|
KMID : 0361020210640060407
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 6 p.407 ~ p.415
|
|
|
Advantages of Cold-knife Dissection with Adjunctive Suction Cauterization Adenotonsillectomy: A Useful and Safe Surgical Technique for Pediatric Patients
|
|
Park Jung-Mee
Han Jae-Sang
Kim Yeon-Ji
Seo Jae-Hyun
Park Shi-Nae
|
|
|
Abstract
|
|
|
Background and Objectives : To introduce cold-knife dissection with adjunctive suctioncauterization (CDASC) technique for pediatric adenotonsillectomy and to evaluate the advantagesof this technique through short and long-term follow-up results.
Subjects and Method : Enrolled in the study were 492 subjects with a mean age of 6.5 years,who underwent adenotonsillectomy via the CDASC technique. Surgical outcomes were evaluatedthrough the postoperative bleeding rate, days of normal diet (as a measure of pain), andimprovement of obstructive symptoms at regular follow-up visits. Intraoral photography andlateral neck radiography were analyzed for long-term surgical outcomes.
Results : None of the enrolled patients revisited the hospital due to hemorrhage, indicating0% immediate and delayed postoperative bleeding with this surgical technique. Most of thepatients showed normal diet consumption and activity within 3 days. Postoperative intraoralphotography after 6 and 12 months were graded as normal (grade 0) in 77.5% and 79.7% ofthe enrolled patients, respectively. Postoperative adenoid to nasopharyngeal ratios were significantlyreduced (p<0.05) and no recurrence of snoring and adenoid regrowth were demonstratedduring the follow-up period of 12 months.
Conclusion : Our CDASC technique seems to have several advantages including less postoperativepain, no postoperative bleeding, less scarring, and no recurrence of preoperative symptoms.
We suggest that our CDASC technique is a very useful, safe, and effective method ofsurgery for pediatric adenotonsillectomy.
|
|
|
KEYWORD
|
|
|
Adenoidectomy, Pediatrics, Surgical procedures, Tonsillectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|