Walner David L, Parker Noah P, Miller Robert P
Department of Otolaryngology and Bronchoesophagology, Rush University Medical Center, Chicago, IL, USA.
Otolaryngol Head Neck Surg. 2007 Jul;137(1):49-53. doi: 10.1016/j.otohns.2007.02.036.
Examine changing trends/instrument usage for pediatric adenotonsillectomy.
Survey of 300 members of the American Society of Pediatric Otolaryngology assessing instruments used in adenotonsillectomy currently and over the past 15 years.
A total of 120 surveys were returned. The most common total tonsillectomy instruments for obstruction/infection were: monopolar electrocautery (ME) (53.1%/54.5%) and coblation (CT) (16.0%/16.1%). The most common subtotal tonsillectomy instrument for obstruction/infection was microdebrider (51.4%/30.8%). Over the past 15 years, ME predominated, cold utilization declined, and CT rose. The most common adenoidectomy instruments were ME (25.0%/25.0%), curette with touch-up ME (22.4%/22.4%), and microdebrider with touch-up ME (19.0%/14.7%). Over the past 15 years, curette with touch-up ME predominated early, curette utilization alone declined, and ME, microdebrider, and CT have risen.
Pediatric otolaryngologist technique/instrument use for adenotonsillectomy has changed over the past 15 years. This study may be limited by the low survey response rate.
研究小儿腺样体扁桃体切除术的变化趋势及器械使用情况。
对300名美国小儿耳鼻咽喉科协会成员进行调查，评估目前及过去15年中腺样体扁桃体切除术中使用的器械。
共收回120份调查问卷。用于阻塞/感染的最常见扁桃体全切术器械为：单极电灼（ME）（53.1%/54.5%）和低温等离子消融术（CT）（16.0%/16.1%）。用于阻塞/感染的最常见扁桃体次全切除术器械为微型切割器（51.4%/30.8%）。在过去15年中，ME占主导地位，冷器械使用减少，CT使用增加。最常见的腺样体切除术器械为ME（25.0%/25.0%）、带ME辅助的刮匙（22.4%/22.4%）和带ME辅助的微型切割器（19.0%/14.7%）。在过去15年中，早期带ME辅助的刮匙占主导地位，单纯刮匙使用减少，ME、微型切割器和CT使用增加。
在过去15年中，小儿耳鼻咽喉科医生在腺样体扁桃体切除术中的技术/器械使用发生了变化。本研究可能受调查回复率低的限制。
