Abstract:
BACKGROUND:A government directive aiming to minimise the theoretical risk of acquiring variant Creutzfeld-Jacob disease from reusable instruments lead to tonsillectomy with disposable instruments becoming standard practice in the UK during 2001. A perceived increase in post-tonsillectomy haemorrhage followed soon after implementation of the directive. OBJECTIVE:To determine if the introduction of disposable instruments is associated with a statistically significant change in post-tonsillectomy haemorrhage rates in children. METHODS:A prospective audit of paediatric tonsillectomy with reusable instruments (n=156) had been undertaken (November 1999-November 2000). All children undergoing tonsillectomy with disposable instruments (n=115) were also studied prospectively (August 2001-December 2001) allowing the reactionary and secondary post-tonsillectomy haemorrhage rates for the two study periods to be compared. We hypothesised no difference in haemorrhage rates between reusable and disposable instruments. Statistical significance was calculated using Fisher's exact test and confidence intervals were established for the differences between study groups. RESULTS:Cold dissection was undertaken in 62 children with reusable instruments and in 76 children with disposable instruments with secondary haemorrhage rates of 3.2% (n=2) and 2.6% (n=2), respectively. Bipolar diathermy dissection was undertaken in 94 children with reusable instruments and in 39 children with disposable instruments with respective secondary haemorrhage rates of 6.4% (n=6) and 12.8% (n=5). No reactionary haemorrhages occurred with reusable or disposable instruments. No difference was found in the overall secondary haemorrhage rate between reusable and disposable instruments (P=0.93, difference 1.0% (95% CI; -7.4 to +4.6)). CONCLUSIONS:The introduction of disposable instruments has not produced a statistically significant increase in paediatric post-tonsillectomy haemorrhage rates in our centre.
journal_name
Int J Pediatr Otorhinolaryngoljournal_title
International journal of pediatric otorhinolaryngologyauthors
Montague ML,Lee MS,Hussain SSdoi
10.1016/j.ijporl.2003.08.032subject
Has Abstractpub_date
2003-12-01 00:00:00pages
S221-3eissn
0165-5876issn
1872-8464pii
S0165587603002933journal_volume
67 Suppl 1pub_type
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/s0165-5876(99)00165-2
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abstract:OBJECTIVE:Hearing loss in children may be due to a wide variety of pathologies. Recently, use of otoacoustic emission technology has led to identification of auditory neuropathy as a distinct hearing disorder. Children with auditory neuropathy require audiological and educational management that may differ from that re...
journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
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更新日期:2014-12-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
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doi:10.1016/s0165-5876(86)80057-x
更新日期:1986-11-01 00:00:00
abstract::In a series of 163 ears with chronic, mucoid effusion, free or immune complex bound pneumococcal capsular polysaccharide antigens were demonstrated with Omniserum and counterimmunoelectrophoresis (CIEP) in 37 ears (23%). In crushed adenoid tissue this figure was 39% (42/107). Using type- or group-specific sera pneumoc...
journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2009.07.015
更新日期:2009-10-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2018.06.029
更新日期:2018-09-01 00:00:00
abstract::Postoperative lymphorrhea is a serious and occasionally lethal complication of neck dissection and cardiothoracic surgery. Management is not standardized, but usually centers around diet modification, drainage, pressure dressings, and reoperation. We report the successful use of the long acting somatostatin analogue o...
journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2004.01.017
更新日期:2004-06-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章,评审
doi:10.1016/j.ijporl.2004.07.021
更新日期:2005-01-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2013.06.024
更新日期:2013-09-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2008.01.021
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/j.ijporl.2011.12.009
更新日期:2012-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijporl.2018.10.032
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pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
doi:10.1016/s0165-5876(03)00005-3
更新日期:2003-05-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
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journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章
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journal_title:International journal of pediatric otorhinolaryngology
pub_type: 杂志文章,评审
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更新日期:2016-11-01 00:00:00
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journal_title:International journal of pediatric otorhinolaryngology
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journal_title:International journal of pediatric otorhinolaryngology
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