Abstract:Use of topical adrenaline can be recommended in adenoidectomy among children. It helps control the intraoperative bleeding, reduces the use of electrocautery and shortens the durations of procedure and stay in the OR.
“…This prevented potential Eustachian tube dysfunction caused by excessive cautery usage and nasopharyngeal stenosis caused by excessive scarring. The study conducted by Teppo et al [4] using racemic adrenaline indicated that systemic side effects occurred as a result of using adrenaline; our study demonstrated that ABS had no such side effects.…”
Section: Discussioncontrasting
confidence: 59%
“…Ö zmen and Ö zmen [3] reported a duration of operation as 12 min, while Teppo et al [4] reported 13 min. Ö zmen and Ö zmen [3] compared patients with a control group; 50 8C saline reduced the operative time by 3.1 min and reduced the time for hemostasis by 1.8 min.…”
Section: Discussionmentioning
confidence: 97%
“…Teppo et al [4] used electrocautery in 11 (22%) of the 51 patients in the study group, in which racemic adrenaline was also used. In our study, electrocautery was used in five patients (10.9%) in the ABS group and 18 patients (40.9%) in the control group.…”
Section: Discussionmentioning
confidence: 99%
“…Gauze tampons are frequently placed in the nasopharynx for hemostasis of the bleeding that occurs after adenoidectomy and are left in place for a while. In the event that the hemorrhage cannot be controlled using this method, it is typically dealt with by other methods, such as saline irrigation and epinephrine tampons, or the use of cautery [2][3][4]. An advantage of hemostasis using cautery is that it is cost-effective.…”
Section: Introductionmentioning
confidence: 98%
“…An advantage of hemostasis using cautery is that it is cost-effective. Its disadvantages include the risk of nasopharynx stenosis and the damage it can create in surrounding tissues [4]. Studies indicate that the average intraoperative hemorrhage during adenoidectomy is 43-54 ml.…”
“…This prevented potential Eustachian tube dysfunction caused by excessive cautery usage and nasopharyngeal stenosis caused by excessive scarring. The study conducted by Teppo et al [4] using racemic adrenaline indicated that systemic side effects occurred as a result of using adrenaline; our study demonstrated that ABS had no such side effects.…”
Section: Discussioncontrasting
confidence: 59%
“…Ö zmen and Ö zmen [3] reported a duration of operation as 12 min, while Teppo et al [4] reported 13 min. Ö zmen and Ö zmen [3] compared patients with a control group; 50 8C saline reduced the operative time by 3.1 min and reduced the time for hemostasis by 1.8 min.…”
Section: Discussionmentioning
confidence: 97%
“…Teppo et al [4] used electrocautery in 11 (22%) of the 51 patients in the study group, in which racemic adrenaline was also used. In our study, electrocautery was used in five patients (10.9%) in the ABS group and 18 patients (40.9%) in the control group.…”
Section: Discussionmentioning
confidence: 99%
“…Gauze tampons are frequently placed in the nasopharynx for hemostasis of the bleeding that occurs after adenoidectomy and are left in place for a while. In the event that the hemorrhage cannot be controlled using this method, it is typically dealt with by other methods, such as saline irrigation and epinephrine tampons, or the use of cautery [2][3][4]. An advantage of hemostasis using cautery is that it is cost-effective.…”
Section: Introductionmentioning
confidence: 98%
“…An advantage of hemostasis using cautery is that it is cost-effective. Its disadvantages include the risk of nasopharynx stenosis and the damage it can create in surrounding tissues [4]. Studies indicate that the average intraoperative hemorrhage during adenoidectomy is 43-54 ml.…”
Meta-analysis of 1148 patients concludes that hemostasis during FESS is best conducted using TIVA, preoperative steroids, and topical local anesthetic at a 1:200,000 concentration.
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