PubMed · 4701293
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I Bernadt. 1973-04-14. Tonsils in or out.. https://pubmed.ncbi.nlm.nih.gov/4701293/
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A retrospective study was performed where parents of 246 children who had undergone (adeno)-tonsillectomy received a questionnaire regarding the symptomatology (14 symptoms) before and after surgery. 92% of the parents were satisfied with the surgical outcome. 98% felt that their children were in a better condition after surgery. There was a significant improvement of all symptoms. The expectations of the parents were fulfilled. The major complaint was the waiting time for operation. In order to reduce the cost of health care an increasing number of operations are performed as day-care surgery. Less than 1% of the parents in our study would like to have the tonsillectomy performed on a day case basis. Anyhow, the majority of the patients would have failed to meet the criteria for outpatient surgery because of obstructive sleep apnoea, recent history of upper airway infection or because they were living too far from the hospital.
To evaluate whether the PRL, TSH and gonadotropin secretion is altered in conditions with elevated body mass index, 7 patients with central Cushing's disease before and after transsphenoidal surgery, 7 untreated patients with Cushing's syndrome caused by adrenal adenoma, 17 simplex obese (obese) women and 9 non-obese controls (all females, aged 18-45 years) were tested with TRH (200 micrograms i.v. bolus) and GnRH (100 micrograms i.v. bolus) and the hormone responses were measured. There were no differences in the basal pituitary hormone secretion among the groups. In obese subjects the PRL response was reduced as compared to untreated patients with corticotrop pituitary adenoma. No significant differences of TSH release could be observed among the groups, whereas serum total T4 levels were higher in obesity than in patients with hypercorticism either caused by pituitary or adrenal Cushing's syndrome. No differences were found in the LH response, but the stimulated FSH release was lower in obesity, in patients with central Cushing's disease after transsphenoidal surgery and in patients with primary Cushing's syndrome as compared to the normal controls.