Related Experiment Video
Updated: May 20, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Tonsillectomy care for the pediatrician
1Department of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, 1077 Rydal Rd, Suite 201, Rydal, PA 19046, USA. glenn.isaacson@temple.edu
Insights
Pediatricians are crucial for tonsillectomy care, managing pain and bleeding after surgery. This guide outlines best practices for pediatric tonsillectomy, focusing on sleep-disordered breathing and updated surgical techniques.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Sleep Medicine
Background:
- Tonsillectomy indications have shifted towards sleep-disordered breathing.
- Surgical techniques for tonsillectomy are evolving towards less invasive methods.
- Evidence-based guidelines inform current pediatric tonsillectomy practices.
Purpose of the Study:
- To outline best practices for pediatric tonsillectomy care.
- To describe current tonsillectomy procedures and healing patterns.
- To review the management of pain and hemorrhage after pediatric tonsillectomy.
Main Methods:
- Review of the 2011 American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guideline.
- Analysis of systematic reviews on tonsillectomy preoperative assessment and postoperative care.
- Synthesis of information on surgical techniques, healing, pain, and hemorrhage management.
Main Results:
- Tonsillectomy is increasingly performed for sleep-disordered breathing.
- Less invasive surgical instruments are now available.
- Established guidelines provide a framework for preoperative and postoperative care.
Conclusions:
- Pediatricians play a vital role in perioperative and outpatient tonsillectomy care.
- Understanding updated surgical practices and complication management is essential.
- Adherence to clinical practice guidelines can improve pediatric tonsillectomy outcomes.
Abstract:
Pediatricians play an important role in the perioperative care of hospitalized children after tonsillectomy and are often called upon to manage posttonsillectomy problems in the outpatient setting. The tonsillectomy operation has changed in recent years. More children are operated upon for sleep disordered breathing and fewer for recurrent pharyngitis. New instruments now permit less invasive surgery. Systematic reviews by the Cochrane Collaboration and others have helped define best practices for preoperative assessment and postoperative care. This article will outline these practices as defined in the 2011 American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guideline "Tonsillectomy in Children." It will describe the different tonsillectomy operations, discuss patterns of normal healing, and review management of pain and posttonsillectomy hemorrhage to form a foundation for improved pediatric care.
Related Concept Videos
Tonsillitis II: Management
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Suctioning the Nasopharyngeal Airway
Equipment Required
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
