Outpatient AdenotonsillectomyIs It Safe in Children Younger Than 3 Years?
Ron B. Mitchell, MD;
Kevin D. Pereira, MD;
Norman R. Friedman, MD;
Rande H. Lazar, MD
Arch Otolaryngol Head Neck Surg. 1997;123(7):681-683.
Abstract
Objective
To evaluate the safety of ambulatory adenotonsillectomy in children younger than 3 years.
Materials and Methods
The records of 102 children younger than 3 years who underwent adenotonsillectomy as an outpatient procedure were reviewed during a 3-year period.
Results
Ten patients (10%) required overnight hospital admission for an average of 1.4 days. Nine patients were admitted directly from the day-stay unit and 1 patient was admitted 48 hours after surgery. The reason for hospital admission was poor oral intake. None of the patients had postoperative bleeding or respiratory problems or required intensive care unit admission.
Conclusion
The safety of ambulatory adenotonsillectomy depends on judicious selection criteria and can be performed in children younger than 3 years.
Arch Otolaryngol Head Neck Surg. 1997;123:681-683
Author Affiliations
From the LeBonheur Childrens Medical Center, Memphis, Tenn.
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