During the evaluation period from October 1, 2009, to June 30, 2010, all consecutive tonsil and adenoid surgeries in Austria (n = 9,405 patients) and their risk factors were evaluated.
for tonsillectomy are formulated vigorously: at least 7 tonsil infections in 1 year or 5 tonsil infections in each of 2 consecutive years have to be documented prior to the removal of the tonsils. For children younger than 6
The advent of antibiotics in the 1950s resulted in a dramatic decrease in the overall number of tonsillectomies. In the USA, the frequency dropped from 1,400,000 TAs per year in 1959 to
Bleeding episodes of grades A to B are named minor bleedings, grades C to E are severe bleedings
Postoperative haemorrhage, defined as every bleeding episode after extubation, was reported in 12.3% after tonsillectomy; one fourth of whom experienced multiple bleedings.
Indications of Pediatric
Tonsillectomy
At the beginning of the 20th century, recurrent tonsillitis was the main reason for removal of the tonsils. TA represented 30–50% of all pediatric surgeries in the 1930s
The series published during the last 30 years show a clear shift in the indications of tonsillectomy. Sleepdisordered breathing is now the main reason for TA in children. All studies published in the last few years show this trend, which is even more obvious in children under 3 years of age, where OSAS reaches 90–100% of indications. In older children, infections are more
After tonsillotomy only 2.2% patients reported a postoperative bleeding episode
小儿腺样体扁桃体切除术
为什么强调小儿？
美国2011年版儿童扁桃体切除术临床实践 指南
该指南适用于1—18岁可能需行扁桃体切除 术的患儿；
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Removal of the tonsils and adenoids is thought to be the bread and butter of pediatric otolaryngology.
As a consequence, the Austrian Pediatric and ENT Societies had to revise and tighten the guidelines
The main aim is to restrict tonsillectomies to cases where the complete tonsil has to be dissected. The criteria
Tonsillectomy: A Simple Surgical
Procedure ?
Austrian events：The death of 5 children in Austria below the age of 6 years due to posttonsillectomy haemorrhage in 2006 and 2007 showed how quickly medical procedures can be discussed and debated by the media and politicians
The current controversial issue is focused on pediatric tonsillectomy, a surgical procedure that is learned early during specialist training and
Having a closer look at the history of tonsillectomy, it becomes quickly clear that barely any other ENT surgery has undergone so many changes regarding the frequency, indication and technique as tonsillectomy