Abstract | OBJECTIVES: STUDY DESIGN: Retrospective chart review and long-term follow-up in office or by telephone interview. METHODS: RESULTS: All 278 children treated by PITA had immediate resolution of symptoms of OSA. Complications were noted in 11 patients (3.9%). Nine patients (3.2%) experienced tonsil regrowth with snoring, two of whom evolved to a return of OSA that was definitively managed by means of a complete tonsillectomy. Two patients (0.7%) had self-limited bleeding. None of the patients developed persistent velopharyngeal insufficiency or required hospital readmission. CONCLUSIONS: Microdebrider-assisted PITA is a safe and effective alternative for children otherwise treated with traditional tonsillectomy for symptoms of OSA due to adenotonsillar hypertrophy. This series suggests a 3.9% overall rate of complications, with the most common noted as tonsillar regrowth without recurrence of OSA. Prospective trials with longer follow-up may define higher complication rates.
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Authors | Alexander Sorin, John P Bent, Max M April, Robert F Ward |
Journal | The Laryngoscope
(Laryngoscope)
Vol. 114
Issue 2
Pg. 297-300
(Feb 2004)
ISSN: 0023-852X [Print] United States |
PMID | 14755207
(Publication Type: Journal Article)
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Topics |
- Adenoidectomy
(adverse effects, methods)
- Child
- Child, Preschool
- Female
- Humans
- Male
- Postoperative Complications
- Prospective Studies
- Retrospective Studies
- Sleep Apnea, Obstructive
(surgery)
- Tonsillectomy
(adverse effects, methods)
- Treatment Outcome
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