{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:44:53Z","timestamp":1785735893680,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize the postoperative respiratory complications in children &lt;\u20093\u2009years old who underwent tonsillectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective chart review of patients &lt;\u20093\u2009years old at time of tonsillectomy. Demographics, comorbidities, polysomnography results, intraoperative factors, and postoperative respiratory complications (desaturations (&lt;\u200988%) and airway interventions) were collected. Postoperative respiratory complications in all and otherwise healthy patients (without significant comorbidities or perioperative illness) were analyzed using Wilcoxon rank\u2010sum and multivariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      498 patients included. Demographics revealed male (56.4%), white (82.9%), severe sleep apnea (30.0%), prematurity (12.9%), and genetic disorders (12.7%). Prematurity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04), bronchopulmonary dysplasia\/chronic lung disease (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), pre\u2010operative AHI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), OAHI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01), % total sleep time\u2009&lt;\u200990% O\n                      <jats:sub>2<\/jats:sub>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and O\n                      <jats:sub>2<\/jats:sub>\n                      nadir (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and intraoperative laryngospasm (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) were associated with receiving postoperative supplemental oxygen. With the exception of some pre\u2010op PSG parameters, no characteristics or intraoperative complications were associated with desaturations &gt;\u20094\u2009h postoperatively. Pre\u2010operative AHI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), OAHI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049), O\n                      <jats:sub>2<\/jats:sub>\n                      nadir (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), and % total sleep time\u2009&lt;\u200990% O\n                      <jats:sub>2<\/jats:sub>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008) were associated with desaturations &gt;\u20094\u2009h postoperatively. Those with desaturations &gt;\u20094\u2009h postoperatively received supplemental oxygen (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and had a hospital stay &gt;\u200924\u2009h (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). Of otherwise healthy patients, 10\/291 (3.4%) had a desaturation postoperatively, with 7 receiving supplemental oxygen, and only one having had a desaturation &gt;\u20094\u2009h postoperatively (transient to 87%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Otherwise healthy children &lt;\u20093\u2009years old who underwent tonsillectomy had a low risk of critical postoperative respiratory complications. Children &lt;\u20093\u2009years old without significant comorbidities or perioperative illness may not require mandatory overnight hospitalization following tonsillectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70785","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:05:41Z","timestamp":1785733541000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing Post Tonsillectomy Respiratory Complications in Patients Under Three"],"prefix":"10.1002","author":[{"given":"Nathan E.","family":"Lu","sequence":"first","affiliation":[{"name":"Children's Hospital of Colorado  Aurora USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fendi","family":"Obuekwe","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine  Pittsburgh USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5783-9198","authenticated-orcid":false,"given":"Amber D.","family":"Shaffer","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Children's Hospital of Pittsburgh  Pittsburgh USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina V.","family":"Rushchak","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Medical Center  Pittsburgh USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda L.","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Medical Center  Pittsburgh USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"StatPearls","author":"Bohr C.","year":"2024"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009900305"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.11.019"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.09.030"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.01.044"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121413"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611\u2010198804000\u201000023"},{"issue":"3","key":"e_1_2_10_10_1","first-page":"155","article-title":"Complications of Outpatient Tonsillectomy and Adenoidectomy: A Review of 3,340 Cases","volume":"69","author":"Colclasure J. 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