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Tonsillectomy or Tonsillotomy: Is a change of paradigm on-going? Data out of a new National Tonsil Surgery Register in Sweden
Avdelningen för Otorhinolaryngologi, Inst för Kliniks och Experimentell Medicin, Hälsouniversitetet, Linköping, Sverige.
HHJ. CHILD,Högskolan i Jönköping, Jönköping, Sverige. (Child)ORCID iD: 0000-0001-8549-9039
Avdelningen för Otorhinolaryngologi, Aleris Sabbatsberg, Stockholm, Sverige.
Avdelningen för Otorhinolaryngologi, Karolinska Universitetssjukhus, Stockholm, Sverige.
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2010 (English)Conference paper, Published paper (Refereed)
Abstract [en]

OBJECTIVES

To study the current prevalence of different tonsil surgery techniques in children with obstructive symptoms in Sweden and the rates of primary and secondary bleeding as a function of the procedure and technique used.

METHODS

The new National Tonsil Surgery Register in Sweden was used; this registry was opened in March 2009.The data for patients aged 1–15 years operated for obstruction was analyzed. To the registry, age, sex,indication for surgery, surgical procedure and techniques is recorded prospectively, as is primary bleedings occurring during hospital stay. 30 days after surgery, complications such as secondary bleedings,uncontrolled pain and nosocomial infections are reported by parents in questionnaires collected using asecure internet-page.

RESULTS

A total of 3980 patients between 1–15 years were operated during the period covered, of whom 3172 for obstructive symptoms. Of the 1876 that have thus far answered the 30 day post-operative questionnaire 511 were operated with adenotonsillectomy (A+TE) and 943 with adenotonsillotomy (A+TT), 246 were operated with tonsillectomy (TE) and 174 with tonsillotomy (TT). Primary bleedings were reported in 55/3172 patients: 2.4% after A+TE, 1.8% after A+TT, 1.9% after TE and 0.35% after TT. Secondary bleedings were noted in 36/1876 patients: 3.3% after A+TE, 0.85% after A+TT, 4.1% after TE and 0.6% after TT. The used surgical techniques (TE/TT) were cold steel (455/17), radiofrequency (72/864), diathermy (39/2), ultracision (23/24) or laser (3/22).

CONCLUSIONS

TT for the indication, “obstruction” has become more common than TE. TT results in fewer both primary and secondary postoperative bleedings. Further analyzes

Place, publisher, year, edition, pages
2010.
National Category
Otorhinolaryngology
Research subject
Oto-Rhino-Laryngology
Identifiers
URN: urn:nbn:se:oru:diva-40787OAI: oai:DiVA.org:oru-40787DiVA: diva2:778644
Conference
10th International Congress of the European Sociaty of Pediatric Otorhinolaryngology Pamplona, 5-8 June, 2010
Available from: 2010-08-27 Created: 2015-01-11 Last updated: 2017-10-17Bibliographically approved

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Ericsson, Elisabeth

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