Our Summary

This research aimed to understand the effects of using a technique known as bipolar electrocautery to control bleeding after a child has had their adenoids removed. In the study, they looked at 90 children who had this surgery over a 3-month period. They found that those who had the electrocautery treatment experienced more post-surgery pain, blocked noses, runny noses, difficulty speaking, and bad breath. They also needed painkillers for longer. Some also had neck pain and bad breath specifically related to the electrocautery. Because of these side effects, the researchers suggest limiting the use of this technique in children having their adenoids removed. Recognizing these potential issues could also help manage expectations and concerns for both the child and their parents after the surgery.

FAQs

  1. What is bipolar electrocautery and why is it used in adenoidectomy?
  2. What are the side effects of using bipolar electrocautery in adenoid removal surgeries?
  3. What are the researchers’ suggestions based on the study about using bipolar electrocautery in adenoidectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about adenoidectomy is to expect some common side effects such as temporary pain, nasal congestion, and bad breath following the surgery. It is important to follow post-operative care instructions, including taking prescribed pain medication and avoiding strenuous activities. If you have any concerns or experience severe symptoms, be sure to contact your healthcare provider for further guidance.

Suitable For

Patients who are typically recommended for adenoidectomy are those who have chronic or recurrent adenoid infections, sleep apnea, nasal obstruction, or chronic sinusitis. Children who have frequent ear infections or fluid in the ears may also be candidates for adenoidectomy.

Timeline

Before adenoidectomy:

  • Patient experiences symptoms such as frequent nasal congestion, difficulty breathing through the nose, snoring, sleep apnea, ear infections, and sore throat.
  • Patient undergoes a consultation with an ear, nose, and throat (ENT) specialist to determine if adenoidectomy is necessary.
  • Surgery is scheduled, and pre-operative instructions are given to the patient and their family.

After adenoidectomy:

  • Patient undergoes the surgical procedure to remove the adenoids, which typically takes about 30 minutes.
  • Patient may experience sore throat, ear pain, and nasal congestion immediately after the surgery.
  • Patient is monitored in the recovery room before being discharged home.
  • Patient is instructed to rest and avoid strenuous activities for a few days post-surgery.
  • Patient may experience some bleeding, nasal discharge, and mild discomfort during the recovery period.
  • Patient gradually improves over the next 1-2 weeks, with symptoms such as nasal congestion and sleep apnea improving significantly.
  • Follow-up appointments are scheduled with the ENT specialist to monitor the patient’s progress and ensure proper healing.

What to Ask Your Doctor

Some questions a patient could ask their doctor about adenoidectomy include:

  1. What are the potential side effects of using bipolar electrocautery during an adenoidectomy?
  2. Are there alternative techniques that could be used to control bleeding during the surgery?
  3. How common are the side effects associated with bipolar electrocautery in children undergoing adenoid removal?
  4. What can be done to manage or alleviate the post-surgery pain, blocked nose, runny nose, and other symptoms related to using bipolar electrocautery?
  5. How long can I expect to need painkillers or experience discomfort after the surgery if bipolar electrocautery is used?
  6. Are there any specific precautions or aftercare measures I should take if bipolar electrocautery is used during my child’s adenoidectomy?
  7. What are the potential risks and benefits of using bipolar electrocautery compared to other techniques for controlling bleeding during adenoid removal?
  8. Are there any factors that may make my child more susceptible to experiencing side effects from bipolar electrocautery during an adenoidectomy?
  9. How will the decision to use bipolar electrocautery be made, and will I have a say in the choice of technique for my child’s surgery?
  10. Are there any long-term implications or complications associated with using bipolar electrocautery during an adenoidectomy that I should be aware of?

Reference

Authors: Epure V, Hainarosie R, Voiosu C, Gheorghe DC. Journal: Medicina (Kaunas). 2023 Apr 10;59(4):739. doi: 10.3390/medicina59040739. PMID: 37109697