Paediatric tonsillotomy: an Irish perspective on potential

Hdl Handle:
http://hdl.handle.net/10147/559247
Title:
Paediatric tonsillotomy: an Irish perspective on potential
Authors:
Fitzgerald, C; Oosthuizen, JC; Colreavy, M
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Apr-2015
URI:
http://hdl.handle.net/10147/559247
Abstract:
Tonsillotomy is the preferred treatment of some otolaryngologists for younger patients (under 3 years) with low body weight (under 15kgs) and a history of obstructive sleep apnoea. The use of the technique in the same patient cohort for recurrent tonsillitis remains controversial. The aim of this study was to evaluate the indications and outcomes of paediatric patients undergoing tonsillotomy (with or without adenoidectomy) at a paediatric ENT centre in Ireland. Patients were identified from a prospectively maintained database and chart review was completed. A total of 23 patients were identified who underwent tonsillotomy. The commonest indication was Obstructive Sleep Apnoea (OSA) in 15 patients (65%). Outcomes following tonsillotomy compared favourably with traditional tonsillectomy. No intra-operative or post-operative complications were recorded (0%). No patients required readmission or later tonsillectomy (0%). At follow-up 19/23 patients with OSA (82.6%) had complete symptom resolution. Tonsillotomy appears to represent a safe, effective treatment option in the paediatric population, however, its role in recurrent tonsillitis remains controversial.
Item Type:
Article
Language:
en
Keywords:
TONSILITIS; CHILD HEALTH

Full metadata record

DC FieldValue Language
dc.contributor.authorFitzgerald, Cen
dc.contributor.authorOosthuizen, JCen
dc.contributor.authorColreavy, Men
dc.date.accessioned2015-07-08T14:13:36Zen
dc.date.available2015-07-08T14:13:36Zen
dc.date.issued2015-04en
dc.identifier.urihttp://hdl.handle.net/10147/559247en
dc.description.abstractTonsillotomy is the preferred treatment of some otolaryngologists for younger patients (under 3 years) with low body weight (under 15kgs) and a history of obstructive sleep apnoea. The use of the technique in the same patient cohort for recurrent tonsillitis remains controversial. The aim of this study was to evaluate the indications and outcomes of paediatric patients undergoing tonsillotomy (with or without adenoidectomy) at a paediatric ENT centre in Ireland. Patients were identified from a prospectively maintained database and chart review was completed. A total of 23 patients were identified who underwent tonsillotomy. The commonest indication was Obstructive Sleep Apnoea (OSA) in 15 patients (65%). Outcomes following tonsillotomy compared favourably with traditional tonsillectomy. No intra-operative or post-operative complications were recorded (0%). No patients required readmission or later tonsillectomy (0%). At follow-up 19/23 patients with OSA (82.6%) had complete symptom resolution. Tonsillotomy appears to represent a safe, effective treatment option in the paediatric population, however, its role in recurrent tonsillitis remains controversial.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectTONSILITISen
dc.subjectCHILD HEALTHen
dc.titlePaediatric tonsillotomy: an Irish perspective on potentialen
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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