Outcomes of Post-operative Diet in Children Following Tonsillectomy and Adenoidectomy

Study Overview
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Brief Summary
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This research is being done because it is not known which dietary recommendations are best to help patients recover after a tonsillectomy and/or adenoidectomy. The purpose of this study is to determine how diet after tonsil/adenoid surgery affects bleeding, pain, and oral intake.

Detailed Description
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Currently it is not known which dietary recommendations are best to help patients recover after a tonsillectomy and/or adenoidectomy. Traditional standard of care is to recommend that patients be restricted to a soft diet post-operatively. However, the investigators believe that there may be benefit in allowing patients to eat a restriction-free diet. In this study, the investigators will compare the current standard of care verse a non-restricted diet. The purpose of this study is to determine how diet after tonsil/adenoid surgery affects bleeding, pain, and oral intake.

Official Title
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Outcomes of Post-operative Diet in Children Following Tonsillectomy and Adenoidectomy

Conditions
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Chronic Tonsillitis, Sleep Disordered Breathing

Intervention / Treatment
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* Other: Diet modification


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients 3-12 years undergoing tonsillectomy and/or adenoidectomy. Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Standard soft diet<br> | Other: Diet modification<br>* Patients will be randomized to follow the standard post-tonsillectomy diet at our institution, which consists of soft foods for ten days, or will be in the non-restricted diet group following surgery.<br>|
| Other: Non-restricted diet<br> | Other: Diet modification<br>* Patients will be randomized to follow the standard post-tonsillectomy diet at our institution, which consists of soft foods for ten days, or will be in the non-restricted diet group following surgery.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bleeding | Blood tinged sputum or hemoptysis reported by patient or patient caregiver to on call resident or at post operative appointment; blood clot or bleeding from tonsil bed observed objectively on physical examination. | From time of surgery through postoperative day 10. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain | Patient or patient caregiver report of pain at each post operative day using a validated Wong Baker FACES pain scale. | From time of surgery through postoperative day 10. | 
| Days missed from normal activity | Patient or patient care giver reported number of days spent absent from normal activity as noted at post operative visit. | From time of surgery through postoperative day 10. |