Adenoidectomy and tonsillectomy in allergic patients
Fourrier, E.
Annales d'Oto-Laryngologie et de Chirurgie Cervico Faciale Bulletin de la Societe d'Oto-Laryngologie des Hopitaux de Paris 101(3): 237-239
1984
ISSN/ISBN: 0003-438X PMID: 6465752 Document Number: 239065
A retrospective study of results of adenoidectomy, tonsillectomy, or their association in 80 of 35% cases of children with allergic affections showed that operation was successful in 2 out of 10 cases, resulted in complications in one out of 10 and was ineffective in 7 out of 10. This emphasizes the need for selection of children with allergy before deciding to operate, failures with complications being rarely observed when correct decisions have been made. Poor results can be avoided if contact of harmful allergens is prevented during healing. This involves the eviction of allergens, with isolation of the patient for one week and antidegranulation treatment of the ketotifen type, and accelerated densensitization during the isolation period. Antibiotics and polyvalent vaccination may be necessary to treat infection. Four-year follow up of 65 patients operated upon under these conditions demonstrated excellent results.