"The purpose of this multidisciplinary guideline is to identify quality improvement opportunities in managing children, 18 years of age or less, who are under consideration for tonsillectomy and to create explicit and actionable recommendations. The goal is to educate clinicians and caregivers on the indications and the perioperative management of children undergoing tonsillectomy. There is an emphasis on the need for evaluation and intervention in special populations. We highlight the need for counseling and education of families," said Ron B. Mitchell, MD, Chair of the guideline update group.
Tonsillectomy is a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is one of the most common ambulatory surgery procedures performed on children in the U.S. In the most recent report of the National Health Stat Report, published in 2017, 289,000 ambulatory tonsillectomy procedures were performed in children less than 15 years of age. This is a decline in incidence from the National Health Stat Report, published in 2009, which cited more than 530,000 tonsillectomies in children under 15. The two most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing (oSDB).
Changes - Practice - Guideline - Reduction - Use
Changes in practice since the 2011 guideline include a reduction in the use of routine postoperative antibiotics as well as a Food and Drug Administration...
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