Hemorragia na adenoidectomia e/ou amigdalectomia: estudo de 359 casos

Vieira, Fernando Mirage Jardim; Diniz, Flávia L.; Figueiredo, Elisabete; Weckx, Luc Louis Maurice

doi:10.1590/s0034-72992003000300007

Cited by 9 publications

(6 citation statements)

References 3 publications

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“…Adenotonsillectomy, however, still is one of the most frequently performed surgical procedures within the realm of otorhinolaryngology. 3 …”

Section: Introductionmentioning

confidence: 99%

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Antibiotic use in post-adenotonsillectomy morbidity: a randomized prospective study

Guerra¹,

García²,

Pilan

et al. 2008

Brazilian Journal of Otorhinolaryngology

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“…Adenotonsillectomy, however, still is one of the most frequently performed surgical procedures within the realm of otorhinolaryngology. 3 …”

Section: Introductionmentioning

confidence: 99%

“…The main current indications for tonsillectomy and adenoidectomy are recurring infections and blockages of the upper airways, which may possibly lead to serous otitis, repetition otitis media, rhinosinusitis, snoring, sleep apnea, and altered craniofacial growth - often compromising the child's development and performance at school. 3 …”

Section: Introductionmentioning

confidence: 99%

Antibiotic use in post-adenotonsillectomy morbidity: a randomized prospective study

Guerra¹,

García²,

Pilan

et al. 2008

Brazilian Journal of Otorhinolaryngology

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“…Adenotonsillectomy, however, still is one of the most frequently performed surgical procedures within the realm of otorhinolaryngology. 3 The main current indications for tonsillectomy and adenoidectomy are recurring infections and blockages of the upper airways, which may possibly lead to serous otitis, repetition otitis media, rhinosinusitis, snoring, sleep apnea, and altered craniofacial growth -often compromising the child's development and performance at school. 3 There have been great developments in the fields of surgical technique and anesthesia, but post-operative morbidity is a yet important factor to be considered.…”

Section: Introductionmentioning

confidence: 99%

“…3 The main current indications for tonsillectomy and adenoidectomy are recurring infections and blockages of the upper airways, which may possibly lead to serous otitis, repetition otitis media, rhinosinusitis, snoring, sleep apnea, and altered craniofacial growth -often compromising the child's development and performance at school. 3 There have been great developments in the fields of surgical technique and anesthesia, but post-operative morbidity is a yet important factor to be considered. 1 Several papers have looked into drugs to minimize post-op morbidity, such as oral steroids administered during anesthesia or dosed regressively for the first days of post-op, analgesics such as paracetamol, diclofenac and tramadol, and prophylactic antibiotics.…”

Section: Introductionmentioning

confidence: 99%

Avaliação da antibioticoterapia na morbidade pós-adenotonsilectomia: estudo prospectivo randomizado

Guerra

García

Pilan

et al. 2008

Rev. Bras. Otorrinolaringol.

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Tonsi llectomy with or without adenoidectomy still is one of the most commonly performed surgical procedures in the world, mostly in the pediatric population. Aim: to study the impact of amoxicillin for 7 days in post-adenotonsillectomy recovery, comparing results with a control group. Study type: prospective, randomized, controlled study with 120 patients. Patients and Methods: the patients were randomized according to surgery time to receive 7 days of amoxicillin associated with pain killers, or analgesic alone. During the first week of postoperative, we assessed the level of pain, oral intake acceptance, nausea and vomits, fever and return to daily activities. Results: It was only in the fourth postoperative day that the group receiving antibiotic agents showed a statistically significant difference as far as pain is concerned. There was no difference between the two groups for other data analyzed. Conclusion: considering the results from our study and reviewing the literature on the use of antibiotic agents, we agree that there is no improvement in patient recovery after adenotonsillectomy with the use of amoxicillin for 7 days in the postoperative.

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“…Most of the children will have their first surgical intervention in Otorhinolaryngology 1 . More than 40 years ago, Eckenhoff documented that pediatric psychological traumas may result from surgery and anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Perfil psicológico de crianças submetidas a adenoidectomia e/ou amigdalectomia no pré e pós-operatório

Fukuchi

Morato

Rodrigues

et al. 2005

Rev. Bras. Otorrinolaringol.

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Adenoi dectomy and/or tonsillectomy are the most frequent surgeries in otorhinolaryngology. Infantile psychological trauma may be caused by surgeries and anesthesia. Aim: To estimate the preoperative service offered to children and their responsible people by examining their psychological profile pre and postoperatively. Study Design: Clinical perspective. Material and Method: We have evaluated the medical chart of children between two and twelve years old who were submitted to adenoidectomy and/or tonsillectomy during February to December of 2003 and analyzed the psychological profile applied to the children and their responsible person. Results: Out of the total of 78 patients, 32 (41.0%) were in pre-school age and 46 (59.0%) in school age. The predominant feeling in pre-school age was fear (59.4%), while in school-aged children and their responsible guardian it was trust: 63.0% and 48.72%, respectively. As to expectation of surgery results, both children (73.08%) and their responsible people (96.15%) showed optimism. Introverted emotional temperament was observed in the majority of the children (52.56%) and their responsible people (51.28%). The emotional reaction at the immediate postoperative period of children and their guardians was calm: 68.18% and 97.73%, respectively. All children were psychologically apt to be submitted to the surgery. Conclusion: Independent of the predominant feeling or emotional temperament, good preoperative guidance is required. We have to offer preoperative teaching program that includes verbal descriptions of the procedures among the sensations to be experienced, allied with the interaction of children and parents, looking for reduction of anxiety, response to surgical stress and possible postoperative sequelae.

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Hemorragia na adenoidectomia e/ou amigdalectomia: estudo de 359 casos

Abstract: Palavras-chave: adenoidectomia, amigdalectomia, hemorragia pós-operatória, complicação pós-operatória.

Cited by 9 publications

References 3 publications

Antibiotic use in post-adenotonsillectomy morbidity: a randomized prospective study

Antibiotic use in post-adenotonsillectomy morbidity: a randomized prospective study

Avaliação da antibioticoterapia na morbidade pós-adenotonsilectomia: estudo prospectivo randomizado

Perfil psicológico de crianças submetidas a adenoidectomia e/ou amigdalectomia no pré e pós-operatório

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