Walner David L, Mularczyk Christopher, Sweis Auddie
Advocate Children's Hospital, Pediatric Otolaryngology, Pediatric Airway Center, Park Ridge, IL, USA.
University of Illinois, College of Medicine, Urbana-Champaign, IL, USA.
Int J Pediatr Otorhinolaryngol. 2017 Sep;100:8-13. doi: 10.1016/j.ijporl.2017.06.019. Epub 2017 Jun 16.
Examine trends in surgical instrument usage for pediatric adenotonsillectomy.
An online survey asking questions about current and previous surgical instrument use was created by the authors and distributed to 517 members of the American Society of Pediatric Otolaryngology in October 2015. The survey was designed to assess trends in the use of surgical instruments in pediatric adenotonsillectomy by comparing the results of our 2015 survey to data from a previously published 2005 study.
133 surveys were returned. The most common instruments for total tonsillectomy in 2015 were monopolar electrocautery (57.0%) and coblation (22.7%). The most common subtotal tonsillectomy instruments in 2015 were microdebrider with monopolar electrocautery (41.3%) and coblation (37.0%). The most common adenoidectomy instruments in 2015 were monopolar electrocautery alone (41.3%), coblation (15.1%), and microdebrider with electrocautery (15.1%).
As compared to our 2005 study, our 2015 study demonstrates that the instrument choice for total tonsillectomy, sub-total tonsillectomy, and adenoidectomy have shifted away from cold techniques toward monopolar electrocautery and coblation.
研究小儿腺样体扁桃体切除术手术器械使用的趋势。
作者创建了一项在线调查，询问有关当前和以前手术器械使用的问题，并于2015年10月分发给517名美国小儿耳鼻喉科协会成员。该调查旨在通过将我们2015年调查的结果与之前发表的2005年研究数据进行比较，评估小儿腺样体扁桃体切除术手术器械使用的趋势。
共收回133份调查问卷。2015年全扁桃体切除术最常用的器械是单极电灼（57.0%）和低温等离子消融术（22.7%）。2015年次全扁桃体切除术最常用的器械是带单极电灼的微型切割器（41.3%）和低温等离子消融术（37.0%）。2015年腺样体切除术最常用的器械是单纯单极电灼（41.3%）、低温等离子消融术（15.1%）和带电灼的微型切割器（15.1%）。
与我们2005年的研究相比，我们2015年的研究表明，全扁桃体切除术、次全扁桃体切除术和腺样体切除术的器械选择已从冷器械技术转向单极电灼和低温等离子消融术。
