Lingual tonsillectomy in children with Down syndrome: Is it safe?

Management of Persistent, Post-adenotonsillectomy Obstructive Sleep Apnea in Children: An Official American Thoracic Society Clinical Practice Guideline

“…We identified eight studies that included 316 patients and reported data on five outcomes of interest (Table E4). Five studies ( n = 93) reported resolution of oAHI to <1 event/h after lingual tonsillectomy, with a risk difference of 0.26 (95% CI, −0.03 to 0.54); most studies involved children with Down syndrome ( 76 – 80 ). Six studies ( n = 161) reported an improvement in the severity of OSA (assessed with a reduction to AHI < 5 events/h), with a risk difference of 0.61 (0.37–0.85) ( 76 – 81 ).…”

Clinical Characteristics, Complications, and Reasons for Readmission following Lingual Tonsillectomy

“…4-12 In those studies that made comment on postoperative complications, they were in small patient populations (up to 39 pediatric patients in original studies) and demonstrated quite varied complication types, including prolonged hospitalization for postoperative edema, postoperative hemorrhage, and 1 case of pneumonia. 4-6 There are even fewer studies into outcomes or complications following LT in adults, who demonstrate postoperative hemorrhage as the leading complication. 2,3,13 These also focus on LT done for OSA and are restricted to relatively small populations (up to 118 adult patients).…”

“…Previous literature concerning the outcomes of LT has examined particular techniques, such as video laryngoscopy and microdebrider resection (in 27 patients, with no postoperative complications), cold ablation (in 108 patients, with 3 cases of postoperative hemorrhage), or transoral robotic‐assisted LT (118 patients, no reported complications) 1‐3 . Outcomes research has also been targeted toward specific patient populations, such as general pediatric, children with comorbidities, and adult populations 4‐13 . Pediatric outcomes have been studied more extensively, although the focus has consistently been on effectiveness of the surgery in reducing obstructive sleep apnea (OSA) rather than on postoperative complications 4‐12 .…”

“…[4][5][6][7][8][9][10][11][12][13] Pediatric outcomes have been studied more extensively, although the focus has consistently been on effectiveness of the surgery in reducing obstructive sleep apnea (OSA) rather than on postoperative complications. [4][5][6][7][8][9][10][11][12] In those studies that made comment on postoperative complications, they were in small patient populations (up to 39 pediatric patients in original studies) and demonstrated quite varied complication types, including prolonged hospitalization for postoperative edema, postoperative hemorrhage, and 1 case of pneumonia. [4][5][6] There are even fewer studies into outcomes or complications following LT in adults, who demonstrate postoperative hemorrhage as the leading complication.…”

“…[1][2][3] Outcomes research has also been targeted toward specific patient populations, such as general pediatric, children with comorbidities, and adult populations. [4][5][6][7][8][9][10][11][12][13] Pediatric outcomes have been studied more extensively, although the focus has consistently been on effectiveness of the surgery in reducing obstructive sleep apnea (OSA) rather than on postoperative complications. [4][5][6][7][8][9][10][11][12] In those studies that made comment on postoperative complications, they were in small patient populations (up to 39 pediatric patients in original studies) and demonstrated quite varied complication types, including prolonged hospitalization for postoperative edema, postoperative hemorrhage, and 1 case of pneumonia.…”