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


Kilavuz A. E. , Bayram A. A.

JOURNAL OF LARYNGOLOGY AND OTOLOGY, cilt.133, ss.333-338, 2019 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 133 Konu: 4
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1017/s0022215119000434
  • Dergi Adı: JOURNAL OF LARYNGOLOGY AND OTOLOGY
  • Sayfa Sayıları: ss.333-338

Özet

ObjectiveThis study assessed the preferences of surgeons regarding surgical modalities used for adenotonsillectomy, and determined anxiety levels related to the adenotonsillectomy procedure.MethodsA 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.ResultsCold 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).ConclusionCold 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.