• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International Journal of Otorhinolaryngology >Resolving of Tonsillectomy Dilemma Among Children Under Age of Three Years
【24h】

Resolving of Tonsillectomy Dilemma Among Children Under Age of Three Years

机译：三岁以下儿童扁桃体切除术难题的解决

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and objectives: Tonsillectomy is the most common surgical procedure in specialty of otorhinolaryngology. Therefore there are frequent premises regarding this procedure to be improved from different aspects, indications, time of surgery, techniques, safety measures, and postoperative care. One of big issues regarding this procedure is the most suitable age for the surgery. This point is creating a lot of controversies particularly at extreme age groups i.e. less than three years and more than sixty years. Although the extreme old age groups are considered as risky for any surgical procedures specially for tonsillectomy due to lack of proper body tissues tolerance and response to post-tonsillectomy bleeding as well as upper air way edema and obstruction but those age groups are still at lesser incidence of morbidity and mortality as compared to infantile age groups who take the wider spectrum of ENT surgeons' concentration, discussions, and researches regarding this issue. Therefore this study was conducted prospectively to confirm whether the tonsillectomy can be performed safely before age of three years with non-significant difference regarding post-operative morbidity and mortality as compared to the other age group of three years or more. Patients and methods: 648 children aged from 8 months through 8 years presented at ENT department - Althowra central teaching hospital and Altarahom private center - Elbyda city - Libya at period in between September 2005 to October 2012 with different indications for tonsillectomy. 241 patients were under age of three years who represent group-A while remaining 407 at age from three years and above and constitute group-B. As prospective analytic study, both groups compared in relation to intra-operative time consumption and whether there is any significant difference between two groups regarding the incidence of serious postoperative complications occurrence. In addition both groups compared for any significant difference regarding the period of postoperative hospitalization which can be used as objective indicator to measure the postoperative morbidity rate. Results: This presenting study confirmed that the tonsillectomy procedure is an easy procedure among children younger than three years of age as in older children; this can be indicated by the appearance of non-significant difference between both groups regarding the intra-operative time consumption. On the other hand this procedure approved to be a safe procedure among children with age below three years as in older children; this was illustrated by the presence of non-significant difference between group-A and group-B regarding the serious suspected posttonsillectomy complications namely post-tonsillectomy hemorrhage, aspiration, air way obstruction, negative pressure pulmonary edema, dehydration, and metabolic as well as nutritional deficiencies. Conclusion: Generally speaking the tonsillectomy is a safe procedure which can be performed successfully among children at different age groups with low incidence of post-tonsillectomy complications as compared to adults.
机译：背景与目的：扁桃腺切除术是耳鼻喉科专业中最常见的手术方法。因此，经常需要从不同方面，适应症，手术时间，技术，安全措施和术后护理等方面对该程序进行改进。关于该手术的主要问题之一是最适合手术的年龄。这一点引起了很多争议，特别是在极端年龄组，即不到三年和超过六十岁的人群。尽管由于年龄特别高的年龄组由于缺乏适当的身体组织耐受性和对扁桃体切除术后出血以及上呼吸道水肿和阻塞的反应而对扁桃体切除术的任何手术均具有风险，但这些年龄组的发病率仍然较低与婴幼儿年龄组的发病率和死亡率相比，婴儿年龄组需要更多耳鼻喉科医师集中精力，就此问题进行讨论和研究。因此，前瞻性地进行了这项研究，以确认扁桃体切除术是否可以在3岁​​之前安全地进行，与其他3岁以上年龄组相比，术后发病率和死亡率没有显着差异。患者和方法：2005年9月至2012年10月，在利比亚的耳鼻喉科医院-Althowra中央教学医院和阿尔塔拉霍姆私立医院-Elbyda市-利比亚共648名8个月至8岁的儿童出现了扁桃体切除术的不同适应症。年龄在3岁以下的241名患者代表A组，而在3岁及以上年龄的其余407名患者构成了B组。作为前瞻性分析研究，两组在术中耗时以及两组术后严重并发症发生率方面是否存在显着差异进行了比较。此外，两组都比较了有关术后住院时间的任何显着差异，可以用作衡量术后发病率的客观指标。结果：本研究证实了扁桃体切除术对于三岁以下的孩子来说是一个容易的过程，与大龄儿童一样。这可以通过两组在术中时间消耗方面无显着差异来表明。另一方面，与年龄较大的儿童一样，该程序被批准为三岁以下儿童的安全程序。 A组与B组在疑似严重的扁桃体切除术后并发症（即扁桃体切除术后出血，误吸，气道阻塞，负压肺水肿，脱水和代谢以及营养）方面无显着差异，说明了这一点。缺陷。结论：一般而言，扁桃体切除术是一种安全的方法，可以在不同年龄组的儿童中成功进行，与成人相比，扁桃体切除术后并发症的发生率较低。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号