title: Complications of turbinate reduction surgery in combination with tonsillectomy in pediatric patients.
abstract: To examine whether the addition of turbinoplasty to tonsillectomy and adenoidectomy (T&A) increases the risk of postoperative complications.
  
  
  
  Retrospective cohort study of children (18 years old and younger) who underwent tonsillectomy and/or turbinoplasty between July 1, 2013 and June 30, 2015 using the 2016 Pediatric Health Information System administrative database METHODS: Patients were divided into three groups: 1) T&A and turbinoplasty, 2) T&A alone, and 3) turbinoplasty alone. Postoperative revisit, hemorrhage requiring cautery, and blood transfusion rates were compared between groups.
  
  
  
  A total of 75,761 patients met inclusion criteria: 3,079 underwent both T&A and turbinoplasty, 72,043 underwent T&A alone, and 639 underwent turbinoplasty alone. The rate of 14-day relevant revisits after T&A in combination with turbinate reduction surgery was not significantly higher than that of T&A alone (9.4% vs. 8.6%; P = .11). The revisit rate after turbinoplasty alone was 1.4%. Indications for revisits did not differ between the T&A and turbinoplasty group versus T&A alone group (P = .23). Furthermore, the rates of hemorrhage requiring cauterization was similar between the two groups (1.4% vs. 1.5%; P = .64). Twenty-one patients who underwent T&A alone required blood transfusion after they were readmitted; no cases in the other two groups required blood transfusion.
  
  
  
  Turbinoplasty and T&A performed together do not increase the risk of postoperative revisit or hemorrhage requiring cauterization, and can therefore be considered as a combined procedure. Pediatric patients will benefit from avoiding the additional risk of multiple anesthetics and repeated intubation.
  
  
  
  4. Laryngoscope, 127:1920-1923, 2017.
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
authors.forename: Sonia N
authors.initials: SN
authors.lastname: Yuen
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
authors.forename: Peggy P
authors.initials: PP
authors.lastname: Leung
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
authors.forename: Jamie
authors.initials: J
authors.lastname: Funamura
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.|Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Kawai
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.|Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
authors.forename: David W
authors.initials: DW
authors.lastname: Roberson
authors.affiliation: Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.|Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
authors.forename: Eelam A
authors.initials: EA
authors.lastname: Adil
mesh_terms: D000233:Adenoidectomy; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D018570:Risk Assessment; D014068:Tonsillectomy; D014420:Turbinates / Q000601:surgery*
keywords: Pediatric tonsillectomy; adenoidectomy; bleeding; postoperative complication; readmission; turbinate reduction; turbinoplasty