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Opioid Prescriptions and Risk of Complications After Tonsillectomy in Children—Reply

Opioid Prescriptions and Risk of Complications After Tonsillectomy in Children—Reply Letters This case is the first report in the literature, to our knowl- COMMENT & RESPONSE edge, of permanent facial palsy after aural irrigation. In this Opioid Prescriptions and Risk of Complications instance, it was also associated with permanent hearing loss. After Tonsillectomy in Children It is our opinion that the pressure of aural irrigation caused trau- To the Editor Chua et al have put forward compelling evi- matic perforation of the tympanic membrane, and subse- dence to suggest potential risk of constipation in children un- quent trauma to the facial nerve and inner ear (through pres- dergoing tonsillectomy with or without adenoidectomy after sure to the oval or round window). It is possible that this patient being prescribed opioid medications. However, we would like had congenital dehiscence of the facial nerve, making injury to suggest 2 further considerations that interested readers may more probable, and it is also possible that superadded infec- find helpful to be included in the study. tion contributed to injury. First, Chua et al did not include primary hemorrhage in There is still debate about the role of irrigation, cerumi- the study because the authors presumed this to be more likely nolytic agents, and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Opioid Prescriptions and Risk of Complications After Tonsillectomy in Children—Reply

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References (7)

Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2019.3432
Publisher site
See Article on Publisher Site

Abstract

Letters This case is the first report in the literature, to our knowl- COMMENT & RESPONSE edge, of permanent facial palsy after aural irrigation. In this Opioid Prescriptions and Risk of Complications instance, it was also associated with permanent hearing loss. After Tonsillectomy in Children It is our opinion that the pressure of aural irrigation caused trau- To the Editor Chua et al have put forward compelling evi- matic perforation of the tympanic membrane, and subse- dence to suggest potential risk of constipation in children un- quent trauma to the facial nerve and inner ear (through pres- dergoing tonsillectomy with or without adenoidectomy after sure to the oval or round window). It is possible that this patient being prescribed opioid medications. However, we would like had congenital dehiscence of the facial nerve, making injury to suggest 2 further considerations that interested readers may more probable, and it is also possible that superadded infec- find helpful to be included in the study. tion contributed to injury. First, Chua et al did not include primary hemorrhage in There is still debate about the role of irrigation, cerumi- the study because the authors presumed this to be more likely nolytic agents, and

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Feb 14, 2020

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