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Recommendations have been updated for tonsillectomy in children; the revised clinical practice guideline was published as a supplement to the February issue of Otolaryngology-Head and Neck Surgery.

Recommendations Updated for Tonsillectomy in Children

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Strong recommendations presented against administering perioperative antibiotics, codeine after tonsillectomy
Children aged younger than 3 years seem to have increased risk of complications following tonsillectomy compared with children aged 3 years or older

Risk of Post-Tonsillectomy Complications Up for Under-3s

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Increased risk of complications, complications within 24 hours of surgery, compared with older children
Adenotonsillotomy is noninferior to adenotonsillectomy for children aged 2 to 6 years with obstructive sleep apnea

Adenotonsillotomy Noninferior to Adenotonsillectomy in Peds OSA

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However, non-negligible risk of recurrence of pediatric obstructive sleep apnea after ATT
Researchers evaluating evidence for tonsillectomy found that more children would receive significant short-term improvement in their daily life if the current guidelines were relaxed. The two reviews were published online Jan. 17 in Pediatrics.

Current Guidelines for Pediatric Tonsillectomies Questioned

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Understanding of longer-term outcomes or effects in subpopulations deemed lacking
Tonsillectomy is associated with increased risk of developing Crohn's disease

Review Links Tonsillectomy to Risk of Crohn’s Disease

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No correlation seen for tonsillectomy and risk of development of ulcerative colitis
Although many pediatric patients undergo tonsillectomy and adenoidectomy in ambulatory settings

Risk Higher in Younger Children for Tonsillectomy Complications

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Inpatient setting advised for tonsillectomy and adenoidectomy in younger children
For children undergoing adenotonsillectomy

Hemorrhage Post Adenotonsillectomy Less Common With OSA

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Although children with obstructive sleep apnea appear to have more respiratory complications
Acupuncture

Acupuncture Effective for Post-Tonsillectomy Pain in Children

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Less pain, analgesic drug consumption for children treated with acupuncture, standard analgesics
For patients with recalcitrant psoriasis associated with episodes of tonsillitis

Tonsillectomy May Benefit Tonsillitis-Associated Psoriasis

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Review shows improvement in psoriasis for some patients; improvement not always sustained