4/19/2023 0 Comments Ear practice practical![]() ![]() The clinician should counsel patients and caregivers regarding the importance of managing post tonsillectomy pain as part of the perioperative education process and should reinforce this counseling at the time of surgery with reminders about the need to anticipate, reassess, and adequately treat pain after surgery.Clinicians should counsel patients and caregivers and explain that obstructive sleep-disordered breathing may persist or recur after tonsillectomy and may require further management.Clinicians should recommend tonsillectomy for children with obstructive sleep apnea documented by overnight polysomnography. ![]() The clinician should advocate for polysomnography prior to tonsillectomy for obstructive sleep-disordered breathing in children without any of the comorbidities listed in KAS 5 for whom the need for tonsillectomy is uncertain or when there is discordance between the physical examination and the reported severity of oSDB.Before performing tonsillectomy, the clinician should refer children with obstructive sleep-disordered breathing for polysomnography if they are Growth retardation, poor school performance, enuresis, asthma, and behavioral problems. Clinicians should ask caregivers of children with obstructive sleep-disordered breathing and tonsillar hypertrophy about comorbid conditions that may improve after tonsillectomy, including.Clinicians should recommend watchful waiting for recurrent throat infection if there have been 1 peritonsillar abscess.
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