The clinical and organisational appropriateness of tonsillectomy and adenoidectomy - 2003

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Abstract

Indications for surgery

Performing surgery

Managing tonsillectomy patients

Healthcare settings

Introduction
  • Epidemiology of tonsillectomy and adenoidectomy in Italy
  • Aim of the present document
Methods
  • Review of the literature
  • Level of evidence
Chapter 1. Indications for tonsillectomy and adenoidectomy
  • Obstructive sleep apnoea from adenotonsillar hypertrophy in children
  • Recurrent tonsillitis
  • Suspected malignity
  • Recurrent peritonsillar abscess
  • Conditions associated with group A beta-haemolytic streptococcus infection (upon exclusion of recurrent tonsillitis)
  • PFAPA syndrome
  • Recurrent acute otitis media and chronic otitis media with effusion
  • Recurrent and chronic sinusitis
Chapter 2. Performing tonsillectomy and adenoidectomy
  • Surgical techniques
  • Anaesthesiological techniques
    • General and local anaesthesia
    • Intravenous and inhalatory general anaesthesia
    • Tracheal intubation and laryngeal mask
    • Controlled and spontaneous ventilation
  • Preoperative tests
Chapter 3. Managing tonsillectomy patients
  • Perioperative use of antibiotics
  • Prophylaxis for bleeding
  • Prophylaxis and treatment for postoperative pain and vomiting
Chapter 4. Clinical and organizational aspects of adenotonsillectomy
  • Appropriate means of providing healthcare
  • Conditions of healthcare settings for children
  • The role of the family paediatrician and general practitioner
References

 

Data di creazione: 
04.01.2003