- Email: [email protected]
Re: General practitioner consultations after a paediatric tonsillectomy
1NTERNATiIWAlJOWNALOF
International
Journal of Pediatric Otorhinolaryngology
ELSEVIER
41 (1997) 223-224
Letter to the Editor J.J. Manni University Hosptial Maastricht,
P. Debyelaan 25, 6202 AZ Maastricht,
The Netherlands
Re: General practitioner consultations after a paediatric tonsillectomy T.M. Jones, R.H. Temple, P. Morar, N.J. Noland, J.H. Rogers, Int. J. Pediatr. Otorhinolaryngol., 39 (1997) 97- 103. To the Editor: The paper of Jones et al. was reviewed with interest and their efforts appreciated to find another way to relieve the complaints directly related to pediatric tonsillectomy. In keeping with the restrictions of their study and the proposed initiative of the authors to set up a prospective randomised controlled trial I would like to suggest the investigators use another test substance. Chewing-gum nowadays has reached the stage of a worldwide environmental polluter. This product is not naturally converted. Its removal from buildings, walls, walkways, carpets etc., requires sophisticated technical tools with cooled chemicals under high pressure. Therefore the investigation of an alternative product is to be strongly recommended. HI SO165-5876(97)00077-3
Response: In its favour, chewing-gum acts as a sialagogue, promotes chewing thereby overcoming any pterygoid spasm whilst ensuring the flow of blood through the pterygoid plexus, consequently enchancing the removal of local inflammatory metabolites. We also believe it to be safe and is obviously well accepted by children. However, we do accept the reservations regarding its environmental effects but despite considerable effort, have failed to think of an alternative. Obviously, we would be open to suggestions to suitable alternatives. In summary, it is our belief 0165-5876/97i$l7.00
0 1997 Elsevier Science Ireland Ltd. Ail rights reserved.
International
Journal of Pediatric Otorhinolaryngology
ELSEVIER
41 (1997) 223-224
Letter to the Editor J.J. Manni University Hosptial Maastricht,
P. Debyelaan 25, 6202 AZ Maastricht,
The Netherlands
Re: General practitioner consultations after a paediatric tonsillectomy T.M. Jones, R.H. Temple, P. Morar, N.J. Noland, J.H. Rogers, Int. J. Pediatr. Otorhinolaryngol., 39 (1997) 97- 103. To the Editor: The paper of Jones et al. was reviewed with interest and their efforts appreciated to find another way to relieve the complaints directly related to pediatric tonsillectomy. In keeping with the restrictions of their study and the proposed initiative of the authors to set up a prospective randomised controlled trial I would like to suggest the investigators use another test substance. Chewing-gum nowadays has reached the stage of a worldwide environmental polluter. This product is not naturally converted. Its removal from buildings, walls, walkways, carpets etc., requires sophisticated technical tools with cooled chemicals under high pressure. Therefore the investigation of an alternative product is to be strongly recommended. HI SO165-5876(97)00077-3
Response: In its favour, chewing-gum acts as a sialagogue, promotes chewing thereby overcoming any pterygoid spasm whilst ensuring the flow of blood through the pterygoid plexus, consequently enchancing the removal of local inflammatory metabolites. We also believe it to be safe and is obviously well accepted by children. However, we do accept the reservations regarding its environmental effects but despite considerable effort, have failed to think of an alternative. Obviously, we would be open to suggestions to suitable alternatives. In summary, it is our belief 0165-5876/97i$l7.00
0 1997 Elsevier Science Ireland Ltd. Ail rights reserved.