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Surgeons’ preferences and anxiety levels in paediatric adenotonsillectomy: European perspective

Published online by Cambridge University Press:  25 March 2019

A E Kilavuz  and
A A Bayram
A E Kilavuz*
Affiliation:
Department of Otorhinolaryngology, Acibadem Healthcare Group, Maslak Hospital, Acibadem University, Istanbul, Turkey
A A Bayram
Affiliation:
Department of Otorhinolaryngology, Bahcelievler State Hospital, Istanbul, Turkey
*
Author for correspondence: Dr Ahmet Erdem Kilavuz, Department of Otorhinolaryngology, Acibadem Healthcare Group, Maslak Hospital, Acibadem University, Istanbul, Turkey E-mail: aekilavuz@gmail.com Fax: +90 212 304 4440
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Abstract

Objective

This study assessed the preferences of surgeons regarding surgical modalities used for adenotonsillectomy, and determined anxiety levels related to the adenotonsillectomy procedure.

Methods

A 10-question survey created by the authors was administered to 413 ENT specialists attending the 4th Congress of Otorhinolaryngology Head and Neck Surgery, held in October 2017 in Barcelona, Spain.

Results

Cold knife dissection was the preferred surgical modality for both adenoidectomy and tonsillectomy. Most participants reported encountering one to five patients with post-tonsillectomy bleeding throughout their entire career. The mean anxiety levels during surgery and the 10-day post-operative period were 3.39 ± 2.14 and 4.18 ± 2.63, respectively (p < 0.05). There was a significant negative correlation between anxiety level and surgeon's experience (p < 0.05).

Conclusion

Cold dissection is still the preferred surgical modality for adenotonsillectomy, while both suture ligation and electrocautery are used for haemostasis. Paediatric adenotonsillectomy is likely to generate anxiety in ENT surgeons, and the possibility of secondary post-tonsillectomy bleeding increases the anxiety levels of surgeons in the post-operative period.

Keywords

AdenoidectomyTonsillectomyAnxietySurgical EquipmentPostoperative Hemorrhage
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 333 - 338
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A E Kilavuz takes responsibility for the integrity of the content of the paper

References

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