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- Title
Complications of turbinate reduction surgery in combination with tonsillectomy in pediatric patients.
- Authors
Yuen, Sonia N.; Leung, Peggy P.; Funamura, Jamie; Kawai, Kosuke; Roberson, David W.; Adil, Eelam A.
- Abstract
<bold>Objectives/hypothesis: </bold>To examine whether the addition of turbinoplasty to tonsillectomy and adenoidectomy (T&A) increases the risk of postoperative complications.<bold>Study Design: </bold>Retrospective cohort study of children (18 years old and younger) who underwent tonsillectomy and/or turbinoplasty between July 1, 2013 and June 30, 2015 using the 2016 Pediatric Health Information System administrative database METHODS: Patients were divided into three groups: 1) T&A and turbinoplasty, 2) T&A alone, and 3) turbinoplasty alone. Postoperative revisit, hemorrhage requiring cautery, and blood transfusion rates were compared between groups.<bold>Results: </bold>A total of 75,761 patients met inclusion criteria: 3,079 underwent both T&A and turbinoplasty, 72,043 underwent T&A alone, and 639 underwent turbinoplasty alone. The rate of 14-day relevant revisits after T&A in combination with turbinate reduction surgery was not significantly higher than that of T&A alone (9.4% vs. 8.6%; P = .11). The revisit rate after turbinoplasty alone was 1.4%. Indications for revisits did not differ between the T&A and turbinoplasty group versus T&A alone group (P = .23). Furthermore, the rates of hemorrhage requiring cauterization was similar between the two groups (1.4% vs. 1.5%; P = .64). Twenty-one patients who underwent T&A alone required blood transfusion after they were readmitted; no cases in the other two groups required blood transfusion.<bold>Conclusions: </bold>Turbinoplasty and T&A performed together do not increase the risk of postoperative revisit or hemorrhage requiring cauterization, and can therefore be considered as a combined procedure. Pediatric patients will benefit from avoiding the additional risk of multiple anesthetics and repeated intubation.<bold>Level Of Evidence: </bold>4. Laryngoscope, 127:1920-1923, 2017.
- Subjects
TONSILLECTOMY; ADENOIDECTOMY; SURGICAL complications; HEALTH information services; BLOOD transfusion; TURBINATE bones; LONGITUDINAL method; RISK assessment; RETROSPECTIVE studies; SURGERY
- Publication
Laryngoscope, 2017, Vol 127, Issue 8, p1920
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.26421