Article Data

  • Views 393
  • Dowloads 128

Case Report

Open Access

Coblation tonsilloadenoidectomy - treatment of choice for very small children

  • ŽELJKA ROJE1
  • VESELIN ŠKRABIĆ2
  • SANDA STOJANOVIĆ STIPIĆ3

1School of Medicine, University of Split

2,Department of Pediatrics University Hospital

3,Department of Anesthesiology University Hospital Split

DOI: 10.22514/SV91.042014.13 Vol.9,Issue 1,April 2014 pp.63-65

Published: 30 April 2014

*Corresponding Author(s): ŽELJKA ROJE E-mail: zroje@kbsplit.hr

Abstract

Tonsillectomy is one of the most common operative procedures in childhood. According to the Croatian national guidelines for the treatment of sore throat (ISKRA guidelines), apsolute indications for tonsillectomy are recurrent tonsillitis (>4 per year) and sleep disordered breathing (including snoring and obstructive sleep apnea). Most children in Croatia undergo conventional cold steel tonsillectomy with bipolar diathermy coagulation using reusable surgical accessories. Estimated blood loss during this type of surgery is about 10% of complete blood volume. That is why, tonsillectomy is performed mostly in children 3 years of age and above because their weight and blood volume. Coblation tonsillectomy results in less postoperative blood loss and less postoperative morbidity and is therefore the method of choice for operating on very small children.

We present the case of a 3-year-old girl with somatic retardation (height 92 cm, weight 9,280 kg) who underwent coblation tonsilloadenoidectomy. As far as we now, this procedure has never been performed in a child of lower weight. 

Keywords

tonsillectomy, body wei-ght, obstructive sleep apnea, weight gain 

Cite and Share

ŽELJKA ROJE,VESELIN ŠKRABIĆ,SANDA STOJANOVIĆ STIPIĆ. Coblation tonsilloadenoidectomy - treatment of choice for very small children. Signa Vitae. 2014. 9(1);63-65.

References

1. Belloso A, Chidambaram A, Morar P, Timms AS. Coblation tonsillectomy versus dissection tonsillectomy: postoperative haemorrhage. Laryngoscope 2003;113:2010-13.

2. Roje Ž, Račić G, Pešutić Pisac V, Ðogaš Z, Timms M. Postoperative morbidity and histopathologic characteristics of tonsillar tissue follo-wing coblation tonsillectomy in children: prospective randomised single-blind study. Coll Antropol 2009;33(1):293-8.

3. Wiatrak BJ, Woolley AL. Pharingitis and Adenotonsillar Disease. In: Cummings CW, editor. Otolaryngology, Head & Neck Surgery. St. Luis: Mosby; 1998. p. 188-215.

4. Shapiro NL, Seid AB, Pransky SM, Kearns DB, Magit AE, Silva P. Adenotonsillectomy in the very young patient: cost analysis of two methods of postoperative care. Int J Pediatr Otorhinolaryngol 1999;48:109-15.

5. D'Eredita R, Marsh RR. Contact diode laser tonsillectomy in children. Otolaryngol Head Neck Surg 2004;131:732-5.

6. Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlled study. J Laryngol Otol 2002;116:450-2.

7. Oko MO, Ganly I, Loughran S, Clement WA, Young D, Geddes NK. A Prospective Randomized Single-Blind Trial Comparing Ultrasonic Scalpel Tonsillectomy With Tonsillectomy by Blunt Dissection in a Pediatric Age Group. Otolaryngol Head Neck Surg 2005;133:579-84.

8. Derkay CS, Darrow DH, Welch C, Sinacori JT. Post-Tonsillectomy Morbidity and Quality of Life in Pediatric Patients with Obstructive Tonsils and Adenoid: Microdebrider vs Electrocautery. Otolaryngol Head Neck Surg 2006;134:114-20.

9. Werle AH, Nicklaus PJ, Kirse DJ, Bruegger DE. A retrospective study of tonsillectomy in the under 2-year-old child: indications, perioperative management, and complications. Int J Pediatr Otorhinolaryngol 2003;67(5):453-60.

10. Berkowitz RG, G.H. Zalzal GH. Tonsillectomy in children under 3 years of age. Arch Otolaryngol Head Neck Surg 1990;116:685-/6.

11. Helmus C. Tonsillectomy and adenoidectomy in the one and two-year-old child. Laryngoscope 1979;89:1764-71.

12. Wiatrak BJ, Myer CM, Andrews TM. Complications of adenotonsillectomy in children under 3 years of age. Am JOtolaryngol 1991;12:170-2.

13. Temple RH, Timms MS. Pediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol 2001;61:195-8.

14. Schmidt R, Herzog A, Cook S, O'reilly R, Deutsch E, Reilly J. Complications of tonsillectomy: a comparison of techniques. Arch Otolaryngol Head Neck Surg 2007;133(9):925-8.

15. Mitchell RB, Kelly J.Outcomes and quality of life following adenotonsillectomy for sleep-disordered breathing in children. ORL J Otorhino-laryngol Relat Spec 2007;69(6):345-8.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 0.5(2019) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

    Top