Publication:
Is it safe to perform adenotonsillectomy in children with Down syndrome?

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dc.contributor.authorBİNNETOĞLU, ADEM
dc.contributor.authorsYumusakhuylu, Ali Cemal; Binnetoglu, Adem; Demir, Berat; Baglam, Tekin; Sari, Murat
dc.date.accessioned2022-03-12T20:29:03Z
dc.date.available2022-03-12T20:29:03Z
dc.date.issued2016
dc.description.abstractThis retrospective review aims to evaluate the postoperative morbidity and mortality of 30 patients with Down syndrome who underwent adenotonsillectomy between June 2012 and December 2015 in a tertiary referral center. Mean age was 7.8 with a range of 3-12. There were 20 (66.6 %) male and ten (33.3 %) female patients. Mean follow-up was 23 months with a range of 7-43 months. 23 (76.6 %) of 30 patients had been operated due to obstructive tonsillar and adenoid hypertrophy, whereas seven (23.3 %) of them operated for chronic recurrent infections. All of the patients had undergone adenotonsillectomy operation; one patient had also bilateral tympanostomy tube insertion. Hospital stay was noted 1.3 days in average with a range of 1-3 days. Anesthetic complications of persistent bradycardia and postextubation respiratory difficulty occurred in two (6.6) patients. Patient who had intraoperative bradycardia necessitated intensive care unit stay and pacemaker implantation during follow-up. 3 (10 %) patients had late onset hemorrhage between days 7 and 10 and required intraoperative bleeding control. We did not experience any other morbidity and mortality except the abovementioned ones. In conclusion, adenotonsillectomy in patients with Down syndrome is a worthwhile operation with certain risks and these operations should better be performed by the tertiary referral centers which have the capacity to deal with the complications.
dc.identifier.doi10.1007/s00405-016-4012-7
dc.identifier.eissn1434-4726
dc.identifier.issn0937-4477
dc.identifier.pubmed27020270
dc.identifier.urihttps://hdl.handle.net/11424/234018
dc.identifier.wosWOS:000381264100070
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDown syndrome
dc.subjectTonsillectomy
dc.subjectAdenoidectomy
dc.subjectComplication
dc.subjectBradycardia
dc.subjectObstructive sleep apnea
dc.subjectOBSTRUCTIVE SLEEP-APNEA
dc.subjectAIRWAY-OBSTRUCTION
dc.subjectADENOIDECTOMY
dc.subjectTONSILLECTOMY
dc.subjectSEVOFLURANE
dc.subjectINSTABILITY
dc.subjectTRISOMY-21
dc.subjectINDUCTION
dc.subjectPATTERNS
dc.titleIs it safe to perform adenotonsillectomy in children with Down syndrome?
dc.typearticle
dspace.entity.typePublication
local.avesis.id164ca92d-7a78-44bf-aba2-374e53743d95
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages5
local.journal.quartileQ2
oaire.citation.endPage2823
oaire.citation.issue9
oaire.citation.startPage2819
oaire.citation.titleEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
oaire.citation.volume273
relation.isAuthorOfPublication7d22b68b-082d-4ffc-95cf-2646bb131363
relation.isAuthorOfPublication.latestForDiscovery7d22b68b-082d-4ffc-95cf-2646bb131363

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