Complications of turbinate reduction surgery in combination with tonsillectomy in pediatric patients. (22nd November 2016)

• Record Type: Journal Article
• Authors: Yuen, Sonia N.; Leung, Peggy P.; Funamura, Jamie; Kawai, Kosuke; Roberson, David W.; Adil, Eelam A.
• Is Part Of: Laryngoscope. Volume 127:Number 8(2017)
• Page Start: 1920
• Page End: 1923
• Publication Date: 2016-11-22
• Subjects: Pediatric tonsillectomy -- turbinoplasty -- turbinate reduction -- adenoidectomy -- postoperative complication -- bleeding -- readmission; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.26421
• Languages: English
• ISSNs: 0023-852X

Abstract

Abstract : Objectives/Hypothesis: To examine whether the addition of turbinoplasty to tonsillectomy and adenoidectomy (T&A) increases the risk of postoperative complications. Study Design: Retrospective cohort study of children (18 years old and younger) who underwent tonsillectomy and/or turbinoplasty between July 1, 2013 and June 30, 2015 using the 2016 Pediatric Health Information System administrative database Methods: Patients were divided into three groups: 1) T&A and turbinoplasty, 2) T&A alone, and 3) turbinoplasty alone. Postoperative revisit, hemorrhage requiring cautery, and blood transfusion rates were compared between groups. Results: A total of 75, 761 patients met inclusion criteria: 3, 079 underwent both T&A and turbinoplasty, 72, 043 underwent T&A alone, and 639 underwent turbinoplasty alone. The rate of 14‐day relevant revisits after T&A in combination with turbinate reduction surgery was not significantly higher than that of T&A alone (9.4% vs. 8.6%; P = .11). The revisit rate after turbinoplasty alone was 1.4%. Indications for revisits did not differ between the T&A and turbinoplasty group versus T&A alone group ( P = .23). Furthermore, the rates of hemorrhage requiring cauterization was similar between the two groups (1.4% vs. 1.5%; P = .64). Twenty‐one patients who underwent T&A alone required blood transfusion after they were readmitted; no cases in the other two groups required blood transfusion. Conclusions: Turbinoplasty and T&A performed together do not increase the risk of postoperative revisit or hemorrhage requiring cauterization, and can therefore be considered as a combined procedure. Pediatric patients will benefit from avoiding the additional risk of multiple anesthetics and repeated intubation. Level of Evidence: 4. Laryngoscope, 127:1920–1923, 2017