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October 1992

ASPO: Tonsillectomy

Author Affiliations

Little Rock, Ark

Arch Otolaryngol Head Neck Surg. 1992;118(10):1021-1022. doi:10.1001/archotol.1992.01880100011004

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Several papers were presented at ASPO specifically dealing with the treatment and management of tonsillectomy patients. Drs Mark Pulin and Herbert Birck, Columbus, Ohio, presented a paper entitled "Postoperative Morbidity in Tonsillectomy and Adenotonsillectomy Patients." The authors described a 3-month prospective evaluation of immediate postoperative morbidity associated with this surgery. Of their 453 patients, 33% suffered significant morbidity at 1 hour including emesis, moderate-tosevere pain, increased temperature, or decreased level of consciousness. Twenty-seven percent still had emesis at 9 hours postoperatively, while 15% had severe pain. Significant bleeding occurred in four patients (0.8%). A survey of parents showed that 97% of parents stayed with their children in the hospital, and 89% preferred inpatient care. Sixty-four percent of parents felt that they could not take care of their children at home.

The authors concluded that inpatient postoperative care after adeno-tonsillectomy was cost effective, improved comfort and recuperation, and had a higher

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