Adenoidectomy Technique in the United Kingdom and Postoperative Hemorrhage

Lowe, David; Brown, Peter; Yung, Matthew

doi:10.1177/0194599811403119

Cited by 19 publications

(20 citation statements)

References 12 publications

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“…SUCTION DIATHERMY ADENOIDECTOMY diathermy adenoidectomy was found to be 0.07 per cent. 13 These findings indicate that the post-operative haemorrhage rate of 1.6 per cent found in the current study is well within reported outcomes. It is interesting that suction diathermy adenoidectomy compares favourably with curettage adenoidectomy in the literature, in contrast to the comparisons between diathermy tonsillectomy and cold steel techniques.…”

Section: Discussionsupporting

confidence: 88%

Suction diathermy adenoidectomy performed in the district general hospital

2014

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Section: Discussionsupporting

confidence: 88%

Suction diathermy adenoidectomy performed in the district general hospital

2014

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“…The haemorrhage rate in our study was 4.23%, which is higher than rates presented by Gendy et al (2) and Lowe et al (3) (3.6% and 3.3%, respectively). Harju et al (4) and Ali et al (5) presented higher post-tonsillectomy haemorrhage rates (12% and 6.7%, respectively).…”

Section: Discussioncontrasting

confidence: 72%

“…On the other hand, there are studies which presented higher haemorrhage rates after using the cold dissection. Thirdly, there are studies that showed no effect of surgical technique on the haemorrhage rate (3-14). …”

Section: Introductionmentioning

confidence: 99%

Haemorrhage Rates After Two Commonly Used Tonsillectomy Methods: a Multicenter Study

Brkic¹,

Mujic²,

Softic³

et al. 2017

Med Arch

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Introduction:Tonsillectomy is a frequently used, low-risk surgical procedure. The post-tonsillectomy haemorrhage occurs rarely, but is a life-threatening complication. Some studies show that the surgical technique affects the haemorrhage rate.Aims:To analyse the post-tonsillectomy haemorrhage rate, and to determine whether the effect of the surgical technique on the haemorrhage rate exists.Methods:We retrospectively reviewed data of all patients who underwent a tonsillectomy in three regional ENT departments in Bosnia and Herzegovina (Tuzla, Zenica and Bihac) between January 1st 2015 and October 31st 2016. Disorders which could affect the post-tonsillectomy haemorrhage rate were excluded. Tonsillectomy techniques used in these three centers were the hot technique (monopolar/bipolar forceps dissection and haemostasis) and the combined technique (cold steel dissection with monopolar/bipolar forceps haemostasis).Results:1087 patients that underwent a tonsillectomy were analysed in this study. 864 (79.48%) of those were children. 922 (84.82%) patients were operated using the combined technique, 165 (15.17%) underwent a tonsillectomy using the hot technique. Post-tonsillectomy haemorrhage occured in 46 (4.23%) patients. 45 (4.88%) patients had a postoperative haemorrhage after tonsillectomy using the combined technique, whereas haemorrhage occured in 1 patient (0.6%) after using the hot technique. The haemorrhage rate was about eight times lower after tonsillectomy using the hot technique (p=0.012).Conclusion:We conclude that the surgical technique used for tonsillectomy and adenotonsillectomy with the lowest post-tonsillectomy haemorrhage rate is the hot technique; these results are statistically significant. This technique should be used whenever possible, in order to lower the risk of post-tonsillectomy haemorrhage.

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“…A study on risk of postoperative hemorrhage showed that the data failed to demonstrate diathermy as a risk factor for hemorrhage following adenoidectomy despite a known interaction between diathermy and hemorrhage in tonsillectomy. [62] Operation time was found to be shorter than the conventional curette technique. No evidence of nasopharyngeal stenosis and scarring was seen in the majority of studies with suction electrocautery technique.…”

Section: Adenoidectomy Indicationsmentioning

confidence: 85%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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Adenoid is a secondary lymphoid organ located in the nasopharynx. Due to its location, it plays an important role in the host defense of the upper respiratory tract. Immunoglobulin G3 and immunoglobulin A1 antibodies are prevalent antibodies in the adenoid tissue. Adenoidal hypertrophy is a common condition in children causing symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. It also plays a role in the pathogenesis of rhinosinusitis, recurrent otitis media, and otitis media with effusion. Currently, adenoidectomy is one of the most commonly performed pediatric surgical procedures worldwide. Although there is still poor evidence in the literature, recurrent upper respiratory infections, otitis media with effusion, and obstructive sleep apnea syndrome are considered to be the main indications of adenoidectomy. Adenoidectomy can be carried out with several techniques and instruments. Although rare, surgery possesses some risks and may cause emotional distress both for the patient and the family. Nonsurgical treatments such as intranasal steroids are also used in the treatment of adenoid hypertrophy. In this review, we discuss the current literature on the adenoid function, adenoidectomy indications, and treatment of adenoid hypertrophy.Keywords: Adenoidectomy; adenoidectomy indication; adenoidectomy technique; function of adenoid; immunology of adenoid. ÖZAdenoid, nazofarenkste yer alan sekonder lenfoid organdır. Yerleşim yeri nedeniyle, üst solunum yolundaki konak savunmasında önemli bir rol oynar. Immünglobulin G3 ve immünglobulin A1 antikorları, adenoid dokusunda yaygın bulunan antikorlardır. Adenoid hipertrofisi çocuklarda ağız solunumu, burun akıntısı, horlama, uyku apnesi ve hiponazal konuşma gibi semptomlara neden olan yaygın bir durumdur. Bununla birlikte, rinosinüzit, tekrarlayan otitis media ve efüzyonlu otitis media patogenezinde rol oynar. Günümüzde adenoidektomi tüm dünyada en sık uygulanan pediatrik cerrahilerden biridir. Literatürde henüz yeterli kanıt mevcut olmamasına rağmen, tekrarlayan üst solunum yolu enfeksiyonları, efüzyonlu otitis media ve tıkayıcı uyku apnesi sendromunun adenoidektominin başlıca endikasyonları olduğu düşünülmektedir. Adenoidektomi birçok teknik ve araç ile uygulanabilmektedir. Nadir olmasına karşın, cerrahi bazı riskler taşımakta ve hem hasta hem de aile için duygusal stres yaratabilmektedir. Adenoid hipertrofisinin tedavisinde intranazal steroid gibi cerrahi dışı tedaviler de kullanılmaktadır. Bu derlemede adenoid fonksiyonu, adenoidektomi endikasyonları ve adenoid hipertrofisinin tedavisine ilişkin mevcut literatür tartışıldı.Anahtar Sözcükler: Adenoidektomi; adenoidektomi endikasyonu; adenoidektomi tekniği; adenoid fonksiyonu; adenoid immünolojisi.Adenoidectomy is one of the most commonly performed pediatric surgical procedures all over the world today, either alone or in conjunction with tonsillectomy and/or insertion of ventilating tubes.[1] Annual adenoidectomy rates differ between countries.

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Adenoidectomy Technique in the United Kingdom and Postoperative Hemorrhage

Cited by 19 publications

References 12 publications

Suction diathermy adenoidectomy performed in the district general hospital

Suction diathermy adenoidectomy performed in the district general hospital

Haemorrhage Rates After Two Commonly Used Tonsillectomy Methods: a Multicenter Study

Adenoidectomy: current approaches and review of the literature

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