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December 2015

Toward Adenotonsillectomy in Children: A Review for the General Pediatrician

Author Affiliations
  • 1Division of Pulmonary and Sleep Medicine, Children’s Mercy Hospital, Kansas City, Missouri
  • 2Division of Pediatric Otolaryngology, Children’s Hospital Colorado, Aurora
  • 3Department of Otolaryngology, University of Colorado School of Medicine, Aurora
JAMA Pediatr. 2015;169(12):1155-1161. doi:10.1001/jamapediatrics.2015.2016

Adenotonsillectomy is one of the most common surgical procedures performed in children, with more than half a million procedures performed annually. We provide a review of the procedure, including indications, contraindications, perioperative issues, and current controversies. A more in-depth discussion of indications for sleep-disordered breathing and recurrent throat infections is performed. We provide a reasonable approach to these conditions for the general pediatrician. Finally, we discuss selected areas of current controversies: the role of preoperative polysomnogram, postoperative weight gain, and effects on immune function.

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