Navegando por Palavras-chave "adenoidectomy"
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- ItemAcesso aberto (Open Access)Hemorragia na adenoidectomia e/ou amigdalectomia: estudo de 359 casos(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2003-06-01) Vieira, Fernando Mirage Jardim [UNIFESP]; Diniz, Flávia L. [UNIFESP]; Figueiredo, Cláudia R. [UNIFESP]; Weckx, Luc Louis Maurice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Historically, adenoidectomy and tonsillectomy are the most frequent surgical procedures done by otorhinolaryngologists, and more often in the pediatric population. The most frequent and most serious complication related to these procedures is the hemorrhage in the post-operatory period. STUDY DESIGN: Clinical prospective. AIM: To evaluate the occurrence of the most common surgical complication of the procedure: post-operatory hemorrhage, contributing to the handling of this potentially fatal complication. METHOD: We prospectively analyzed all children submitted to adenoidectomy and/or tonsillectomy at the Pediatric Otorhinolaryngology Discipline of the Federal University of São Paulo from March 2001 to March 2002. RESULTS: 359 cases of adenoidectomy and/or tonsillectomy were included in this study. Post-operatory hemorrhage was observed in 3 cases of combined adenotonsilectomy, all of them in the first 24 hours after the surgical procedure. CONCLUSION: We observed that 3 cases of post-operatory hemorrhage have occurred, representing an incidence of 0,8%.
- ItemAcesso aberto (Open Access)Hemorragia pós-operatória em 397 adenotonsilectomias realizadas nos Hospitais Geral de Pirajussara (HGP) e Hospital Estadual de Diadema (HED) / UNIFESP-EPM(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2004-12-01) Dib, Gabriel Cesar [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]; M. Neto, Júlio [UNIFESP]; Antunes, Marcos L. [UNIFESP]; Morales, Douglas S. R. [UNIFESP]; Guilherme, Arnaldo [UNIFESP]; Fukuda, Yotaka [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Adenotonsillectomy is a common procedure in otorhinolaryngology, and it is recommended for tonsil and adenoid hypertrophy. Hemorrhage is the most common complication of this procedure. In this study, we present the incidence of postoperative hemorrhage following adenotonsillectomy carried out at Hospital Geral de Pirajussara (HGP) and Hospital Estadual de Diadema (HED), whose purpose was to identify cases of bleeding. STUDY DESIGN: Historic transversal cohort. MATERIAL AND METHOD: We analyzed 397 patients who underwent adenoidectomy, tonsillectomy and adenotonsillectomy. Adenotonsillectomy represented 91.7% of all surgeries. Patients were aged 2 to 39 years. Preoperative tests were conducted in all patients, with weekly follow-up up to the first month after surgery. RESULTS: 397 surgeries were performed in the hospitals (HGP and HED), 364 adenotonsillectomies (91.7%), 16 tonsillectomies (4.03%) and 17 adenoidectomies (4.28%). There were 5 cases of postoperative bleeding, 3 of which occurred in the early postoperative period and 2 in the middle postoperative period. There were no reports of bleeding in late postoperative period. The incidence of hemorrhage was 1.37% (5 out of 364 cases). CONCLUSION: Postoperative hemorrhage possibly results from poor surgical technique and blood clotting disorder in some patients.
- ItemSomente MetadadadosPostoperative acute respiratory insufficiency following adenotonsillectomy in children with neuropathy(Elsevier B.V., 2008-05-01) Manrique, Dayse [UNIFESP]; Sato, Juliana [UNIFESP]; Anastacio, Erika M. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: Evaluate the incidence of acute respiratory insufficiency (ARI) in the immediate postoperative period following adenotonsillectomy in children with neurological diseases.Methods: Medical records from all pediatric adenotonsillectomies performed from January 1997 through August 2003 at the Roberto de Abreu Sodre Hospital of the Association for the Welfare of Physically Handicapped Children (AACD) in São Paulo were reviewed. Data were collected for patient age, neurological diagnosis, associated comorbidities, index of respiratory insufficiency in the immediate postoperative period and period of hospitalization.Results: One hundred and nine patients charts had sufficient documentation to be included in this study. of these, 15 (13.7%) developed ARI in the immediate postoperative period. Ages ranged from 1 to 12 years old (average of 5). of the 15 patients that presented ARI, 10 (67%) were intubated in the first 3 h following extubation. the predominant neurological diagnosis was non-progressive chronic encephalopathy, observed in 84 children (77%), and, among that, 14 (17%) presented ARI. Other neurological diagnoses present in this study were Rett syndrome, neuromuscular disease and meningomyelocele. All. of the children that developed ARI presented quadriplegia. Among children that did not develop ARI, the predominant motor pattern was: 28 with quadriplegia, 38 diplegia, 10 hemiplegia, 12 with involuntary movement (choeroathethosis) and six without motor involvement. Children presenting ARI needed mechanical ventilation for an average of 37.87 h (1.5 days) in the intensive care unit. ARI increased the period of hospitalization; these children had an average length of stay of 7 days versus 1.5 days for those that did not develop complications.Conclusion: Children with neurological disorders, especially those with quadriplegic pattern of motor involvement and severe oropharyngeal dysphagia, are at higher risk for respiratory insufficiency in immediate postoperative period of adenotonsillectomy and should be observed in intensive care unit. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
- ItemAcesso aberto (Open Access)Short and long term impact of adenotonsillectomy on the immune system(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2013-01-01) Santos, Fabio Pires [UNIFESP]; Weber, Raimar; Fortes, Bibiana Callegaro; Nagata Pignatari, Shirley Shizue [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Prof Edmundo Vasconcelos Hosp; Universidade de São Paulo (USP); Prof Edmund Vasconcelos Hosp; Brazilian ENT HNS AssocPalatine and pharyngeal tonsils are immune reactive lymphoid organs that manifest specific antibodies and B/T-cell activity to respond to a variety of antigens. They perform humoral and cellular immune functions. the possible effects of adenotonsillectomy upon the immune system remain controversial.Objective: To study the short and long-term impacts of tonsillectomy upon the cellular and humoral immunity of children.Method: This longitudinal prospective study included 29 children referred to adenotonsillectomy for adenotonsillar hypertrophy. Serum IgA, IgM, and IgG and lymphocyte counts were analyzed at three points in time: before surgery, 1-2 month's after surgery (short term), and 12-14 months after surgery (long term).Results: TCD4+ cell counts were significantly increased shortly after surgery. IgA and IgG values were significantly reduced in the long run, but were within normal ranges for this age group.Conclusion: 'This study indicated that adenotonsillectomy does not pose negative short or long term impacts upon the cellular and humoral immunity of children submitted to the procedure.
- ItemAcesso aberto (Open Access)Técnica de correção de hipernasalidade causada por adenoidectomia(ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2002-08-01) Junqueira, Patrícia [UNIFESP]; Vaz, Ana Cristina N. [UNIFESP]; Peyres López, Claudia [UNIFESP]; Pignatari, Shirley Shizue Nagata [UNIFESP]; Weckx, Luc Louis Maurice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Hipertrophic adenoid is a frequent cause of obstruction of the upper respiratory tract and may lead to a mouth breathing condition. in some cases, surgical procedures such as adenoidectomy and or tonsillectomy are necessary to reestablish the nasal breathing. We have observed that following adenoidectomy, many children present with vocal hipernasality, even when there is no previous history or complains. In this paper, the authors describe a case of severe hipernasality following adenoidectomy, as well as detailed steps of the speech therapy approach. The risks and sequelae of this vocal condition related to adenoidectomy are also discussed.