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Boris A. Stuck - One of the best experts on this subject based on the ideXlab platform.
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Taste disorders after Tonsillectomy: a long-term follow-up.
Laryngoscope, 2012Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:In a former study, taste disturbances after Tonsillectomy seemed to be more frequent than expected. Eight percent of patients reported subjective taste disorders 6 months after Tonsillectomy. Fifteen patients from the initial trial, who reported taste disorders after Tonsillectomy, were contacted again for this long-term follow-up. A telephone interview using the same questionnaire addressing the current self-estimate of taste function was performed. At 32 ± 10 months following surgery, two (0.9%) patients still reported suffering from taste disturbance. This long-term follow-up study shows that dysgeusia following Tonsillectomy occurs in approximately 1% of patients. These data should be considered when patients are informed about complications after Tonsillectomy.
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Taste disturbance following Tonsillectomy--a prospective study.
Laryngoscope, 2010Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:Objectives/Hypothesis: Persistent taste disturbance is a rare complication after Tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia after Tonsillectomy. The aim of the study was to provide a symptom-based follow-up after Tonsillectomy to assess postoperative taste disorders. Study Design: Prospective clinical trial. Methods: From December 2007 to June 2009 adult patients undergoing Tonsillectomy were asked to take part in the trial. Two hundred twenty-three patients (119 female, 104 male; mean age, 33 ± 13 years) were included. The day prior to surgery, and 2 weeks and 6 months after Tonsillectomy a standardized questionnaire was completed by patients. The questionnaire focused on taste function, taste disorders, pain, foreign body sensation, and bleeding episodes after Tonsillectomy. Results: One hundred eighty-eight (2 weeks) and 181 (6 months) patients returned the questionnaires. Thirty-two percent (n = 60) of patients reported taste disorders after Tonsillectomy 2 weeks postoperatively and 15 patients (8%) at 6-month follow-up. Metallic and bitter parageusia were most frequently reported. The mean ratings of gustatory function were significantly lower 2 weeks after surgery (P < .001) and reached preoperative values 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% long-lasting postoperative pain, and 20% foreign body sensation. Conclusions: Long-lasting taste disturbance (metallic and bitter parageusia) after Tonsillectomy is more frequent than previously reported. Long-lasting pain and foreign body sensation seem to be common symptoms. With regard to these results, a thorough preoperative explanation is mandatory. Laryngoscope, 2010
Roland Giger - One of the best experts on this subject based on the ideXlab platform.
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Taste disorders after Tonsillectomy: a long-term follow-up.
Laryngoscope, 2012Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:In a former study, taste disturbances after Tonsillectomy seemed to be more frequent than expected. Eight percent of patients reported subjective taste disorders 6 months after Tonsillectomy. Fifteen patients from the initial trial, who reported taste disorders after Tonsillectomy, were contacted again for this long-term follow-up. A telephone interview using the same questionnaire addressing the current self-estimate of taste function was performed. At 32 ± 10 months following surgery, two (0.9%) patients still reported suffering from taste disturbance. This long-term follow-up study shows that dysgeusia following Tonsillectomy occurs in approximately 1% of patients. These data should be considered when patients are informed about complications after Tonsillectomy.
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Taste disturbance following Tonsillectomy--a prospective study.
