Linee guida
CONFERENZA NAZIONALE DI CONSENSO (CAGLIARI, 6-7 MARZO 2003) Appropriatezza clinica e organizzativa degli interventi di tonsillectomia e/o adenoidectomia
Giovanni Baglio, Luisa Bellussi, Vincenzo Calia, Donatella Canonaco, Claudio Denuccio, Marco De Vincentiis, Marica Ferri, Tom Jefferson, Paola Marchisio, Luigi Milani, Eugenio Pallestrini, Ludovico Perletti, Vittorio Pierro, Rocco Romano, Gianfranco Rizzoni, Francesco Tancredi, Francesco Tempesta
Settembre 2003 - pagg. 441 -457
Abstract
Questo ponderoso documento, che M&B è molto lieto di poter pubblicare, è frutto della fatica di un gruppo di persone individuate
dalle principali società scientifiche che, dopo un vaglio completo della letteratura filtrato sull’esperienza personale e
sul confronto tra culture in parte diverse, fa il punto dello stato dell’arte, delle sicurezze e delle insicurezze di indicazione e
di prassi. Col permesso degli Autori M&B ha posto in calce a questo notevole prodotto il suo punto di vista e i suoi commenti
che deviano in più di un punto dalle conclusioni del gruppo. Questa decisione potrebbe essere criticabile, ma certamente
rientra nella nostra politica editoriale. Da una parte infatti M&B si è sempre proposto una linea di disciplina, di accettazione
delle evidenze e di una ricerca di comportamenti comuni, dall’altra ha dato e sempre più cercherà di dare spazio a voci
diverse (controversie) che cercano di far luce, non per avere ragione o torto, sulle aree grigie, di semiluce, che sempre si
trovano ai margini di quello spazio in cui ci si muove con sicurezza, o quasi. Crediamo d’altronde che il documento debba
essere una cosa viva, e pensiamo che possa essere oggetto di riflessioni e di interventi dei lettori.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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5. Marshall T, Anantharachagan A, Chan VGKW, et al. How many tonsillectomies are evidence-based? J Clin Excellence 2001;3:23-5.
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7. Randall D, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg 1998;118:61-8.
8. Carmody D, Vamadevan T, Cooper S. Posttonsillectomy hemorrhage. J Laryngol Otol 1982;96:635-8.
9. Peeters A, Claes J, Saldien V. Lethal complications after tonsillectomy. Acta Otorhinolaryngolog Belg 2001;55:207-13.
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2. Materia E, Spadea T, Rossi L, et al. Diseguaglianze nell’assistenza sanitaria: ospedalizzazione e posizione socioeconomica a Roma. Epidemiol Prev 1999;23:197-206.
3. Bisset AF, Russel D. Grommets, tonsillectomies, and deprivation in Scotland. BMJ 1994;308:1129-32.
4. Domenighetti G, Bisig BE. Tonsillectomy: a family-transmissible surgical procedure. Lancet 1995;346:1376.
5. Marshall T, Anantharachagan A, Chan VGKW, et al. How many tonsillectomies are evidence-based? J Clin Excellence 2001;3:23-5.
6. Clinical Outcome Working Group. Clinical Outcome Indicators. Edinburgh, Scottish Office, 1996.
7. Randall D, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg 1998;118:61-8.
8. Carmody D, Vamadevan T, Cooper S. Posttonsillectomy hemorrhage. J Laryngol Otol 1982;96:635-8.
9. Peeters A, Claes J, Saldien V. Lethal complications after tonsillectomy. Acta Otorhinolaryngolog Belg 2001;55:207-13.
10. Istituto Superiore di Sanità. Agenzia per i servizi sanitari regionali. Programma nazionale per le linee guida. Manuale metodologico. Come produrre, diffondere e aggiornare raccomandazioni per la pratica clinica. Milano: Zadig ed., maggio 2002.
11. Jones TM, Ah-See KW. Surgical and nonsurgical interventions used primarily for snoring (Protocol for a Cochrane Review). In: The Cochrane Library, Issue 3, 2002. Oxford: update Software.
12. Lim J, McKean M. Adenotonsillectomy for obstructive sleep apnoea in children (Cochrane Review). In: The Cochrane Library, Issue 1, 2003. Oxford: update Software.
13. Flemons WW. Obstructive sleep apnea. N Engl J Med 2002;347:498-504.
14. Malhotra A. Obstructive sleep apnea. Lancet 2002;360:237-45.
15. Cassano P, Gelardi M. Fibroendoscopic findings in rhinopharyngeal obstruction by adenoids hypertrophy: classification and therapeutic indications. L’Otorinolaringologia Pediatrica 1998;9:199-204.
16. Bridgman SA, Dunn KM, Ducharme F. Surgery for obstructive sleep apnoea (Cochrane Review). In: The Cochrane Library, Issue 3, 2002. Oxford: update Software.
17. American Academy of Pediatrics. Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. Pediatrics 2002;109:704-12.
18. Hultcrantz E, Larsson M, Hellquist R, et al. The influence of tonsillar obstruction and tonsillectomy on facial growth and dental arch morphology. Int J Pediatr Otorhinolaryngol 1991;22:125-34.
19. Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children. N Engl J Med 1984;310:674-83.
