Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-18T01:24:45.588Z Has data issue: false hasContentIssue false

Early post-operative morbidity following tonsillectomy in children: implications for day surgery

Published online by Cambridge University Press:  29 June 2007

A. Panarese*
Affiliation:
Department of Otolaryngology, Royal Hallamshire University Hospital, Sheffield, UK.
R. W. Clarke
Affiliation:
Department of Otolaryngology, Royal Hallamshire University Hospital, Sheffield, UK.
M. P. Yardley
Affiliation:
Department of Otolaryngology, Royal Hallamshire University Hospital, Sheffield, UK.
*
Address for correspondence: Mr A. Panarese, Department of Otolaryngology, Royal Hallamshire University Hospital, Glossop Road, Sheffield S10 2JF. Fax: 0114-2711985

Abstract

Adenotonsillectomy and tonsillectomy are amongst the most commonly performed surgical procedures. In our prospective study we looked at early post-operative morbidity (haemorrhage, vomiting and pyrexia) in 521 consecutive children following tonsillectomy, adenotonsillectomy and adenoidectomy. While the incidence of reactionary haemorrhage is low, pyrexia and vomiting are common. The implications of this high early post-operative morbidity for day surgery are discussed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barst, M. S., Markowitz, A., Yossef, Y., Abramson, A., Lebowitz, P., Bienkowski, R. S. (1995) Propofol reduces the incidence of vomiting after tonsillectomy in children. Paediatric Anaesthesia 5: 249252.CrossRefGoogle ScholarPubMed
Benson-Mitchell, R., Maw, R. A. (1993) Assessment of sequelae at home following adenotonsillectomy. A basis for day case management? Clinical Otolaryngology 18: 282284.CrossRefGoogle ScholarPubMed
Brown, P. M., Fowler, S., Ryan, R., Rivron, R. (1998) ENT day surgery in England and Wales – an audit by the Royal College of Surgeons (Eng.) Comparative Audit Service. Journal of Laryngology and Otology 112: 161165.Google Scholar
Ferrari, L. R., Donlon, J. V. (1992) Metoclopramide reduces the incidence of vomiting after tonsillectomy in children. Anaesthesiology and Analgesia 75: 351354.Google Scholar
Fraser, I., Johnstone, M. (1981) Significance of early postoperative fever in children. British Medical Journal 283: 1299.Google Scholar
Furst, S. R., Rodarte, A. (1994) Prophylactic antiemetic treatment with ondansetron in children undergoing tonsillectomy. Anesthesiology 81: 799803.Google Scholar
Gabalski, E. C., Mattucci, K. F., Setzen, M., Moleski, P. (1996) Ambulatory tonsillectomy and adenoidectomy. Laryngoscope 106: 7780.CrossRefGoogle ScholarPubMed
Guida, R. A., Mattucci, K. F. (1990) Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope 100: 491493.Google Scholar
Helmus, C., Grin, M., Westfall, R. (1990) Same-day-stay adenotonsillectomy. Laryngoscope 100: 593596.Google Scholar
Litman, R. S., Wu, C. L., Catanzaro, F. A. (1993) Ondansetron decreases emesis after tonsillectomy in children. Pediatric Anaesthesia 78: 478481.Google Scholar
Maniglia, A. J., Kushner, H., Cozzi, L. (1989) Adenotonsillectomy. Archives of Otolaryngology and Head and Neck Surgery 115: 9294.Google Scholar
Mather, S. J., Peutrell, J. M. (1995) Post-operative morphine requirements nausea and vomiting following anaesthesia for tonsillectomy. Comparison of intravenous morphine and non-opioid analgesic techniques. Pediatric Anaesthesia 5: 185188.Google Scholar
Nicklaus, P. j., Herzon, F. S., Steinle, E. W. IV (1995) Short-stay outpatient tonsillectomy. Archives of Otolaryngology – Head and Neck Surgery 121: 521524.Google Scholar
Pringle, M. B., Cosford, E., Beasley, P., Brightwell, A. P. (1996) Day-case tonsillectomy – is it appropriate? Clinical Otolaryngology 21: 504511.Google Scholar
Segal, C., Berger, G., Basker, M., Marshak, M. (1983) Adenotonsillectomies on a surgical day-clinic basis. Laryngoscope 93: 12051208.Google Scholar
Shott, R. S., Myer, C. M., Cotton, R. T. (1987) Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary report. International Journal of Pediatric Otorhinolaryngology 13: 157163.CrossRefGoogle ScholarPubMed
Tewary, A. K., Barr, G. S., Bickerton, R. C. (1993) Parental preferences for duration of hospital stay following tonsillectomy. Journal of Laryngology and Otology 107: 709710.Google Scholar
Tewary, A. K., Curry, A. R. (1993) Same-day tonsillectomy. Journal of Laryngology and Otology 107: 706708.Google Scholar
Truy, E., Merad, F., Robin, P., Fantino, B., Morgon, A. (1994) Failures in outpatient tonsillectomy policy in children: a retrospective study in 311 children. International Journal of Otorhinolaryngology 29: 3342.Google Scholar
Watson, M. G., Dawes, P. J. D., Samuel, P. R., Marshall, H. F., Rayappa, C., Hill, J., Meikle, D., Murthy, G. E., Deans, J. A. J., Telios, G., Aldren, C., Birchall, J. P., Pritchard, A. J. N., Livesey, J., Appleton, D. (1993) A study of haemostasis following tonsillectomy comparing ligatures with diathermy. Journal of Laryngology and Otology 107: 711715.CrossRefGoogle ScholarPubMed
Yeung, R. S. W., Buck, J. R., Filler, R. M. (1982) The significance of fever following operations in children. Journal of Pediatric Surgery 17(4): 347349.Google Scholar