Laryngoscope, 2010Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:Objectives/Hypothesis: Persistent taste disturbance is a rare complication after Tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia after Tonsillectomy. The aim of the study was to provide a symptom-based follow-up after Tonsillectomy to assess postoperative taste disorders. Study Design: Prospective clinical trial. Methods: From December 2007 to June 2009 adult patients undergoing Tonsillectomy were asked to take part in the trial. Two hundred twenty-three patients (119 female, 104 male; mean age, 33 ± 13 years) were included. The day prior to surgery, and 2 weeks and 6 months after Tonsillectomy a standardized questionnaire was completed by patients. The questionnaire focused on taste function, taste disorders, pain, foreign body sensation, and bleeding episodes after Tonsillectomy. Results: One hundred eighty-eight (2 weeks) and 181 (6 months) patients returned the questionnaires. Thirty-two percent (n = 60) of patients reported taste disorders after Tonsillectomy 2 weeks postoperatively and 15 patients (8%) at 6-month follow-up. Metallic and bitter parageusia were most frequently reported. The mean ratings of gustatory function were significantly lower 2 weeks after surgery (P < .001) and reached preoperative values 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% long-lasting postoperative pain, and 20% foreign body sensation. Conclusions: Long-lasting taste disturbance (metallic and bitter parageusia) after Tonsillectomy is more frequent than previously reported. Long-lasting pain and foreign body sensation seem to be common symptoms. With regard to these results, a thorough preoperative explanation is mandatory. Laryngoscope, 2010
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Hemorrhage in abscess Tonsillectomy
Otolaryngology–Head and Neck Surgery, 2004Co-Authors: Roland Giger, Basile Nicolas Landis, Pavel DulguerovAbstract:Abstract Objectives: The goal of this study was to evaluate the incidence, side, and possible predictive factors of postTonsillectomy hemorrhage in abscess Tonsillectomy. Methods: A retrospective study was performed on 150 patients who underwent abscess Tonsillectomy under general anesthesia between 1995 and 2002. Nine patients were excluded from the study because only unilateral Tonsillectomy was performed. Age, sex, recurrent tonsillitis, prior peritonsillar abscess history, bleeding disorders, current treatments (NSAID, aspirin, antibiotics), side of peritonsillar abscess, initial treatment (observation, needle drainage, surgical incision, Tonsillectomy), surgeon’s experience, operative time, anti-inflammatory treatment peri- and postoperatively, bacteriology, systolic and diastolic blood pressure, side and postoperative day of hemorrhage, and management strategy were reviewed. Results: A total of 103 patients (73%) underwent abscess Tonsillectomy within the first 24 hours. In the other 38 patients (27%), observation, needle aspiration or surgical drainage did not show any improvement of symptoms, and Tonsillectomy was performed on days 2 to 5. Bleeding occurred in 18 patients (12.8%). Ipsilateral hemorrhage was observed in 5 patients (3.5%), and contralateral hemorrhage in 13 patients (9.3%). This is a nonsignificant trend for bleeding on the contralateral side(P = 0.08). PostTonsillectomy hemorrhage occurred after the fourth day in all these cases. Only aspirin intake was associated with increased postTonsillectomy hemorrhage (P = 0.015). Conclusions: The risk of postoperative hemorrhage (12.8%) in abscess Tonsillectomy seems higher than reported in elective Tonsillectomy. The postTonsillectomy hemorrhage incidence could be reduced by excluding patients taking aspirin and by performing only ipsilateral abscess Tonsillectomy.
Basile Nicolas Landis - One of the best experts on this subject based on the ideXlab platform.
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Taste disorders after Tonsillectomy: a long-term follow-up.
Laryngoscope, 2012Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:In a former study, taste disturbances after Tonsillectomy seemed to be more frequent than expected. Eight percent of patients reported subjective taste disorders 6 months after Tonsillectomy. Fifteen patients from the initial trial, who reported taste disorders after Tonsillectomy, were contacted again for this long-term follow-up. A telephone interview using the same questionnaire addressing the current self-estimate of taste function was performed. At 32 ± 10 months following surgery, two (0.9%) patients still reported suffering from taste disturbance. This long-term follow-up study shows that dysgeusia following Tonsillectomy occurs in approximately 1% of patients. These data should be considered when patients are informed about complications after Tonsillectomy.
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Taste disturbance following Tonsillectomy--a prospective study.
