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European Archives of Oto-Rhino-Laryngology

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01-09-2018 | Review Article

Day case adenotonsillectomy for paediatric obstructive sleep apnoea: a review of the evidence

Authors: Giridharan Wijayasingam, Peter Deutsch, Mudith Jindal

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2018

Abstract

Background

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.

Objective of review

This review sets out to consider the evidence supporting the safety of day case adenotonsillectomies for paediatric obstructive sleep apnoea (OSA).

Search strategy

The available literature between 2004 and 2017 was reviewed via searches on Pubmed, Medline, EMBASE and Google Scholar. The search terms used were: Adenotonsillectomy, day case, paediatric, obstructive sleep apnoea, and complications.

Results

A literature search identified 31 articles that were relevant to our review. After screening six articles were appropriate for inclusion in this review paper, all were retrospective reviews of case notes. 1463 children out of 1992 (including at least 207 children with comorbidities who were kept overnight) children had day case adenotonsillectomy for obstructive sleep apnoea. Tonsillectomy techniques were not discussed in any of the papers.

Conclusion

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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Title: Day case adenotonsillectomy for paediatric obstructive sleep apnoea: a review of the evidence
Authors: Giridharan Wijayasingam
Peter Deutsch
Mudith Jindal
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5071-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Day case adenotonsillectomy for paediatric obstructive sleep apnoea: a review of the evidence

Abstract

Background

Objective of review

Search strategy

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Objective of review

Search strategy

Results

Conclusion

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