Ear, Nose, and Throat Operations in the United States, 1979 to 1984

Rutkow, Ira M.

doi:10.1001/archotol.1986.03780080073017

Cited by 45 publications

(17 citation statements)

References 10 publications

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“…A denotonsillar hypertrophy represents 1 of the most frequent indications for surgery in children 1 and is associated with significant morbidity ranging from obstructive sleep apnea and cardiorespiratory syndrome to nasal airway obstruction, recurrent otitis media, and chronic sinusitis. [2][3][4] It has been recently suggested that treatment with antibiotics 5 or with topical steroids 6 can decrease the severity of symptoms, but it has not been established whether medical treatment can also decrease the frequency of adenotonsillectomy.…”

mentioning

confidence: 99%

Frequency of Surgery Among Children Who Have Adenotonsillar Hypertrophy and Improve After Treatment With Nasal Beclomethasone

et al. 2003

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ABSTRACT. Objective. To describe the long-term outcome of a cohort of children with symptomatic adenotonsillar hypertrophy treated with aqueous nasal beclomethasone.Methods. The children enrolled completed a 4-week single-blind, saline solution controlled crossover study of aqueous beclomethasone (total: 400 g/d). In a 24-week open-label follow-on study, beclomethasone 200 g/d was offered to all patients. During a 100-week follow-up, the degree of nasal obstruction and the frequency of adenotonsillectomy were assessed.Results. Fifty-three children of the 60 enrolled completed the study. After the 4-week crossover trial, the severity of nasal obstruction of 24 children (45%) significantly decreased during the use of nasal steroids, but no child improved when saline solution was used. At 24, 52, and 100 weeks, the 24 children who had initially improved showed a significant decrease of the severity of nasal obstruction and of the frequency of adenotonsillectomy (54% vs 83%) compared with the 29 children who had not responded after the initial steroidal therapy.Conclusions. Evidence from this study suggests that 45% of children with adenoidal hypertrophy improved after 2 weeks of steroidal therapy. Among these children, an additional 24-week treatment at a lower steroid dosage was associated with a significant 52-and 100-week clinical improvement and with reduction of adenotonsillectomy compared with children (55%) who had not responded after the initial 2-week steroidal therapy. Pediatrics 2003;111:e236 -e238. URL: http://www. pediatrics.org/cgi/content/full/111/3/e236; adenotonsillar hypertrophy, topical steroids, adenotonsillectomy.

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confidence: 99%

Frequency of Surgery Among Children Who Have Adenotonsillar Hypertrophy and Improve After Treatment With Nasal Beclomethasone

et al. 2003

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“…1). The mean respiratory medication use in this group dropped from 3.2 boxes (median 2; IQR [1][2][3][4] in the year before surgery to 1.6 boxes (median 0; IQR 0-2) in the year after surgery. Out of 7.531 subjects who did not use respiratory medication in the year before surgery, 1.017 used at least one box of respiratory medication in the year after.…”

Section: Resultsmentioning

confidence: 94%

Effect of adenotonsillectomy on the use of respiratory medication

Piessens

Hens

Lemkens

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…Despite widespread use of antibiotics and prophylactic vaccinations, adenoid hypertrophy (AH) is still the most frequent otolaryngological condition and one of the most common indications for surgery in children [1]. Recurrent upper respiratory tract infections are often considered as one of the primary and important factors contributing to abnormal hypertrophy of pharyngeal Waldeyer's ring of lymphatic tissue [2].…”

Section: Introductionmentioning

confidence: 99%

“…General symptoms of AH include nasal obstruction, snoring, mouth breathing, and otological and rhinological problems (i.e., recurrent otitis media and rhinosinusitis), often requiring appropriate and, in many cases, surgical treatment. Consequently, the removal of tonsils and adenoids is one of the most common surgical procedures [1,3,4].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy

Abdel‐Aziz

2011

Eur Arch Otorhinolaryngol

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Adenoid hypertrophy (AH) is a common cause of airway obstruction in children and its recurrence after conventional curettage adenoidectomy is not rare. The purpose of this study is to assess the efficacy of endoscopic nasopharyngeal exploration at the end of curettage adenoidectomy on decreasing the incidence of adenoid re-hypertrophy. Three hundred and fifty children diagnosed as having AH, underwent conventional curettage adenoidectomy by a single surgeon. The cases were randomly divided into two equal groups A and B, group B were further subjected to nasopharyngeal exploration by the nasal endoscope after removal of their adenoids with cauterization of any visible residuals, while group A were not subjected to this endoscopic maneuver. Follow-up was carried out for at least 2 years; flexible nasopharyngoscopy was used for detection of recurrent AH. Cases that were not subjected to endoscopic nasopharyngeal exploration (group A) showed a high recurrence rate (6.6%), while explored cases (group B) showed a low incidence of recurrence (1.18%). Most recurrence of group A (6%) was detected within the first year of the follow-up period which may indicate re-growth of residual adenoidal tissues that were missed during conventional curettage adenoidectomy. Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy is a useful method in decreasing the incidence of recurrent AH.

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Ear, Nose, and Throat Operations in the United States, 1979 to 1984

Cited by 45 publications

References 10 publications

Frequency of Surgery Among Children Who Have Adenotonsillar Hypertrophy and Improve After Treatment With Nasal Beclomethasone

Frequency of Surgery Among Children Who Have Adenotonsillar Hypertrophy and Improve After Treatment With Nasal Beclomethasone

Effect of adenotonsillectomy on the use of respiratory medication

Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy

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