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March 1989

Outpatient Tonsillectomy and Adenoidectomy

Arch Otolaryngol Head Neck Surg. 1989;115(3):275. doi:10.1001/archotol.1989.01860270017005

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Seth Reiner and collaborators at the University of Oklahoma, Norman, described 1000 patients who underwent tonsillectomy and/or adenoidectomy from 1983 through 1988. Their report, presented at the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, compared the safety of inpatient vs outpatient tonsil and adenoid surgery. The change to outpatient surgery was the result of insurance company reimbursement schedules; therefore, most of the inpatient procedures were performed between 1983 and 1985. After that time, inpatient surgery was reserved for patients in high-risk groups for complications. The overall complication rate was 7.9%, evenly divided between perioperative bleeding, late bleeding, and dehydration. Patients who underwent a tonsillectomy only had an overall higher complication rate, possibly secondary to the older average age in this group. Inpatients had more complications than outpatients. The authors concluded that, for properly screened patients, outpatient tonsil and adenoid surgery poses no additional

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