Suction diathermy for adenoidectomy: Complications and risk of recurrence

Summary Objectives When introduced, suction coagulation was initially utilised for haemorrhage control following curettage of the adenoid pad. More recently the whole procedure has been performed using the technique. This study aims to report post-operative haemorrhage rates and risk of recurrence i...

Full description

Saved in:
Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2007-06, Vol.71 (6), p.917-920
Main Authors: Skilbeck, C.J, Tweedie, D.J, Lloyd-Thomas, A.R, Albert, D.M
Format: Article
Language:English
Subjects:
Adenoidectomy
Adenoidectomy - adverse effects
Adenoidectomy - methods
Adenoids - physiopathology
Adolescent
Child
Child, Preschool
Diathermy
Electrocoagulation - adverse effects
Electrocoagulation - methods
Female
Follow-Up Studies
Humans
Infant
Male
Middle Ear Ventilation
Otitis Media with Effusion - surgery
Otolaryngology
Pediatrics
Postoperative Hemorrhage - etiology
Recurrence
Retrospective Studies
Risk Factors
Sex Factors
Sleep Apnea, Obstructive - surgery
Suction
Tonsillectomy
Tonsillitis - surgery
Tympanic Membrane - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Objectives When introduced, suction coagulation was initially utilised for haemorrhage control following curettage of the adenoid pad. More recently the whole procedure has been performed using the technique. This study aims to report post-operative haemorrhage rates and risk of recurrence in adenoidectomy performed solely by suction diathermy in children. Methods A retrospective study of 1411 consecutive paediatric patients. Surgery was performed using suction diathermy. No patients were excluded. All patients were followed up. Results There were no cases of post-operative haemorrhage. 1.7% of patients remained symptomatic and underwent revision adenoidectomy. None required a third procedure. Conclusions Re-growth of adenoid tissue may occur despite visualisation of the nasopharynx at the time of surgery. The incidence of re-growth is similar to that reported in patients undergoing conventional adenoidectomy by curettage. Post-operative haemorrhage was not encountered in children having adenoidectomy by suction diathermy. The authors suggest suction diathermy as the most appropriate method for adenoidectomy in children.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2007.03.001