Complications of Adenotonsillectomy

Johnson, Liane B.; Elluru, Ravindhra G.; Myer, Charles M.

doi:10.1002/lary.5541121413

Cited by 105 publications

(54 citation statements)

References 11 publications

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“…This may be caused by local disease, or in the case of referred pain, by pathology as distant as the cranial cavity and chest. However, teeth, TMJs, tonsils, tongue, throat and the cervical spine represent the most common sources of referred pain (26).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Referred otalgia: a structured approach to diagnosis and treatment

Charlett¹,

Coatesworth²

2007

International Journal of Clinical Practice

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Many patients who present with otalgia have a normal otological examination, and a distant source of pain must be considered. The ear receives an extensive sensory innervation arising from six nerve roots. Many other structures in the head, neck and thorax share a common neuronal pathway with the ear, and these tissues represent the possible sites of disease in the cases of referred otalgia. Consequently, the differential diagnosis is extensive and varied. Making an accurate diagnosis relies on an understanding of the complex distribution of nerve fibres and a structured approach to patient assessment. This article aims to classify the aetiology of referred otalgia and to outline current treatments for these conditions. The origins of referred otalgia may be as remote as the cranial cavity and thorax; however, dental disease, tonsillitis, temporomandibular joint disorders and cervical spine pathology represent the most frequent causes. Ear pain may also be the first sign of a head and neck malignancy. Patients complaining of otalgia, with risk factors for an aerodigestive neoplasm, and a normal ENT examination require an urgent otolaryngological opinion.

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Section: Resultsmentioning

confidence: 99%

“…The oropharynx is also the source of referred pain to the ear in the early postoperative period following tonsillectomy (26). Adults tend to be more affected than children (2).…”

Section: Sources Of Referred Otalgiamentioning

confidence: 99%

Referred otalgia: a structured approach to diagnosis and treatment

Charlett¹,

Coatesworth²

2007

International Journal of Clinical Practice

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“…The most common complications of adenotonsillectomy are related to anesthesia risks and breathing concerns, pain, otalgia, and bleeding (42). Dehydration may occur due to poorly controlled pain, refusal of oral intake, nausea, and vomiting secondary to narcotic use (42).…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Dehydration may occur due to poorly controlled pain, refusal of oral intake, nausea, and vomiting secondary to narcotic use (42). Rare complications of tonsillectomy include subcutaneous emphysema, pneumomediastinum, and taste disturbance due to damage to the lingual branch of the glossopharygngeal nerve (43, 44).…”

Section: Surgical Techniquesmentioning

confidence: 99%

Pediatric Sleep Surgery

Sulman

2014

Front. Pediatr.

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Adenotonsillectomy is the most common surgery performed for sleep disordered breathing with good outcomes. Children with obesity, craniofacial disorders, and neurologic impairment are at risk for persistent sleep apnea after adenotonsillectomy. Techniques exist to address obstructive lesions of the palate, tongue base, or craniofacial skeleton in children with persistent sleep apnea. Children with obstructive sleep apnea have a higher rate of peri-operative complications.

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“…15 • Surgical site bleeding. 24 Risk factors for postoperative bleeding include age (12 years or older), male gender, and operative techniques using heat. Primary bleeding occurs within 24 hours of surgery and occurs in 0.2% to 2.2% of patients; secondary bleeding occurs more than 24 hours postoperatively and occurs in 0.1% to 3.7% of patients.…”

Section: A Look At Laryngospasmmentioning

confidence: 99%