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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
State-of-the-Art Review Article

Tonsillectomy Care for the Pediatrician

Glenn Isaacson
Pediatrics August 2012, 130 (2) 324-334; DOI: https://doi.org/10.1542/peds.2011-3857
Glenn Isaacson
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Abstract

Pediatricians play an important role in the perioperative care of hospitalized children after tonsillectomy and are often called upon to manage posttonsillectomy problems in the outpatient setting. The tonsillectomy operation has changed in recent years. More children are operated upon for sleep disordered breathing and fewer for recurrent pharyngitis. New instruments now permit less invasive surgery. Systematic reviews by the Cochrane Collaboration and others have helped define best practices for preoperative assessment and postoperative care. This article will outline these practices as defined in the 2011 American Academy of Otolaryngology–Head and Neck Surgery Foundation clinical practice guideline “Tonsillectomy in Children.” It will describe the different tonsillectomy operations, discuss patterns of normal healing, and review management of pain and posttonsillectomy hemorrhage to form a foundation for improved pediatric care.

KEY WORDS
  • adenotonsillectomy
  • complications
  • pain management
  • tonsillectomy
  • wound healing
  • Abbreviations:
    AAO-HNS —
    American Academy of Otolaryngology–Head and Neck Surgery Foundation
    • Accepted March 30, 2012.
    • Copyright © 2012 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 130, Issue 2
    1 Aug 2012
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    Tonsillectomy Care for the Pediatrician
    Glenn Isaacson
    Pediatrics Aug 2012, 130 (2) 324-334; DOI: 10.1542/peds.2011-3857

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    Tonsillectomy Care for the Pediatrician
    Glenn Isaacson
    Pediatrics Aug 2012, 130 (2) 324-334; DOI: 10.1542/peds.2011-3857
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      • Abstract
      • Overview
      • Advances
      • How to Prevent and Manage Posttonsillectomy Problems
      • Critical Assessment
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