The immediate effect of adenotonsillectomy on Eustachian tube function in children

Choi, Ji Ho; Yoon, Ho‐Geun; Kim, Tae Min; Choi, June; Park, Il Ho; Kim, Tae Hoon; Lee, Heung Man; Lee, Sang Hag; Lee, Jun Young

doi:10.1016/j.ijporl.2015.06.025

Cited by 8 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We observed a pathologic decrease in the rate of 25% in the middle ear pressure for at least one ear on postoperative day 1 in this group. However, unlike in our study, Choi et al 22 determined the Type C tympanogram was 74% in a tympanometric examination that was performed on first day following operation in 25 children who underwent adenoidectomy with microdebrider or adenotonsillectomy. This result may be related to the surgical technique, and the biggest disadvantage of this study is the lack of a control group.…”

Section: Discussioncontrasting

confidence: 74%

See 1 more Smart Citation

Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Atilla

Kaytez

Kesici

et al. 2020

Brazilian Journal of Otorhinolaryngology

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 74%

“…More studies are needed in this field. In previous studies, 21 , 22 the tympanogram results of patients who only underwent curettage or endoscopy-assisted microdebrider methods were reported; however, in this study, we compared the results of pediatric subjects for the first time using both surgical methods.…”

Section: Discussionmentioning

confidence: 99%

Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Atilla

Kaytez

Kesici

et al. 2020

Brazilian Journal of Otorhinolaryngology

View full text Add to dashboard Cite

“…The children included in this study had a mean age of 6.59 AE 2.15 years, consistent with the common age of ATH presentation seen in clinicoepidemiological studies. 40,41 Adenoid enlargement often results in severe OSA symptoms and breathing disturbances due to the narrowing of the nasopharyngeal air space. When untreated it may lead to grave, though rare, complications such as chronic brain hypoxia, 42 and surgery remains the ultimate option.…”

Section: Discussionmentioning

confidence: 99%

Individualized Homeopathic Medicines in the Management of Symptomatic Adenotonsillar Hypertrophy in Children: A Prospective Observational Study

et al. 2023

View full text Add to dashboard Cite

Background Globally, adenotonsillar hypertrophy (ATH) is one of the most prevalent upper respiratory tract disorders of children, with associated troublesome symptoms such as sleep apnea and cognitive disturbances. In this study, we evaluated the potential role of individualized homeopathic medicines in the management of symptomatic ATH in children. Methods A multicenter prospective observational study was conducted at five institutes under the Central Council for Research in Homoeopathy, India. Primary and secondary outcomes (symptom score for adenoids, other symptoms of ATH, Mallampati score, tonsillar size, Sleep-Related Breathing Disorder of the Paediatric Sleep Questionnaire [SRBD-PSQ]) were assessed through standardized questionnaires at baseline and at 3, 6, 9 and 12 months. Radiological investigations for assessing the adenoid/nasopharyngeal (A/N) ratio were carried out at baseline, 6 and 12 months. All analyses were carried out using an intention-to-treat approach. Results A total of 340 children were screened and 202 children suffering from ATH were enrolled and followed up monthly for 12 months. Each patient received individualized homeopathic treatment based on the totality of symptoms. Statistically significant reductions in adenoid symptom score, Mallampati score (including tonsillar size), SRBD-PSQ sleep quality assessment and A/N ratio were found over time up to 12 months (p < 0.001). Homeopathic medicines frequently indicated were Calcarea carbonicum, Phosphorus, Silicea, Sulphur, Calcarea phosphoricum, Pulsatilla, Lycopodium and Tuberculinum. No serious adverse events were recorded during the study period. Conclusion This study suggests that homeopathic medicines may play a beneficial role in the management of symptomatic ATH in children. Well-designed comparative trials are warranted.

show abstract

“…On postoperative day 2, 76% (38/50) of cases were unresolved (CC and BB types), while 24% (12/50) were normal (AA type) or resolved (CA type). There was a statistically significant difference ( P < 0.001) in bilateral MEPs between preoperative and postoperative days [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Seleim,

Elsamnody,

Amer

2023

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objectives The aim of this work is to compare between different techniques of adenoidectomy: endoscopic microdebrider-assisted, coblation and conventional adenoidectomy and its effect on middle ear pressure. Background Adenoidectomy, either alone or with tonsillectomy, is considered among the most performed procedures in pediatric otorhinolaryngology. This procedure usually related to the Eustachian tube function and middle ear status. Eustachian tube dysfunction is mainly caused by mechanical obstruction of the tubal orifice, insufficient swallowing and inflammation in the nasopharyngeal mucosa. Methods This prospective randomized study was conducted on 90 patients with symptomatic adenoid hypertrophy confirmed by nasopharyngeal X-ray and endoscopic grading preoperatively. Patients were admitted at Otorhinolaryngology department of our institute during the period from January 2022 to January 2023. They were divided into three groups that were operated either by conventional (Group I), endoscopic microdebrider (Group II), or coblation technique (Group III). Each group was assessed through the audiometric parameters plus postoperative bleeding, and VAS results for pain score and postoperative endoscopic grading for adenoid recurrence. Results Mean age in group A was 9.03 years and in group B was 8.99 years and was 8.99 years in group C with insignificant differences between three groups. There is significant improvement of tympanographic results comparing all groups of the patients at 6 months postoperatively. There is significant relation between the mean VAS comparing preoperative and postoperative results. Conclusion There are better results in tympanographic data at conventional adenoidectomy versus other techniques. However, there are also better postoperative results after either coblation or endoscopic microdebrider adenoidectomy over the conventional technique.

show abstract

The immediate effect of adenotonsillectomy on Eustachian tube function in children

Cited by 8 publications

References 19 publications

Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Individualized Homeopathic Medicines in the Management of Symptomatic Adenotonsillar Hypertrophy in Children: A Prospective Observational Study

Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Contact Info

Product

Resources

About