International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2006
Outcomes of reduced postoperative stay following outpatient pediatric tonsillectomy.
To assess outcomes of reduced postoperative recovery room observation times and associated complication rates following outpatient pediatric adenotonsillectomy at a tertiary care medical center outpatient facility over a 7.5-year period. ⋯ Very brief postoperative observation periods following outpatient pediatric adenotonsillectomy may be considered safe, without added risk nor increased short-term or long-term complications. While individual cases may merit prolonged postoperative observation periods, the majority of study patients had no postoperative complications despite shorter recovery room stays than described in prior reports. These data support safety and efficacy of reduced postoperative stays. Our data should be considered in order to increase the efficiency and cost effectiveness of outpatient surgery centers where such procedures are performed.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2006
ReviewIs there a role for the otolaryngologist in PFAPA syndrome? A systematic review.
To define the role of medical or surgical treatment in patients with periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA syndrome). ⋯ PFAPA usually resolves without any long-term adverse effect, and as such, there is no role for tonsillectomy in these patients.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2006
Randomized Controlled TrialCan postoperative pains following tonsillectomy be relieved by honey? A prospective, randomized, placebo controlled preliminary study.
To compare the effectiveness of acetaminophen versus acetaminophen-plus-honey following pediatric tonsillectomy and adenoidectomy. ⋯ Oral administration of honey following pediatric tonsillectomy may relieve postoperative pain and may decrease the need for analgesics. Prospective, randomized, and double-blind studies should further be conducted in order to confirm the data obtained in this study and develop a standard protocol to achieve maximum clinical efficiency.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2006
ReviewMeasuring health-related quality of life after pediatric cochlear implantation: a systematic review.
The measurement of health-related quality of life (HRQL) in children presents conceptual and methodological challenges owing to the multidimensionality of the required information and limitations in patient self-report. HRQL results provide a broad measure of treatment impact from the patient and family perspective and are crucial to guiding clinical and policy decisions. The objective of this study was to evaluate how HRQL in children with cochlear implants has been measured in published studies in order to draw conclusions that could inform future investigations of this area of clinical research. ⋯ Studies that used well-validated, generic HRQL instruments supported conclusions that were less subject to potential bias from the perspective of the clinician investigator. Most studies did not use well-defined cohorts with respect to age at implantation and duration of implant use, and conclusions in these studies were also subject to potential bias. No well-validated, deafness-specific HRQL instruments are currently available. Future research should be done with existing, generic HRQL instruments and with strict study inclusion criteria. Suggested generic HRQL instruments are discussed.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2006
Randomized Controlled TrialPre-surgical child behavior ratings and pain management after two different techniques of tonsil surgery.
The purpose of this investigation was to compare child behavior before surgery with experience of pain and anxiety in relation to two techniques of tonsil surgery, to relate previous experiences of surgery/tonsillitis with anxiety and pain, and to compare the children's, parent's and nurse's rating of pain. ⋯ SDB may influence children's behavior, but with no relation to post-operative pain. The surgical method predicts pain better than does the child's behavior rating. The nurses underestimated the pain experienced by the child.