The T's and A's problem—Assessment and reassessment

Gray, Linsay

doi:10.1017/s0022215100083304

Cited by 26 publications

(10 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comments like this can be found as recently as 1977 [14]. Kaiser published a series of 2200 patients after 3 and 10 years following a tonsil operation and reported that tonsillotomies were not as effective as complete tonsil removal [15].…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series

Solares

Koempel

Hirose

et al. 2005

International Journal of Pediatric Otorhinolaryngology

108

126

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series

Solares

Koempel

Hirose

et al. 2005

International Journal of Pediatric Otorhinolaryngology

108

126

View full text Add to dashboard Cite

“…The anatomy of the face is predictive of likelihood of obstructive apnea in average children [231] and in children with achondroplasia, too [232] – the flatter and retruded the midface, the more likely that sleep apnea may develop. After around age 2 years there is physiologic hypertrophy of the lymphatic ring [233]. These factors are likely the major contributors to pathogenesis of obstructive apnea in most children with achondroplasia.…”

Section: Natural History and Managementmentioning

confidence: 99%

Achondroplasia: a comprehensive clinical review

Pauli¹

2019

Orphanet J Rare Dis

322

374

View full text Add to dashboard Cite

Achondroplasia is the most common of the skeletal dysplasias that result in marked short stature (dwarfism). Although its clinical and radiologic phenotype has been described for more than 50 years, there is still a great deal to be learned about the medical issues that arise secondary to this diagnosis, the manner in which these are best diagnosed and addressed, and whether preventive strategies can ameliorate the problems that can compromise the health and well being of affected individuals. This review provides both an updated discussion of the care needs of those with achondroplasia and an exploration of the limits of evidence that is available regarding care recommendations, controversies that are currently present, and the many areas of ignorance that remain.

show abstract

“…Comments on the compensatory hypertrophy of remaining lymphoid tissue like this, without specific data, may be found as recently as 1977. 43 Due to the concerns of extra lymphoid tissue in the oropharynx, one physician went so far as to advocate an 'expanded tonsillectomy' in which the infratonsillar nodules extending along the tongue base and into the hypopharynx were removed along with the palatine tonsils. 44 When the more recent published experience with partial tonsillectomy is reviewed, one finds again that regrowth does occur but at a very low incidence.…”

Section: Tonsillar Regrowthmentioning

confidence: 99%

The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

2006

View full text Add to dashboard Cite

Within the last 10 to 15 years, a significant amount of research in tonsil surgery has focused on reduction of post-operative pain and recovery time. In order to minimize or avoid morbidity, a number of otolaryngologists in the United States and Europe have revived a historical procedure, previously known as 'tonsillotomy', specifically for those patients with obstructive sleep-disordered breathing (OSDB) due to adenotonsillar hypertrophy. More recently, surgeons have used terms such as partial tonsillectomy, partial intracapsular tonsillectomy or subtotal tonsillectomy to describe their procedure and have employed a variety of modern instrumentation. This return to a 'partial' procedure has generated a debate similar to that which occurred amongst tonsil surgeons about 100 years ago, when tonsillotomy was the most commonly performed procedure. Today, concerns about regrowth and problems with infection of the remaining tonsillar tissue have been raised. Such concerns, combined with an incomplete understanding of why the 'partial' procedure was abandoned in the early twentieth century, may explain why tonsil surgeons hesitate to change their approach to patients with OSDB due to adenotonsillar hypertrophy. These issues can be addressed in a meaningful way only through a detailed review of the evolution of tonsil surgery, which is presented here. This information, along with a summary of the last 10 years' experience with these techniques, supports the use of a 'partial' procedure in children with OSDB due to adenotonsillar hypertrophy. Future areas of research are also discussed.

show abstract

The T's and A's problem—Assessment and reassessment

Cited by 26 publications

References 55 publications

Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series

Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series

Achondroplasia: a comprehensive clinical review

The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

Contact Info

Product

Resources

About