20. Burton MJ, Towler B, Glasziou P. Tonsillectomy versus non-surgical treatment for chronic/ recurrent acute tonsillitis (Cochrane Review). In: The Cochrane Library, Issue 3, 2002. Oxford: update Software.
21. Paradise JL, Bluestone CD, Rogers KD, et al. Comparative efficacy of tonsillectomy for recurrent throat infections in more versus less severely affected children. Pediatr Res 1992; 31:126 A.
22. Paradise JL, Bluestone CD, Colborn DK, et al. Tonsillectomy and adenotonsillectomy for recurrent throat infections in moderately affected children. Pediatrics 2002;110:7-15.
23. McKerrow W. Recurrent Tonsillitis. In: Clinical Evidence 7, June 2002, pp 477-80. London: BMJ Publishing Group, 2002.
24. Scottish Intercollegiate Guidelines Network. Management of Sore Throat and Indications for Tonsillectomy. Edinburgh: SIGN Publication Number 34, January 1999.
25. McQuone SJ, Eisele DW, Lee DJ, et al. Occult tonsillar carcinoma in the unknown primary. Laryngoscope 1998;108:1605-10.
26. Spinou E, Kubba H, Konstantinidis I, Johnston A. Tonsillectomy for biopsy in children with unilateral tonsillar enlargement. Int J Pediatr Otorhinolaryngol 2002;63:15-7.
27. Berkowitz RG, Mahadevan M. Unilateral tonsillar enlargement and tonsillar lymphoma in children. Ann Otol Rhinol Laryngol 1999; 108:876-9.
28. Brojerdian S, Bisschop P. Clinical advantage on abscess tonsillectomy in peritonsillar abscess. Acta Otorhinolaryngol Belg 2000;54: 59- 64.
29. Fagan JJ, Wormald PJ. Quincy tonsillectomy or interval tonsillectomy, a prospective randomised trial. S Afr Med J 1994 84:689-90.
30. Chowdhry CR, Bricknell MC. The management of quincy. A prospective study. J Laryngol Otol 1992;106:986-8.
31. Clerc S, Soldati D. Socioeconomic aspects in the therapy of peritonsillar abscess. Schweiz Med Wochenschr 2000;125:17S-19S.
32. Apostopoulos NJ, Nikolopoulos TP, Bairamis TN. Peritonsillar abscess in children. Is incision and drainage an effective management? Int J Pediatr Otorhinolaryngol 1995; 31:129-35.
33. Schraff S, McGinn JD, Derkay CS. Peritonsillar abscess in children: a ten year review of diagnosis and management. Int J Pediatr Otorhinolaryngol 2001; 57: 213-8.
34. Savolainen S, Jousimies SHR, Maekitie AA, Yliokoski JS. Peritonsillar abscess. Clinical and microbiological aspects and treatment regimens. Arch Otolaryngol Head Neck Surg 1993;119:521-4.
35. Weinberg E, Brodsky L, Stanievich J, Volk M. Needle aspiration of peritonsillar abscess in children. Arch Otolaryngol Head Neck Surg 1993; 119: 169-72.
36. Windfuhr JP, Chen YS. Immediate abscess tonsillectomy. A safe procedure? Auris Nasus Larynx 2001; 28:323-7.
37. Lochart R, Parker GS, Tami TA. Role of quincy tonsillectomy in the management of peritonsillar abscess. Ann Otol Rhinolaryngol 1991;100:569-71.
38. Antibiotici in otorinolaringologia pediatrica: profilassi e terapia. XV Congresso Nazionale di Otorinolaringologia Pediatrica. L’Otorinolaringologia Pediatrica 1998;9(2).
39. Murphy ML, Pichichero ME. Prospective identification and treatment of children with pediatric autoimmune neuropsychiatric disorder associated with group A streptococcal infections (PANDAS). Arch Pediatr Adolesc Med 2002;156:356-61.
40. Thomas KT, Feder HM, Lawton AR, Edwards KM. Periodic fever syndrome in children. J Pediatrics 1999;135:15-21.
41. Galanakis E, Papadakis CE, Karatzanis AD, et al. PFAPA syndrome in children evaluated for tonsillectomy. Arch Dis Child 2002; 86:434- 5.
42. Dahn KA, Glode MP, Chan KH. Periodic fever and pharyngitis in young children. Arch Otolaryngol Head Neck Surg 2000;126:1146-9.
43. Williamson I. Otitis media with effusion. In: Clinical Evidence 7, June 2002, pp 469-76. London: BMJ Publishing Group, 2002.
44. Institute for Clinical Systems Improvement. Health care guideline: Diagnosis and Treatment of Otitis Media in Children. USA, 2001, www.icsi.org.
45. Hoffman HJ, Ingvarsson LB, Kvaerner KJ, et al. Recent advances in otitis media. 2. Epidemiology, natural history, and risk factors. Ann Otol Rhinol Laryngol 2002;188:19S-25S.
46. Rosenfeld RM. Surgical prevention of otitis media. Vaccine 2000;19:134S-139S.
47. Don DM, Yellon RF, Casselbrant ML, Bluestone CD. Efficacy of stepwise protocol that includes intravenous antibiotic therapy for the management of chronic sinusitis in children and adolescents. Arch Otolaryngol Head Neck Surg 2001;127:1093-8.
48. Vandenberg SJ, Heatley DG. Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg 1997; 123: 675-78.
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