European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
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Eur Arch Otorhinolaryngol · Sep 2018
ReviewDay case adenotonsillectomy for paediatric obstructive sleep apnoea: a review of the evidence.
Tonsillectomy and adenoidectomy are two of the most commonly performed procedures by otolaryngologist, especially in the paediatric population. Most common indications for adenotonsillectomy in the paediatric population include recurrent tonsillitis, otitis media (glue ear) and obstructive sleep apnoea (OSA). Whilst adenotonsillectomy is routinely performed as a day case for recurrent tonsillitis, many surgeons advocate an overnight stay for patients for OSA. The practice of keeping these patients in overnight for saturation monitoring is widely undertaken. There has been some dispute as to whether this is required. ⋯ Day case adenotonsillectomy for children between 3 and 17 years who appears to be a safe option with a growing body of evidence. Large randomised control trials would likely add weight to this conclusion and help change the mind-set of clinicians.
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Eur Arch Otorhinolaryngol · Sep 2018
Randomized Controlled Trial Comparative StudyThe comparison of single-dose preemptive intravenous ibuprofen and paracetamol on postoperative pain scores and opioid consumption after open septorhinoplasty: a randomized controlled study.
Septorhinoplasty is performed in combination with septoplasty and rhinoplasty operations and is characterized by severe postoperative pain. The aim of this study is to evaluate preemptive effects of intravenous (IV) ibuprofen and IV paracetamol on opioid consumption and pain scores after open septorhinoplasty. ⋯ This study has indicated that ibuprofen has more analgesic effect than paracetamol during first 12 h, but there is a non-inferiority between ibuprofen and paracetamol after first 12 h.