Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger than 3 years. Export

@article{citeulike:4134524, abstract = {OBJECTIVES: (1) To assess the safety and efficacy of outpatient intracapsular tonsillectomy, which has been recently described as a less invasive means of treating obstructive tonsillar hypertrophy, in children younger than 3 years; and (2) to challenge the standard dictum that children younger than 3 years should be admitted to the hospital after tonsil and adenoid surgery. DESIGN: Retrospective cohort study via medical chart review and telephone interview. SETTING: Pediatric otolaryngology group practice with academic affiliation.Patients Children with symptomatic tonsillar and adenoid hypertrophy (n = 226) who underwent microdebrider-assisted intracapsular tonsillectomy between September 1, 2000, and October 1, 2002. METHODS: Comparison of study group (children <3 years old, n = 38; mean age, 30.3 months; 20 boys and 18 girls) with control group (children > or =3 years, n = 188), measuring pain, oral intake, analgesic requirements, complications, need for readmission, and relief of symptoms. RESULTS: There were no statistically significant differences in pain, oral intake, or analgesic requirements. All children, regardless of age, were discharged home within 4 hours of surgery. No child in either group required readmission, and there were no complications related to the time of discharge. Younger children experience equivalent symptomatic improvement. CONCLUSION: Children younger than 3 years may undergo intracapsular tonsillectomy as outpatients without sacrificing safety or efficacy.}, author = {Bent, J. P. and April, M. M. and Ward, R. F. and Sorin, A. and Reilly, B. and Weiss, G.}, citeulike-article-id = {4134524}, citeulike-linkout-0 = {http://dx.doi.org/10.1001/archotol.130.10.1197}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/15492168}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=15492168}, doi = {10.1001/archotol.130.10.1197}, issn = {0886-4470}, journal = {Archives of otolaryngology--head \& neck surgery}, keywords = {pita}, month = {October}, number = {10}, pages = {1197--1200}, posted-at = {2009-03-05 08:15:19}, priority = {2}, title = {Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger than 3 years.}, url = {http://dx.doi.org/10.1001/archotol.130.10.1197}, volume = {130}, year = {2004} }

TY - JOUR ID - citeulike:4134524 L3 - citeulike-article-id:4134524 N2 - OBJECTIVES: (1) To assess the safety and efficacy of outpatient intracapsular tonsillectomy, which has been recently described as a less invasive means of treating obstructive tonsillar hypertrophy, in children younger than 3 years; and (2) to challenge the standard dictum that children younger than 3 years should be admitted to the hospital after tonsil and adenoid surgery. DESIGN: Retrospective cohort study via medical chart review and telephone interview. SETTING: Pediatric otolaryngology group practice with academic affiliation.Patients Children with symptomatic tonsillar and adenoid hypertrophy (n = 226) who underwent microdebrider-assisted intracapsular tonsillectomy between September 1, 2000, and October 1, 2002. METHODS: Comparison of study group (children <3 years old, n = 38; mean age, 30.3 months; 20 boys and 18 girls) with control group (children > or =3 years, n = 188), measuring pain, oral intake, analgesic requirements, complications, need for readmission, and relief of symptoms. RESULTS: There were no statistically significant differences in pain, oral intake, or analgesic requirements. All children, regardless of age, were discharged home within 4 hours of surgery. No child in either group required readmission, and there were no complications related to the time of discharge. Younger children experience equivalent symptomatic improvement. CONCLUSION: Children younger than 3 years may undergo intracapsular tonsillectomy as outpatients without sacrificing safety or efficacy. IS - 10 JF - Archives of otolaryngology--head & neck surgery SN - 0886-4470 EP - 1200 TI - Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger than 3 years. VL - 130 SP - 1197 KW - pita AU - Bent, JP AU - April, MM AU - Ward, RF AU - Sorin, A AU - Reilly, B AU - Weiss, G PY - 2004/10// UR - http://dx.doi.org/10.1001/archotol.130.10.1197 ER -