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Outpatient Adenotonsillectomy: Is It Safe in Children Younger Than 3 Years?

Outpatient Adenotonsillectomy: Is It Safe in Children Younger Than 3 Years? Abstract Objective: To evaluate the safety of ambulatory adenotonsillectomy in children younger than 3 years. Materials and Methods: The records of 102 children younger than 3 years who underwent adenotonsillectomy as an outpatient procedure were reviewed during a 3-year period. Results: Ten patients (10%) required overnight hospital admission for an average of 1.4 days. Nine patients were admitted directly from the day-stay unit and 1 patient was admitted 48 hours after surgery. The reason for hospital admission was poor oral intake. None of the patients had postoperative bleeding or respiratory problems or required intensive care unit admission. Conclusion: The safety of ambulatory adenotonsillectomy depends on judicious selection criteria and can be performed in children younger than 3 years.Arch Otolaryngol Head Neck Surg. 1997;123:681-683 References 1. Maniglia AJ, Kushner H, Cozzi L. Adenotonsillectomy: a safe outpatient procedure . Arch Otolaryngol Head Neck Surg . 1989;115:92-94.Crossref 2. Guida RA, Mattucci KF. Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope . 1993;100:491-493. 3. Crysdale WS, Russel D. Complications of tonsillectomy and adenoidectomy in 9409 children observed overnight . Can Med Assoc J . 1986;135:1139-1142. 4. Chiang TM, Sukis AE, Ross DE. Tonsillectomy performed on an outpatient basis: report of a series of 40,000 cases performed without a death . Arch Otolaryngol . 1968;88:307-310.Crossref 5. Wiatrak BJ, Myer CM III, Andrews TM. Complications of adenotonsillectomy in children under 3 years of age . Am J Otolaryngol . 1991;12:170-172.Crossref 6. Tonsillectomy and Adenoidectomy Inpatient Guidelines: Recommendations of the AAO-HNS Pediatric Otolaryngology Committee . St Louis, Mo: American Academy of Otolaryngology—Head and Neck Surgery; 1996:1-4. 7. Gabalski EC, Mattucci KF, Setzen M, Moleski P. Ambulatory tonsillectomy and adenoidectomy . Laryngoscope . 1996;106:77-80.Crossref 8. Tom LWC, DeDio RM, Cohen DE, et al. Is outpatient tonsillectomy appropriate for young children? Laryngoscope . 1992;102:277-280. 9. Shott SR, Myer CM III, Cotton RT. Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary report . Int J Pediatr Otorhinolaryngol . 1987;13:157-163.Crossref 10. Rothschild MA, Catalano P, Biller HF. Ambulatory pediatric tonsillectomy and the identification of high-risk subgroups . Otolaryngol Head Neck Surg . 1994;110: 203-210. 11. Reiner SA, Sawyer WP, Clark KF, Wood MW. Safety of outpatient tonsillectomy and adenoidectomy . Otolaryngol Head Neck Surg . 1990;102:161-168. 12. McColley SA, April MM, Carroll JL, et al. Respiratory compromise after adenotonsillectomy in children with obstructive sleep apnea . Arch Otolaryngol Head Neck Surg . 1992;118:940-943.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Outpatient Adenotonsillectomy: Is It Safe in Children Younger Than 3 Years?

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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1997.01900070019003
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To evaluate the safety of ambulatory adenotonsillectomy in children younger than 3 years. Materials and Methods: The records of 102 children younger than 3 years who underwent adenotonsillectomy as an outpatient procedure were reviewed during a 3-year period. Results: Ten patients (10%) required overnight hospital admission for an average of 1.4 days. Nine patients were admitted directly from the day-stay unit and 1 patient was admitted 48 hours after surgery. The reason for hospital admission was poor oral intake. None of the patients had postoperative bleeding or respiratory problems or required intensive care unit admission. Conclusion: The safety of ambulatory adenotonsillectomy depends on judicious selection criteria and can be performed in children younger than 3 years.Arch Otolaryngol Head Neck Surg. 1997;123:681-683 References 1. Maniglia AJ, Kushner H, Cozzi L. Adenotonsillectomy: a safe outpatient procedure . Arch Otolaryngol Head Neck Surg . 1989;115:92-94.Crossref 2. Guida RA, Mattucci KF. Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope . 1993;100:491-493. 3. Crysdale WS, Russel D. Complications of tonsillectomy and adenoidectomy in 9409 children observed overnight . Can Med Assoc J . 1986;135:1139-1142. 4. Chiang TM, Sukis AE, Ross DE. Tonsillectomy performed on an outpatient basis: report of a series of 40,000 cases performed without a death . Arch Otolaryngol . 1968;88:307-310.Crossref 5. Wiatrak BJ, Myer CM III, Andrews TM. Complications of adenotonsillectomy in children under 3 years of age . Am J Otolaryngol . 1991;12:170-172.Crossref 6. Tonsillectomy and Adenoidectomy Inpatient Guidelines: Recommendations of the AAO-HNS Pediatric Otolaryngology Committee . St Louis, Mo: American Academy of Otolaryngology—Head and Neck Surgery; 1996:1-4. 7. Gabalski EC, Mattucci KF, Setzen M, Moleski P. Ambulatory tonsillectomy and adenoidectomy . Laryngoscope . 1996;106:77-80.Crossref 8. Tom LWC, DeDio RM, Cohen DE, et al. Is outpatient tonsillectomy appropriate for young children? Laryngoscope . 1992;102:277-280. 9. Shott SR, Myer CM III, Cotton RT. Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary report . Int J Pediatr Otorhinolaryngol . 1987;13:157-163.Crossref 10. Rothschild MA, Catalano P, Biller HF. Ambulatory pediatric tonsillectomy and the identification of high-risk subgroups . Otolaryngol Head Neck Surg . 1994;110: 203-210. 11. Reiner SA, Sawyer WP, Clark KF, Wood MW. Safety of outpatient tonsillectomy and adenoidectomy . Otolaryngol Head Neck Surg . 1990;102:161-168. 12. McColley SA, April MM, Carroll JL, et al. Respiratory compromise after adenotonsillectomy in children with obstructive sleep apnea . Arch Otolaryngol Head Neck Surg . 1992;118:940-943.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jul 1, 1997

References