Marci Lesperance, MD is chief of the division of pediatric otolaryngology at C.S. Mott Children’s Hospital.

Presentation Objectives:

This presentation will discuss guidelines for determining appropriateness of adenotonsillectomy for pediatric patients.

Target Audience:

Pediatricians and other physicians, nurse practitioners, physicians assistants and other healthcare professionals who work with pediatric patients.

Planners:

Valerie Castle, MD, Chair of the Department of Pediatrics and Communicable Diseases, Ravitz Foundation Professor of Pediatrics and Communicable Diseases

Hilary Haftel, MD, Course Director, Associate Chair for Education, Department of Pediatrics and Communicable Diseases

Disclosures:

Neither the activity planner nor the presenters have personal financial relationships with companies whose products are discussed in this CME activity.

CME Accreditation and Credit Designation:

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was prepared for release in December 2010.  Credit may be awarded for a maximum of three years from its release date, specifically from December 2010 through December 2013.  Continuation of credit from that date depends on a thorough review of the content currency and accuracy.

To earn CME credit or contact hours, participants must:

1. View the entire presentation.
2. Complete and submit the on-line learning assessment test. It will be electronically scored and the correct answers returned immediately for your review.
3. Complete the electronic credit request and activity evaluation. An electronic certificate of participation will be provided immediately.

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Additional Resources:

U-M Clinical Care Guideline for sore throat (pharyngitis)

Other references:

• Burton MJ, Glasziou PP.  Evidence-based Child Health 4:1291-1326 (2009) Cochrane review regarding T&A for chronic/recurrent tonsillitis
• Garetz SL.  Oto Head Neck Surg 138, S19-S26 (2008). Behavior, cognition, and QOL after T&A
• Goldstein et al. Oto Head Neck Surg 138, S9-S16 (2008). QOL after tonsillectomy for recurrent tonsillitis
• Renko et al. J Pediatr 207: 151:289-92. An RCT of Tonsillectomy RCT in PFAPA syndrome
• Stuck et al. Dtsch Arztebl Int: 105(49):852-861, 2008. Tonsillectomy in Children (review article)
• Windfuhr et al. Oto Head Neck Surg 140:191-196, 2009. A devastating outcome after adenoidectomy and tonsillectomy

Technical Specifications:

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The University of Michigan Health System web site does not provide specific medical advice and does not endorse any medical or professional service obtained through information provided on this site or any links to this site. Use of the UMHS web site does not replace medical consultation with a qualified health or medical professional to meet the health and medical needs of you or others. While the content of the UMHS web site is frequently updated, medical information changes rapidly and therefore, some information may be out of date, and/or contain inaccuracies or typographical errors.