Advantages of Cold-knife Dissection with Adjunctive Suction Cauterization Adenotonsillectomy: A Useful and Safe Surgical Technique for Pediatric Patients
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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.
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.
참고문헌 (30)
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