جستجوی مقالات مرتبط با کلیدواژه « لوزه برداری » در نشریات گروه « پزشکی »

Tonsillectomy is one of the most common pediatric surgeries. Preoperative anxiety in children is one of the concerns of caregivers, and its management is an important part of nursing care. The aim of this study was to investigate the effect of guided imagery on anxiety in children candidate for tonsillectomy.

In this clinical trial, 70 children aged 7 to 12 years, candidates for tonsillectomy in the ENT ward of Amirkabir hospital in Arak in 2021 were divided into experimental or control groups. A demographic information form and the face anxiety scale were used to collect the data. In the control group, anxiety was assessed one hour before and 15 minutes before the surgery. In the experimental group, one hour before the operation and after completing the questionnaire, the child was asked to listen to an audio file with the hands-free for 15 minutes and visualize it in his mind. Then, the anxiety scale was completed again.

The mean score of anxiety before the intervention was 4.31±0.79 in the experimental group and 4.06±0.87 in the control group, which had no statistically significant difference. The mean score of anxiety after the intervention was 3.83±0.89 in the experimental group and 4.89 ± 0.90 in the control group, which showed the mean score of anxiety of children after the intervention had a statistically significant difference between the two groups (P<0.001).

The preoperative intervention reduced preoperative anxiety in the children candidate for tonsillectomy. This intervention is an easy and safe process and can be used as an effective method.

Adenotonsillectomy is one of the most common surgeries in children, which may be associated with a risk of recurrence of the related symptoms. The aim of this study was to determine the prevalence and possible predisposing and associated factors of adenoid regrowth in children under 15 years old in Besat Hospital in Hamadan.
In this analytic-descriptive study, all the patients less than 15 years old who underwent adenoidectomy or adenotonsillectomy in Besat Hospital in Hamadan City between 2010 and 2016 were reviewed. The charts of the patients underwent revision adenoidectomy were evaluated and their demographic data, clinical findings such as recurrence symptoms, history of allergy, reflux, and the time interval between the first and second surgeries, and the predisposing and associated factors of adenoid hypertrophy recurrence were recorded. The data were analyzed using descriptive statistics with SPSS 16 software.
From a total of 2787 patients with adenoidectomy (2571 cases with adenotonsillectomy), 37 cases (1.3%) underwent revision adenoidectomy. Of 37 revision adenoidectomies, 48.65% were in females and 51.35% e in males. The mean age at the primary adenoidectomy was 5.16 and at the secondary (revision) adenoidectomy was 9.04 years. The mean of interval was 3.87 years between the surgeries. Also, 27% of the patients were passive smoker, 18.9% had a history of reflux and 10.8% had a history of allergic rhinitis. The most common chief complaints of the adenoid regrowth were snoring (35.1%) and mouth breathing (25.9%).
According to the results of the present study, adenoid re-growth in children under 15 years is not common (1.3%) and the predisposing factors of adenoid hypertrophy recurrence were passive smoking, reflux and allergic rhinitis, respectively. It is recommended that nasopharyngeal endoscopy be performed after the adenoid surgery.

There is not a general protocol strategy about the necessity of routine microscopic examination of tonsillar samples in children. This study was conducted to determine the histopathological characteristic of tonsillar tissue in 1250 children، Tabriz-Iran. This descriptive study was conducted on 1250 children (724 male and 526 female) aged 2-14 years old who underwent tonsillectomy in Tabriz، Iran during 2008-11. Variables including age، sex، clinical diagnosis and surgical indications were recorded. Paraffin blocks were prepared from samples of tonsillectomy and stained with haematoxylin and eosin. Histopathologocal results were categorized in four groups: Follicular hyperplasia، follicular hyperplasia with infection، malignancy and normal. None of the children had initial clinical suspicion of tonsil tumor. Patients’ primary complaints were as follows: 92. 5% mouth breathing، 93% nocturnal snoring، 74. 3% recurrent and chronic cold and infections، 56. 4% sore throat، 48. 2% halitosis، 26% nocturnal apnea، 22. 2% dysphasia، and 18. 2% anorexia. Children with tonsillar hypertrophy and obstructive symptoms (57%)، and tonsillar hypertrophy and recurrent infections (42. 2%) underwent tonsillectomy. In the histopathlogical examination of all patients being hyperplasia together with lymphoid hypertrophy were observed and there was no evidence of malignancy in any of the patients. No instance of malignancy was found in the histopathological examination of children’s tonsil-removed tissues and all of the tonsils had benign hyperplasia with lymphoid hypertrophy.