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J R Soc Med. 1993 February; 86(2): 76–78.
PMCID: PMC1293853

Organization of day-case adenoidectomy in the management of chronic otitis media with effusion--preliminary results.


We report our initial findings of adenoidectomy performed in Leicester as a day case on 149 children between the ages of 3 and 9 years, who have been assessed for suitability for day-case surgery according to specific medical and social criteria. The selection a paediatric community nurse. All of the surgical procedures have been performed by experienced medical staff and the various anaesthetic techniques used by consultants or senior registrars have been documented. Six children were admitted postoperatively for overnight observation, three of whom had suffered a primary haemorrhage. No patients have been returned to theatre because of haemorrhage and there have been no re-admissions after discharge. A strict entry protocol has been observed to ensure the safety of this type of surgery and to date the acceptability of such a scheme and its organization has been widespread amongst those children and their parents who have participated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Smith IM, Maw AR. Secretory otitis media: a review of management by consultant otolaryngologists. Clin Otolaryngol Allied Sci. 1991 Jun;16(3):266–270. [PubMed]
  • Shott SR, Myer CM, 3rd, Cotton RT. Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: a preliminary report. Int J Pediatr Otorhinolaryngol. 1987 Aug;13(2):157–163. [PubMed]
  • Helmus C, Grin M, Westfall R. Same-day-stay adenotonsillectomy. Laryngoscope. 1990 Jun;100(6):593–596. [PubMed]
  • Guida RA, Mattucci KF. Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope. 1990 May;100(5):491–493. [PubMed]
  • Capper JW, Randall C. Post-operative haemorrhage in tonsillectomy and adenoidectomy in children. J Laryngol Otol. 1984 Apr;98(4):363–365. [PubMed]
  • Reiner SA, Sawyer WP, Clark KF, Wood MW. Safety of outpatient tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg. 1990 Feb;102(2):161–168. [PubMed]

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