Laryngoscope, 2010Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:Objectives/Hypothesis: Persistent taste disturbance is a rare complication after Tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia after Tonsillectomy. The aim of the study was to provide a symptom-based follow-up after Tonsillectomy to assess postoperative taste disorders. Study Design: Prospective clinical trial. Methods: From December 2007 to June 2009 adult patients undergoing Tonsillectomy were asked to take part in the trial. Two hundred twenty-three patients (119 female, 104 male; mean age, 33 ± 13 years) were included. The day prior to surgery, and 2 weeks and 6 months after Tonsillectomy a standardized questionnaire was completed by patients. The questionnaire focused on taste function, taste disorders, pain, foreign body sensation, and bleeding episodes after Tonsillectomy. Results: One hundred eighty-eight (2 weeks) and 181 (6 months) patients returned the questionnaires. Thirty-two percent (n = 60) of patients reported taste disorders after Tonsillectomy 2 weeks postoperatively and 15 patients (8%) at 6-month follow-up. Metallic and bitter parageusia were most frequently reported. The mean ratings of gustatory function were significantly lower 2 weeks after surgery (P < .001) and reached preoperative values 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% long-lasting postoperative pain, and 20% foreign body sensation. Conclusions: Long-lasting taste disturbance (metallic and bitter parageusia) after Tonsillectomy is more frequent than previously reported. Long-lasting pain and foreign body sensation seem to be common symptoms. With regard to these results, a thorough preoperative explanation is mandatory. Laryngoscope, 2010
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Hemorrhage in abscess Tonsillectomy
Otolaryngology–Head and Neck Surgery, 2004Co-Authors: Roland Giger, Basile Nicolas Landis, Pavel DulguerovAbstract:Abstract Objectives: The goal of this study was to evaluate the incidence, side, and possible predictive factors of postTonsillectomy hemorrhage in abscess Tonsillectomy. Methods: A retrospective study was performed on 150 patients who underwent abscess Tonsillectomy under general anesthesia between 1995 and 2002. Nine patients were excluded from the study because only unilateral Tonsillectomy was performed. Age, sex, recurrent tonsillitis, prior peritonsillar abscess history, bleeding disorders, current treatments (NSAID, aspirin, antibiotics), side of peritonsillar abscess, initial treatment (observation, needle drainage, surgical incision, Tonsillectomy), surgeon’s experience, operative time, anti-inflammatory treatment peri- and postoperatively, bacteriology, systolic and diastolic blood pressure, side and postoperative day of hemorrhage, and management strategy were reviewed. Results: A total of 103 patients (73%) underwent abscess Tonsillectomy within the first 24 hours. In the other 38 patients (27%), observation, needle aspiration or surgical drainage did not show any improvement of symptoms, and Tonsillectomy was performed on days 2 to 5. Bleeding occurred in 18 patients (12.8%). Ipsilateral hemorrhage was observed in 5 patients (3.5%), and contralateral hemorrhage in 13 patients (9.3%). This is a nonsignificant trend for bleeding on the contralateral side(P = 0.08). PostTonsillectomy hemorrhage occurred after the fourth day in all these cases. Only aspirin intake was associated with increased postTonsillectomy hemorrhage (P = 0.015). Conclusions: The risk of postoperative hemorrhage (12.8%) in abscess Tonsillectomy seems higher than reported in elective Tonsillectomy. The postTonsillectomy hemorrhage incidence could be reduced by excluding patients taking aspirin and by performing only ipsilateral abscess Tonsillectomy.
M. S. Timms - One of the best experts on this subject based on the ideXlab platform.
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Coblation Tonsillectomy versus dissection Tonsillectomy: postoperative hemorrhage.
