Quality of postoperative course in children: endoscopic endonasal surgery versus sublabial microsurgery

Abstract

Endoscopic endonasal surgery can improve the quality of the postoperative course in children regardless of the type of lesions treated and the surgical complications.

Distraction Using the BUZZY for Children During an IV Insertion

“…The WBFPS is a feasible, quick, and simple tool used to assess pain in children ages 3 years and older (Wong, Hockenberry-Eaton, Wilson, Winkelstein, & Schwartz, 2001), and it has been used in over 80 studies in different countries and has been translated to 10 languages to assess pain-related interventions (e.g., Badr (Zahr), Puzantian, Abboud, Abdallah, and Shahine, 2006; Kennedy, Shaikh, Fardy, Evans, & Crean, 2004;Massimi et al, 2011;Tomlinson, von Baeyer, Stinson, & Sung, 2010). The WBFPS includes 6 cartoon faces that range from a smiley expression (0-'no pain') to a crying face (10-'severe pain') ( Figure 3).…”

MANAGEMENT OF ENDOCRINE DISEASE: Paediatric Cushing's disease

“…In children, ETES may be preferable as the first-line treatment and for recurrent lesions, being potentially advantageous in terms of efficacy and safety with reduction of surgical trauma, pain perception, paediatric intensive care unit admissions, need for blood transfusions, anterior pituitary deficiencies and incidence of diabetes insipidus (13,42,43). Although paediatric experience with endonasal ETES is limited, preliminary results in children with CD have recently been reported and shown an excellent outcome (13).…”

Recent Evolution of Endoscopic Endonasal Surgery for Treatment of Pituitary Adenomas

“…49) Many authors noted better sinonasal QOL after endoscopic approach than microscopic approach at least in short-term period after surgery. 49–54) However, Pledger et al 51) reported that although patients who underwent endoscopic surgery experienced significantly fewer nasal symptoms during the first 8 weeks, by 1 year after surgery, there were no significant differences between the endoscopic and microscopic groups.…”

“…Compared with the sublabial route, the endonasal approach was associated with less pain, better nasal airfow, and a shorter hospital stay. 53) Massimi et al 54) noted endoscopic surgery improve the quality of the postoperative course in children regardless of the type of lesions treated and the surgical complications. They suggested that the reasons for this more comfortable postoperative course are related to some specific advantages offered by endoscopic surgery, namely: (1) less mucosal detachment, (2) absence of sublabial incision, (3) absence of routine nasal packing.…”