Despite these various approaches, recurrence of the stenosis is not uncommon. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - June 1, 2009 Category: ENT & OMF Authors: Neil N. Chheda, Gregory N. Postma Tags: Clinical Techniques and Technology Source Type: journals

Journal Club: Adenoids, fluoride, and postpartum depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reviews of medical journal articles on adenoidectomy and tonsilectomy's connection to weight gain, the benefits of water over soda, and postpartum depression in moms of multiples. (Source: Modern Medicine Contemporary Pediatrics)
Source: Modern Medicine Contemporary Pediatrics - May 31, 2009 Category: Pediatrics Source Type: info