Our Summary

In this research, scientists studied the effectiveness of different methods used to control bleeding during adenoid removal surgery in children. They were particularly interested in the methods that caused the least harm to the children’s health and improved their quality of life.

They divided 519 children into five groups. Each group had the operation under general anesthesia, but the doctors used a different method to control the bleeding: adrenaline, tranexamic acid, hydrogen peroxide, xylometazoline, and saline (which was the control group).

They then compared the five groups looking at things like how much blood was lost during the operation, how long the surgery took, whether they needed to take additional steps to control the bleeding, and the kids’ recovery, including post-operation bleeding, pain and bad breath, and long-term outcome.

The results showed that all four methods were effective in reducing blood loss and surgery duration compared to the control group. However, the best results were seen in the group where hydrogen peroxide was used. This method resulted in the least blood loss, shortest surgery time, and least need for additional steps to control the bleeding. Kids in this group also had the least bad breath one week after the surgery and the least pain on the first day after the surgery.

In conclusion, hydrogen peroxide seems to be the best choice to control bleeding during adenoid removal surgery in children. It leads to less blood loss and shorter surgery time, and improves the children’s recovery without causing significant post-operation complications. This was also the first time xylometazoline was used in such a surgery, and the results were quite satisfactory.

FAQs

  1. What methods were studied for controlling bleeding during adenoid removal surgery in children?
  2. Which method proved to be the most effective in reducing blood loss and surgery duration during adenoid removal surgery?
  3. What were the key factors studied in comparing the effectiveness of different methods used to control bleeding in adenoid removal surgery?

Doctor’s Tip

A doctor might tell a patient that hydrogen peroxide is the most effective method for controlling bleeding during adenoidectomy surgery in children. This method results in less blood loss, shorter surgery time, and improved recovery with fewer post-operation complications. They may also mention that xylometazoline showed satisfactory results in this study as well. It’s important for patients to discuss with their doctor the best method for their specific situation and to follow post-operative care instructions for optimal recovery.

Suitable For

Patients who are typically recommended adenoidectomy are those who have chronic adenoid infections or obstruction of the airway due to enlarged adenoids. Adenoidectomy may also be recommended for patients who have recurrent ear infections or sleep apnea due to enlarged adenoids. The surgery is most commonly performed in children, but adults may also undergo adenoidectomy if necessary.

Timeline

Before adenoidectomy:

  • Patient may experience symptoms such as difficulty breathing through the nose, snoring, sleep apnea, frequent sinus infections, and ear infections
  • Consultation with an ENT specialist to discuss symptoms and treatment options
  • Pre-operative assessment to determine if adenoidectomy is necessary
  • Education on the procedure and what to expect during and after surgery

After adenoidectomy:

  • Post-operative care instructions provided, including pain management, diet restrictions, and activity limitations
  • Recovery period of 1-2 weeks, with possible throat pain, bad breath, and nasal congestion
  • Follow-up appointment with ENT specialist to monitor healing and address any concerns
  • Improvement in symptoms such as improved breathing, reduced snoring, and decreased frequency of sinus and ear infections

What to Ask Your Doctor

Some questions a patient should ask their doctor about adenoidectomy based on this research:

  1. Can you explain the different methods used to control bleeding during adenoid removal surgery and why you would recommend one method over another?
  2. How does the use of hydrogen peroxide during surgery compare to other methods in terms of reducing blood loss, surgery duration, and post-operative complications?
  3. What are the potential risks or side effects associated with using hydrogen peroxide during adenoidectomy?
  4. How will the choice of method for controlling bleeding during surgery impact my child’s recovery and long-term outcome?
  5. Are there any specific factors or conditions that would make one method more suitable for my child over another?
  6. Can you provide more information on the use of xylometazoline in adenoidectomy surgery and the results seen in this study?
  7. How soon after the surgery can we expect to see improvements in my child’s symptoms, such as bad breath and pain?
  8. Are there any additional steps or precautions we need to take post-surgery if a specific method was used to control bleeding?
  9. How frequently do post-operative complications, such as bleeding or pain, occur in children who undergo adenoidectomy with different methods of controlling bleeding?
  10. Are there any long-term effects or considerations we should be aware of based on the method used during the surgery?

Reference

Authors: Elzayat S, Elfarargy HH, Soltan I, Aouf M, Elsherif H, Margani V, Covelli E, Volpini L, Lasheen HN, Barbara M. Journal: Int J Pediatr Otorhinolaryngol. 2022 May;156:111095. doi: 10.1016/j.ijporl.2022.111095. Epub 2022 Mar 4. PMID: 35259633