Title

Is Outpatient Tonsillectomy Appropriate for Young Children?

Publication/Presentation Date

3-1-1992

Abstract

The current literature suggests that outpatient tonsillectomy is a safe, cost-effective procedure. These reports have based their conclusions on the low rates of postoperative bleeding and dehydration. Generally, they have not examined other factors that may influence the postoperative course or identified groups of patients in whom outpatient management may not be appropriate. The literature regarding tonsillectomy in young children is conflicting. A retrospective analysis of the records of 223 children, 36 months of age and younger who had tonsillectomies, was performed. Postoperative airway complications including oxygen desaturation and airway obstruction developed in 115 patients. Seventeen (7.6%) children required postoperative care in an intensive care unit while an additional 117 (52.5%) patients received more than standard management. Preoperative apnea, an age of less than 12 months, and the presence of accompanying medical conditions were associated with a higher incidence of postoperative airway complications. It is recommended that tonsillectomy in patients under 36 months of age be planned as an inpatient procedure.

Volume

102

Issue

3

First Page

277

Last Page

280

ISSN

0023-852X

Disciplines

Medical Sciences | Medicine and Health Sciences | Otolaryngology

PubMedID

1545656

Department(s)

Department of Medicine, Department of Medicine Fellows and Residents

Document Type

Article