The Laryngoscope, 2010Co-Authors: Antonio Belloso, Pradeep Morar, A. Chidambaram, M. S. TimmsAbstract:Objectives/Hypothesis: Coblation Tonsillectomy is a recently introduced surgical technique. To measure its benefits against traditional Tonsillectomy techniques, it is necessary to compare their complication rates. The study aims to identify differences in reactionary and secondary hemorrhage proportions, comparing coblation with dissection Tonsillectomy. Study Design: Prospective observational cohort study. Methods: Hates of reactionary and delayed postoperative hemorrhage were measured, comparing 844 coblation tonsillectomies with a control group of 743 tonsillectomies performed by blunt dissection with bipolar diathermy hemostasis. Results: The secondary hemorrhage rate with coblation-assisted Tonsillectomy was 2.25% compared with 6.19% in the control group (P < .05). The rate of secondary hemorrhage in children following coblation Tonsillectomy was 0.95% compared with 4.77% in the control group (P < .05). The difference was also significant (P < .05) in the adult population (4.40% vs. 8.81%, respectively). No difference was found in the reactionary hemorrhage proportions. Conclusion: In the study, coblation Tonsillectomy was associated with a lesser incidence of delayed hemorrhage, more significantly in the pediatric population. The new technique using tissue coblation for tonsil dissection offers significant advantages in the postoperative period compared with dissection Tonsillectomy with bipolar diathermy hemostasis. Coblation is associated with less postoperative pain and early return to daily activities. Also, there are fewer secondary infections of the tonsil bed and significantly lower rates of secondary hemorrhage with coblation. These results and the disposable nature of the coblation equipment promote coblation Tonsillectomy as the authors' preferred dissection method.
Clemens Heiser - One of the best experts on this subject based on the ideXlab platform.
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Taste disorders after Tonsillectomy: a long-term follow-up.
Laryngoscope, 2012Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:In a former study, taste disturbances after Tonsillectomy seemed to be more frequent than expected. Eight percent of patients reported subjective taste disorders 6 months after Tonsillectomy. Fifteen patients from the initial trial, who reported taste disorders after Tonsillectomy, were contacted again for this long-term follow-up. A telephone interview using the same questionnaire addressing the current self-estimate of taste function was performed. At 32 ± 10 months following surgery, two (0.9%) patients still reported suffering from taste disturbance. This long-term follow-up study shows that dysgeusia following Tonsillectomy occurs in approximately 1% of patients. These data should be considered when patients are informed about complications after Tonsillectomy.
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Taste disturbance following Tonsillectomy--a prospective study.
Laryngoscope, 2010Co-Authors: Clemens Heiser, Nils Guinand, Karl Hörmann, Roland Giger, Basile Nicolas Landis, Boris A. StuckAbstract:Objectives/Hypothesis: Persistent taste disturbance is a rare complication after Tonsillectomy and mainly documented by case reports or a few retrospective and prospective trials with a limited number of patients. None could clarify frequency, time course, or prognosis of long-lasting dysgeusia after Tonsillectomy. The aim of the study was to provide a symptom-based follow-up after Tonsillectomy to assess postoperative taste disorders. Study Design: Prospective clinical trial. Methods: From December 2007 to June 2009 adult patients undergoing Tonsillectomy were asked to take part in the trial. Two hundred twenty-three patients (119 female, 104 male; mean age, 33 ± 13 years) were included. The day prior to surgery, and 2 weeks and 6 months after Tonsillectomy a standardized questionnaire was completed by patients. The questionnaire focused on taste function, taste disorders, pain, foreign body sensation, and bleeding episodes after Tonsillectomy. Results: One hundred eighty-eight (2 weeks) and 181 (6 months) patients returned the questionnaires. Thirty-two percent (n = 60) of patients reported taste disorders after Tonsillectomy 2 weeks postoperatively and 15 patients (8%) at 6-month follow-up. Metallic and bitter parageusia were most frequently reported. The mean ratings of gustatory function were significantly lower 2 weeks after surgery (P < .001) and reached preoperative values 6 months after surgery. Almost 30% of patients reported postoperative bleeding, 10% long-lasting postoperative pain, and 20% foreign body sensation. Conclusions: Long-lasting taste disturbance (metallic and bitter parageusia) after Tonsillectomy is more frequent than previously reported. Long-lasting pain and foreign body sensation seem to be common symptoms. With regard to these results, a thorough preoperative explanation is mandatory. Laryngoscope, 2010
