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Is it safe to perform adenotonsillectomy in children with Down syndrome?

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Abstract

This retrospective review aims to evaluate the postoperative morbidity and mortality of 30 patients with Down syndrome who underwent adenotonsillectomy between June 2012 and December 2015 in a tertiary referral center. Mean age was 7.8 with a range of 3–12. There were 20 (66.6 %) male and ten (33.3 %) female patients. Mean follow-up was 23 months with a range of 7–43 months. 23 (76.6 %) of 30 patients had been operated due to obstructive tonsillar and adenoid hypertrophy, whereas seven (23.3 %) of them operated for chronic recurrent infections. All of the patients had undergone adenotonsillectomy operation; one patient had also bilateral tympanostomy tube insertion. Hospital stay was noted 1.3 days in average with a range of 1–3 days. Anesthetic complications of persistent bradycardia and postextubation respiratory difficulty occurred in two (6.6) patients. Patient who had intraoperative bradycardia necessitated intensive care unit stay and pacemaker implantation during follow-up. 3 (10 %) patients had late onset hemorrhage between days 7 and 10 and required intraoperative bleeding control. We did not experience any other morbidity and mortality except the abovementioned ones. In conclusion, adenotonsillectomy in patients with Down syndrome is a worthwhile operation with certain risks and these operations should better be performed by the tertiary referral centers which have the capacity to deal with the complications.

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Acknowledgments

This study was not funded.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Marmara University Faculty of Medicine, Istanbul, Turkey

    Ali Cemal Yumusakhuylu, Berat Demir, Tekin Baglam & Murat Sari

  2. Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Ali Cemal Yumusakhuylu

  3. Ministry of Health Marmara University Education and Research Hospital ENT Clinic, Istanbul, Turkey

    Adem Binnetoglu

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  1. Ali Cemal Yumusakhuylu
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  2. Adem Binnetoglu
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Correspondence to Ali Cemal Yumusakhuylu.

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The authors have no potential conflicts of interest.

This article does not contain any studies with human participants or animals performed by any of the authors. Study includes only retrospective chart review without any patient identifiable, so no patient participation and informed consent were required.

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This work was done in Ministry of Health Marmara University Education and Research Hospital.

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Yumusakhuylu, A.C., Binnetoglu, A., Demir, B. et al. Is it safe to perform adenotonsillectomy in children with Down syndrome?. Eur Arch Otorhinolaryngol 273, 2819–2823 (2016). https://doi.org/10.1007/s00405-016-4012-7

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  • DOI: https://doi.org/10.1007/s00405-016-4012-7

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